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, 1915 Session I, H-31

H.—3l

1915 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 Page Report of Inspector-General of Hospitals and Chief Appendix I (Public Health)— continued. Health Officer :— C. Appendices to Eeports— continued. Public Health .. .. .. .. 2 (12.) Immigration Restriction Act .. .. 35 Hospitals and Charitable Aid .. .. .. 3 (13.) Private Hospitals and Midwives .. 36 The Nurses Registration Act .. .. .. 6 (14.) The Sale of Pood and Drugs Act .. 37 The Midwives Act .. .. .. .. 7 D. Laboratory Reports .. .. 44 State Maternity Hospitals .. .. .. 7 To Waikato Sanatorium .. .. .. 8 Appendix II (Hospitals and Charitable Aid): — Statistical, — Appendix I (Public Health): — Table I.—Hospital and Charitable-aid ReA. Local Vital Statistics .. .. .. 9 ceipts .. .. .. 55 B. General Reports of District Health Officers .. 10 „ ll.—Hospital and Charitable-aid ExC. Appondicos to Reports,— penditure .. .. 50 (1.) Infectious Diseases .. .. ..12 „ 111. —Hospital Statistics (Goneral) .. 58 (2.) Dangerous Infectious Diseases.. ..19 „ IV.—Hospital Expenditure .. .. 60 (3.) Provision for Infectious-disease Cases ..20 „ V.—Statistics of Government Hospitals 62 (4.) Sanitary Conditions .. .. 20 „ VI. —Expenditure of Government Hos(s.) Sanitary Condition of Maoris .. .. 26 pitals .. .. 62 (6.) Sanitary Inspections .. ..28 „ VII.—-Charitable Institutions (Statistical) 63 (7.) Offensive Trades .. .. 34 ~ Vlll.—Charitable Institutions Expendi- ■ (8.) Insanitary Buildings .. .. 34 ture .. .. ..64 (9.) By-laws .. .. .. ..34 „ IX.—Levies and Subsidies for 1915-16 65 (10.) Quarantine.. .. .. 35 , „ X. —Hospital and Charitable Aid Boards (11.) Disinfection of Oversea Goods ~ 36 j (General) ~ ~ ~66,

I—H, 31.

H.—Bl

2

KEPOKT. 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, 10th August, 1915. I have the honour to lay before you the annual report of the Department for the year ending 31st March, 1915. Public Health. The general health of the Dominion has been good. The general death-rate is 9-31, as against 9-47 last year. The infantile-mortality rate for New Zealand was 51-38 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 1904-1914.

Number of Deaths per 1,000 Births.

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. 1910. 1911. 1912. 1913. 1914. Enteric .. .. .. .. 0-62 0-66 0-44 0-56 0-44 Scarlet fever .. .. .. 0-13 0-09 0-07 0-10 0-20 Diphtheria .. .. ~ .. 0-76 0-61 0-44 0-57 0-72 Phthisis .. .. .. .. 5-54 5-28 5-04 5-41 4-99 Other forms of tuberculosis .. .. 1-82 1-99 1-85 2-19 1-68 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. Cases notified are set out as follows :— Num b er of Casea Rate oflncidence per 10,000 of Mean Population. 1913. 1914. 1913. 1914. Enteric fever .. .. ..863 859 8-07 7-87 Scarlet fever .. .. .. 1,614 1,506 15-10 13-81 Diphtherial .. .. ..747 1,095 6-99 10-04 Tuberculosis .. .. .. 1,018 957 9-53 8-78 Sale of Food and Drugs Act. From the returns attached to the several reports of the District Health Officers it will be seen that the amount of work undertaken in the administration of the regulations under the above Act increased substantially during 1914. Fines inflicted amounted to £497, as against £412 during 1913. While on the one hand it has been obvious to the officers administering this Act that they should avoid insisting upon minor technicalities of labelling, for example- -the cost of which would inevitably be placed upon the consumer, nevertheless, they have been watchful lest gross adulterations or short weight be taken advantage of by less scrupulous vendors in these times of national stress,

Year. New Zealand. Auckland Wellington and Suburban and Suburban Boroughs. Boroughs. Christchurch and Suburban Boroughs. Dunodin and Suburban Boroughs. I 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 70-98 67-52 62-10 88-78 67-88 61-60 67-73 56-31 51-22 59-17 51-38 70-12 91-52 85-80 97-19 81-87 61-85 79-02 63-02 56-95 80-81 57-62 95-33 96-21 71-88 117-80 81-67 84-21 84-59 73-36 61-32 60-23 82-57 102-96 88-99 74-37 126-16 67-82 62-78 69-40 62-90 60-03 63-49 68-15 93-02 67-13 72-60 95-36 74-54 48-52 79-08 43-42 38-11 73-42 54-28

3

H.—3l

Hospitals and Charitable Aid. .11 Receipts. The total amount received by Boards, separate institutions, and Government institutions for the past year on account of hospitals, charitable aid, and public health was £628,831, a decrease of £31,633 on the previous year, the receipts for the past four years being— £ 1911-12 .. .. 556,108 1912-13 .. .. .. .. .. .. .. 583,673 1913-14 .. .. .. .. .. .. .. 660,464 1914-15 .. .. .. .. .. .. .. 628,831 The receipts from the principal sources of revenue were as follows :— Government contributions— 1911-12 .. .. 189,011 1912-13 .. .. .. .. .. .. .. 200,256 1913-14 .. .. .. .. .. .. .. 219,520 1914-15 .. .. .. .. .. .. .. 217,152 Levies on local authorities— 1911-12 .. .. .. ... .. .. .. 149,203 1912-13 .. .. .. .. .. .. .. 166,281 1913-14 .. .. .. .. .. .. .. 175,120 1914-15 .. .. .. .. .. .. .. 189,886 Voluntary contributions— 1911-12 .. .. .. .. .. .. .. 31,656 1912-13 .. .. .. .. .. .. .. 25,930 1913-14 .. .. .. .. .. .. .. 49,856 1914-15 .. .. .. .. .. .. .. 25,227 Payments by persons relieved— 1911-12 .. .. .. .. .. ~ .. 64,138 1912-13 .. .. .. .. .. .. .. 77,369 1913-14.. .. .. .. .. .. .. 84,026 1914-15 .. .. .. .. .. .. .. 89,592 Voluntary contributions, though fluctuating considerably, show, in relation to the total expenditure, a downward tendency. In 1913-14, the amount was swelled substantially by the gift of £15,000 from Mr. Cawthron, of Nelson. Payments by persons relieved last year exhibit an increase of £5,566 over those for the previous year, payments by hospital patients almost wholly accounting for the increase.

Expenditure. The total expenditure of Boards, separate institutions, Government institutions, and grants in aid amounted to £592,008. The total expenditure of Hospital and Charitable Aid Boardsjjwas £548,868, and compared in detail with that of 1913-14 as follows:— 1913-14. 1914-15. £ £ Hospital maintenance* .. .. .. .. 249,911 268,695 Charitable aid .. .. .. .. .. 94,735 102,576 Public health .. .. 11,867 10,734 Administration .. .. .. .. .. 21,323 22,862 Capital expenditure .. .. .. .. .. 140,840 115,279 Other expenditure .. .. .. .. ..31,153 28,722 £549,830 £548,868 * Includes expenditure on pathologioal, dental, and tuberculosis out-patients departments. The total expenditure by separate institutions was, — 1913-14. 1914-15. £ £ Hospital maintenance .. .. .. .. 3,181 2,983 Charitable aid .. .. .. .. .. 8,315 8,918 Administration .. .. .. .. .. 951 902 Capital expenditure .. .. .. .. .. 1,637 2,464 Other expenditure .. .. . . .. .. 1,452 732 £15,536 £15,999

911-12 912-13 913-14 914-15 Year. Paymonts by Hospital | Payments by Inmates of Patients. i Charitable Institutions. | £ £ 47,338 16,698 56,255 20,888 62,680 20,987 69,404 20,188 * Inoludes also district nursing fees. Total.* £ 64,138 77,369 84,026 89,592

H.—Bl.

The expenditure on Government institutions (Te Waikato Sanatorium and St. Helens Hospitals) wa s.— 1913-14. 1914-15. £ £ Maintenance .. .. .. .. .. 12,176 12,215 Administration .. .. .. .. .. 445 502 Capital expenditure .. .. .. .. .. 1,051 239 Other expenditure .. .. .. .. .. 657 J ,014 £14,329 £13,971 There was also expended by the Department on other means of medical and nursing assistance a sum of £13,170, made up of— £ (1.) Subsidies to medical men in the backblocks.. .. .. .. 1,143 (2.) Medical and nursing attendance on Maoris .. .. .. .. 3,219 (3.) Grants to private charitable institutions, Plunket nurses, &c. .. .. 8,808 Hospital Expenditure. The total expenditure on account of hospitals for the last four years was as follows :—

Hospital Maintenance Expenditure.

General Hospitals. —-The expenditure on maintenance on Boards' general hospitals was £249,210, and this is equivalent to £106-2 per annum per occupied bed. 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 £8,443 in charitable-aid expenditure, the figures for the last four years being as follows: —

4

Year. Maintenance. I Administration. Capital. Miscellaneous. Total. 1910-11 1911-12 1912-13 1913-14 1914-15 £ 199,573 225,796 240,527 262,007 283,490 £ 11,586 13,255 12,644 13,948 15,458 I £ £ 70,814 5,830 84,798 5,663 98,051 3,598 130,343 4,856 88,498 7,983 £ 287,803 329,513 354,818 411,454 395,429

Patients under Treatment during Year. Average Number und Treatment. Average Number undei Treatment. Daily Year. ... General Special Total Hospitals. Hospitals. General Special Hospitals. Hospitals. Total. : |_ | I- ! I 1910-11 1911-12 1912-13 1913-147 1914-15 23,584 1,607 25,191 24,681 1,879 26,560 26,979 1,789 28,768 28,885 1,761 30,646 .. j 31,366 2,009 33,375 1,839 186 1,900 178 2,131 200 2,234 , 234 2,364 288 2,025 2,078 2,231 2,468 2,652

Year. Provisions. ] Surgery and Dispensary. Domestic and Salaries and Establishment. Wages. Total Maintenance. 911-12 912-13 .913-14 .914-15 £ 24-2 23-8 24-9 25-0 £ 10-3 9-9 9-8 10-7 £ 29-5 26-3 27-4 27-0 I £ 42-3 40-2 43-0 43-5 £ 106-3 100-3 1051 106-2

Year. Indoor Relief. Outdoor Relief. J Total. J 911-12 .912-13 913-14 914-15 £ 64,651 66,378 68,510 74,081 £ 34,171 31,092 34,541 37,413 £ 98,822 97,470 103,051 111,494

5

M.—8.1

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. Hospital i and Charitable-aid Expenditure. Mean Population. Cost per Head of Population. 1905-6 .. 1906-7 .. 1907-8 .. 1908-9 !. 1909-10 .. 1910-11 .. 1911-12 .. 1912-13 .. 1913-14 .. 1914-15 .. £ 270,710 288,808 315,197 359,941 375,075 416,384 482,645 500,443 579,695 578,838 877,469 901,920 925,727 945,063 977,906 997,974 1,019,984 1,046,624 1,075,787 1,095,206 a. d. 6 2 6 4| 6 10 7 7i 7 8 8 4i 9 5J 9 6| 10 9i 10 6|

Year. Total Number of Persons under Treatment. Population. Proportion under Treatment per 1,000 of Population. Average Number ' Proportion of Ocoupied per 1,000 Beds per Diem. of Population. 1905-6 .. .. 16,216 877,469 18-5 1,354 1'54 1906-7 .. .. 17,521 901,920 19-4 1,505 1-67 1907-8 .. .. 19,160 925,727 20-7 1,511 T66 L908-9 .. .. 18,653 945,063 20-8 1,566 1-66 1909-10 .. .. 21,108 977,906 21-6 1,709 1-75 1910-11 .. .. 23,584 997,974 23-6 1,839 1-81 1911-12 .. .. 24,681 1,019,984 24-1 1,900 1'83 1912-13 .. .. 26,979 1,046,624 25'8 2,131 2'04 1913-14 .. .. 28,885 1,075,787 26-8 2,234 2-08 1914-15 .. .. 31,366 1,095,206 28.6 2,364 2-16 Year Number of Number of Beds Proportion of Beds per yea1. General Hospitals. JNumrjer oi Beds. 1,000 of Population. ~~ ' f "" " ' " 1905-6 .. .. .. 52 2,186 2-49 1906-7 .. .. .. ! 53 2,331 2-58 1907-8 .. .. .. 53 2,347 2-54 1908-9 .. .. .. 53 2,502 2-65 1909-10 .. .. .. 56 2,689 2-75 1910-11 ; 57 2,863 2-87 1911-12 .. ... ' .. 60 3,057 ,3-00 1912-13 .. .. '.. 63 3,176 303 L913-14 .. .. .. 63 3,292 3-06 1914-15 .. .. .'. 65 3,531 3-22 ' ___j ■ Capital expenditure on general hospitals is as follows :— £ 1905-6 .. .. .. .. .. .. .. 20,379 1906-7 .. .. .. .. .. .. 31,508 1907-8 .. .. .. .. .. .. .. 39,499 1908-9 .. .. .. .. .. .. .. 55,837 1909-10 52,341 1910-11 .. .. .. .. .. .. .. 62,237 1911-12 .. ... .. 70,331 1912-13 .. .. .. .. .. .. .. 87,042 1913-14 .. 113,353 1914-15 .. .. .. .. .. .. .. 80,485

H.—3l. General. 1. Hospital and charitable-aid expenditure has increased in the ten years ended 31st March, 1914, from 6s. Id. per head of population to 10s. 9-J-d. For the year ended 31st March, 1915, it was 10s. 6fd. per head. 2. In 1914-15, 28-6 per 1,000 of the population availed themselves of hospital treatment, as against 18-5 in 1905-6. 3. And the average number of occupied beds per diem rose from 1,354 to 2,364, or from 1-54 to 2-16 per 1,000 of the population. 4. The resulting capital expenditure necessitated thereby has provided 3,531 beds, as against 2,186, or 3*22 per 1,000 of the population, as against 2-49 in 1905-6. 5. Capital expenditure on general hospitals was £20,379 in 1904-5, £113,353 in 1913-14, and £80,485 in 1914-15. 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, — £ s. d. 1910-11 .. .. .. .. .. .. 96 19 0 1911-12 .. .. .. .. .. .. 106 6 0 1912-13 .. .. .. .. .. .. 100 6 0 1913-14 .. .. .. .. .. .. 105 2 0 1914-15 .. .. .. .. .. .. 106 4 0 8. Patients' payments have averaged, per occupied bed, — 1910-11 .. .. .. .. .. .. 20 17 8 1911-12 .. .. .. .. .. .. 21 12 0 1912-13 .. .. .. .. .. .. 22 8 0 1913-14 .. .. .. .. .. .. 23 10 0 1914-15 .. .. .. .. .. .. 25 12 0 T. H. A. Valintine, Inspector-General of Hospitals and Chief Health Officer. THE NURSES REGISTRATION ACT, MIDWIVES ACT, AND PART 111 OF THE HOSPITALS AND CHARITABLE INSTITUTIONS ACT, 1909. The Nurses Registration Act. During the year two examinations were held by the State. There were 146 candidates, of whom 128 passed, and their names were placed on the register of trained nurses. The receipts of fees for examination and registration amounted to £177, and the expenses in connection with the examination £176 17s. 4d. The nurses registered on certificates from overseas hospitals were thirty-seven. During the latter six months of the year very few nurses from overseas applied for registration, the war undoubtedly keeping them in their own countries. There have not been many developments or changes in the administration of this Act since last report. The regulations passed last year are now being carried out. Many of the training-schools have added to their accommodation for patients, and thus are able to train a larger number of pupils. The New Zealand Army Nursing Service has at last been formed. A body of 110 nurses has been enrolled, and although until an amendment of the Defence Act is passed this body cannot be actually incorporated in the Defence Forces of the Dominion, it is recognized by the Government as a part of the defence scheme and the conditions of service have been authorized. The acceptance by the Army Council of an offer made by the Government of fifty nurses for service during the war had given a stimulus to the formation of a Nursing Service. These fifty nurses were selected from all over the Dominion, and despatched to England under the the charge of the Matron-in-Chief. At the commencement of the war six nurses were sent with the troops to Samoa, where they have rendered excellent service. They were stationed at the hospital at Apia formerly owned by the Germans. Maori Nurses and Native-health Work. The training of Maori nurses has been somewhat disappointing. Of several who started their preliminary one-year training, only two remained in the hospital to complete the three-years course. There are now three in training. During the year two Maori nurses were appointed assistant nurses for the Native-health work ■ —Nurses Rena Te Au and Ngapori Naera. Nurses Ellen Taere and Maud Matairo resigned. Both had done very good work, but tired of the conditions of working in typhoid camps. District Nurses. There are now working in different parts of the country fourteen district nurses. This branch of work might well be extended, but one great difficulty in the way is that of getting nurses with all needed qualifications to take it up. The conditions of work in some of the country parts are very hard, and the people expect, besides the anxious nursing of the sick, too much from the nurses in work for the well. Plunhel Nurses. The number of branches of this society now mamtaining nurses, with an assistance from the Government amounting to considerably more than half the expenses of each nurse, has increased to

7

H.—3l

twenty-one, controlling twenty-six nurses. Owing to the war the society has been recommended to curtail any fresh expenditure in this branch of nursing. The Midwives Act. During the year there have been two examinations of midwives, and out of seventy-seven candidates sixty-five have passed the State examination and have been registered as midwives. Seventeen have been registered on Central) Midwives Board certificates, and thirteen on other certificates. State Maternity Hospitals. St. Helens Hospital, Wellington. During the year 203 cases were confined, 196 children born alive and eleven still-births. There were four maternal deaths and five deaths of infants ; the causes are given in the adjoined table. There were also attended ninety-one outside cases. No deaths of mothers or of infants. There has been no change in this Hospital. The staff continues the same, except that the Medical Officer, Dr. Agnes Bennett, was granted leave for service at the scene of war, and left at the beginning of April. Dr. Elliott was appointed in charge during Dr. Bennett's absence. The Sub-Matron also has been on leave for active service since August, having gone with the advance Expeditionary Force to Samoa. Three gatherings of mothers with their infants were held, showing a very satisfactory result and fine healthy children. Sixteen pupils have been trained and fourteen are now in training. Note by Medical Officer.— Three cases of hsemorrhagica neonatorum : all recovered with serum treatment. Ten premature, infants born alive at seven and a half and eight months : all did well. Eight babies readmitted for malnutrition : all discharged recovered, and digesting their food satisfactorily. The large number of albuminurias (forty) is very unusual, and the two eclamptics were of the acutest type. The absence of all sepsis and saprsemia except those cases to be accounted for is most satisfactory, and the Matron and nurses are much to be congratulated. There has not been a case of saprsemia in the Hospital. It is noticeable that the number of forceps cases has been much reduced since the use of pituitrin. St. Helens Hospital, Auckland. During the year 202 cases were confined : 199 children born alive, and ten still-births. There was one maternal death, three deaths of infants; the causes are given in the adjoined table. There were also attended 152 outside cases, in which occurred no deaths of mothers nor of infants. The Hospital appears during the last year to have quite regained its place in the confidence of the people. Many new patients have entered, and the old ones still continue to come in. No progress has been made with the projected new building which is so badly needed. The adjoining section has not been purchased, and owing to the war nothing further has been done. In the meantime it is necessary to send special obstetric operations, such as Csesarean sections, to the General Hospital. Fifteen pupils have been trained and twelve are now in training. There has been no change in the staff. The demand for vacancies for midwifery-training keeps up in all the State hospitals, and it is recognized that an excellent practical experience is gained. Note by Medical Officer.- The year has been on the whole a quiet but successful one. The one maternal death was almost moribund on admission. There were more venereal cases than usual, four syphilitics and five with acute gonorrhoea. There were two cases of gonorrhoea (ophthalmia). Both the Matron and Sub-Matron worked well and harmoniously. The Sub-Matron, Miss Broadley, had a rather serious breakdown towards the end of 1914, but after a good period of sick-leave she has returned to work quite strong and well able to cope with her rather responsible and arduous duties. The pupil-nurses did well in their examinations. Fifteen nurses sat for their examinations during the year and fifteen passed, there being no failures. Nurse C. S. S. McLean was equal first for the Dominion in the December examination. There would have been two Csesarean sections to report during the year, but owing to the lack of proper operating-theatre facilities I had to transfer them to the District Hospital for operation. Needless to say, I am looking forward to the time when this hospital will be properly equipped.—Tracy R. Inolis, M.8., Ch.B. St, Helens Hospital, Christchurch. During the year 212 cases were confined : 204 children born alive and eight still-births. There was one maternal death, seven deaths of infants ; the causes are given in the adjoined table. There were also attended eighty-three outside cases. No deaths of mothers and no deaths of infants. I regret to state that the new building for this Hospital has not been commenced. Shortly after the war started it was decided that the building should go on, as it was badly needed, and would also provide work. The plans are now completed and tenders called, and it is hoped to start work shortly. Dr. Irving is still in charge, with Miss Cameron as Matron and Miss Newman as Sub-Matron. Twelve pupils have been trained ; eleven are now in training. It is recognized by the medical profession, and so stated at the annual meeting of the 8.M.A., that midwifery nursing has been revolutionized since the institution of the St. Helens Hospitals, which in all the centres provide a most satisfactory course of training. St. Helens Hospital, Dunedin. During the year 177 cases were confined. 175 children born alive and four still-births. There were no maternal deaths; five deaths of infants ; the causes are given in the adjoined table. There were also attended eighty-four outside cases. No deaths of mothers ;no deaths of infants, The work of this Hospital has gone steadily on.

H.—3l

8

Projected additions, more especially a Nurses' Home, have been abandoned on account of the war, although really urgently needed. Ten pupils have been trained ; ten are now in training. The staff remains the same. Note by the Medical Officer. - Complications among the babies: One had enlarged thyroid; one had a sixth finger projecting from first interphalangeal joint of little finger ; one had laryngeal spasm. There was an epidemic of benign pemphigus, which affected about eight children. There were seventeen babies born prematurely from two weeks to two months ; six of these were three sets of twins ; four of the prematures died. We had two precipitate labours; one case of phlegmasia ; one acute hysteria bordering on mania ; three were treated beforehand for eczeman and two for pruritis. H. Maclean, Assistant Inspector. Te Waikato Sanatorium. The Medical Superintendent, Te Waikato Sanatorium (Dr. Bernstein), reports as follows : — The patients treated during the year numbered 190 ; patients discharged during the year numbered 119. Of the discharged patients forty-six made a very considerable improvement and were fit to go to work again. The rest were not really suitable cases for a sanatorium, the disease being too advanced. Fifty-two of them, however, were much relieved and felt well, but will only continue to feel well so long as they are allowed to take life easily. Some have returned to work against advice. Twenty-one made only slight improvement, and ten patients died. Of course, these results cannot be compared with those of sanatoria who carefully select their cases. Nobody has been refused admission during the past year, although it is regrettable so many advanced cases are still sent here. Many of these advanced cases should have been treated apart from the sanatorium cases proper.. They are practically kept in bed, and are best treated in wards. They do not require separate shelters, as this makes it more lonely for them and the administration very difficult. It is important, therefore, that the proper policy of the institution be defined. If the institution is to be kept as a sanatorium proper, and the patients selected from the standpoint that they can be got fit for work again, the buildings are satisfactory, except that extra wards near the main building should be built to accommodate the male patients at the beginning of their treatment, when they may be confined to bed. If it is intended that advanced cases be treated, then still further large wards quite separate from the others are required. For an illness like tuberculosis, that requires prolonged treatment, distance from home for a sanatorium case is no objection—in fact, it is an advantage —because it is advisable for patients not to see too much of their relatives. But for really advanced cases it is natural that if they have friends or relatives they should be near them. For the intermediate cases a stay in the Sanatorium will be of great educative value in teaching them how to live a proper life and to be no danger to the community. I have previously pointed out it is of great importance that a sanatorium should not be too small. The larger the sanatorium, within limits, the more efficient is the treatment, and, of course, the more economical. In the past year the institution has been put in a thorough state of repair, of which it was badly in need. Every part has been painted and the structure is now sound. The number of available beds has been increased by making use of other buildings and the erection of a new shelter. The number of occupied beds has been greater than before, and the male beds have been practically full throughout the year. Financially the year has been better than previous ones. In spite of the unusually large expenditure for maintenance, due to the extensive repairs and painting this year, and the increase of equipment and stock, which was at a low ebb, the cost has been considerably reduced both absolutely and still more per bed, and this, together with the fact that the receipts from fees and farm have increased, has made the net cost to the Government over £1,600 less than in the previous year. (The statement of receipts and expenditure is sent separately.) The farm and grounds have been greatly improved, much new land being opened up. A new orchard has been planted. There has been a good supply of fruit, vegetables, and eggs throughout the year, and all the mutton is killed on the estate, and our own pigs are killed for ham and bacon. The swamp at the foot of the farm has been thoroughly drained, and in the coming spring there will be sufficient good pasture for a dairy herd to supply all the milk for the Sanatorium. I am very pleased to report the friendly spirit to the place manifested by so many medical practitioners throughout the Dominion sending cases for an opinion. This co-operation of the profession is steadily increasing and will be an important factor in quelling the disease. It appears to me that patients are becoming less afraid to come to the Sanatorium, though great fear exists. When it is the practice to send patients at the first suspicions of the disease there will be some hopes of greater benefits. Most of the patients also keep in touch with me either by letter from themselves or through their doctor, or come direct to report themselves. This I have previously stated is important, for thus might relapses be detected and quickly treated before becoming advanced. Practically every patient who has left before being advised to do so has returned for further treatment, sadder and wiser. They generally feel so well that they think they are fit for work before they really are. This spirit is also steadily improving, and patients are being more and more guided by advice, and consequently receive more permanent benefit. To keep in better touch with patients I would suggest that facilities for examining them be provided in several big centres where one might also come into more personal consultations with the practitioners. There is now great need of some provision for after-care of the patients. I am pleased to report that the staff have now settled down to the new conditions, and there have been very few changes—fewer than in any previous year. It is a pleasure to report that Dr. E. E. Roberts still maintains his connection with the institution as consulting physician, Alfred Bernstein, Medical Superintendent.

H—3l

9

APPENDICES. APPENDIX I.—PUBLIC HEALTH, A. LOCAL VITAL STATISTICS. 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, Mount Albert, Mount Eden, Newmarket, Northcote, and Takapuna. Population. The mean population for the year is taken to be— Auckland City .. .. ... .. .. .. 58,983 Suburban boroughs .. .. .. .. .. 37,655 The population of Greater Auckland as at 31st December, 1914, is given by the Registrar-General as 116,712, but with the Borough of Onehunga, which is essentially a part of Greater Auckland, 121,714. Btrth-ratf Per 1,000 of BIRTH RATE. Mefm p opulation Auckland City .. .. . . . . .. . . .. 23-94 Auckland and suburban boroughs .. .. ~ .. .. 24-78 The average birth-rate for the years 1904-13 are — Auckland City .. .. .. .. .. .. 29-26 Auckland and suburban boroughs .. .. .. .. .. 27-63 Owing to the domicile of parents of children born in cities being ascertained from and including 1913, and births allocated accordingly, no proper comparison can be made with previous years. The only interest such comparison can have is to show that the apparently heavy city birth-rates in former years were the result of the inclusion of the births in the cities of the children of country residents. Death-rate. m^p' 000 , 0 / Mean .Population. Auckland City .. .. .. .. .. .. .. 10-43 Auckland and suburban boroughs .. .. .. .. .. 9-42 The average death-rate forthe years 1904-13 are — Auckland City .. .. .. .. .. .. .. 12-15 Auckland and suburban boroughs .. .. .. .. .. 10 - 27 Natural Increase or Population. w , , Increase per Births. Deaths. «aturai of M Increase. V, ... .Population. Auckland City .. .: ..1,412 615 797 13-5 Suburban boroughs .. .. 983 295 688 18-3 Auckland and suburban boroughs .. 2,395 910 1,485 15-4 The increase for ten years (Auckland and suburban boroughs) are — 1904 .. .. .. 19-60 1909 .. .. .. 18-28 1905 .. .. .. 17-36 1910 .. .. .. 16-78 1906 .. .. .. 17-32 1911 .. .. .. 16-32 1907 .. .. .. 16-03 1912 .. .. .. 19-90 1908 .. .. .. 18-07 1913 .. .. .. 19-60 Infant Mortality. In Auckland and suburban boroughs — Deaths of infants under 1 year were .. .. .. .. .. 138 Deaths of infants between 1 and 5 years .. . . .. 53 Deaths of children, under 1 year per 100 births ~ ~ ~ ~ 5-76

2—H. 31.

H.—3l

10

Causes of Death. Zymotic Diseases. The deaths in Auckland and suburban boroughs Deaths. Diarrhoeal diseases . . . . . . . . . . 47 Diphtheria . . . . . . . . ..10 Enteric fever . . . . . . . . . . . . . . . . 5 Influenza . . . . . . 4 Whooping-cough . . . . . . 4 Puerperal septicemia . . . . . . 4 Other zymotic diseases . . . . . . . . . . 5 Measles .. .. .. . . 7 86 Cancer. Auckland City and suburban boroughs . . . . . . 88 For the previous five years,— 1.909 .. .. .. .. .. .. .. 58 L9lO .. .. .. 44 1911 51 1.912 .. .. .. .. .. .. ..67 1913 .. .. .. '.. .. .. .. ..82 Phthisis and other Tubercular Diseases. Auckland City and suburban boroughs .. .. .. .. ..71 For the previous five years,— 1909 . . . .' . . .. .. .. .. .. .. 58 1910 .. .. .. .. .. .. ..44 1911 .. .. .. .. .. ..51 1912 .. .. .. .. .. ..56 1913 .. .. .. .. .. . ..65 B. GENERAL REPORT OF THE DISTRICT HEALTH OFFICERS FOR THE YEAR 1914. Auckland Health District.- -Report by District Health Officer (Dr. Makgill). I have the honour to present the fourteenth annual report for the Auckland Health District. The two most important features of the past year's work have been the eradication of the smallpox epidemic from the province, and the solution of the problem regarding the disposal of nightsoil in the suburbs of Auckland. These two matters with their endless side-issues occupied the chief part of our attention during the first six months of the year. The remarkably dry winter resulted in a continuous series of typhoid outbreaks among the Natives during the winter and spring months, and, together with various military sanitary matters with which our Department was associated following the outbreak of war, kept the office busy for the latter half of the year. Through his appointment under the Tongan Government we lost the services of Dr. Monk in the autumn, and his place was taken by Dr. Hughes, who was transferred from the Education Department. With the departure of the Expeditionary Forces we lost the services of Mr. Shera, our Chief Clerk, and Mr. Grieve, Inspector for Auckland, who volunteered for active service. During the latter five months of the year I was engaged on military service with the Coastal Defence Force, but by courtesy of the Officer Commanding, Colonel Patterson, I was able to attend at the office during the day. Attached hereto are appendices relating to infectious disease, Native sanitation, the enforcement of the Food and Drugs Regulations, and sanitary inspections. R. H. Makgill, M.D..D.P.H. (Camb.). Wellington - Hawke's Bay - Nelson - Marlborough District.—Report by District Health Officer (Dr. Finch). I have the honour to submit the following report for this district for the year ending the 31st December, 191.4. I took charge of this district at the beginning of April. The work this year has been considerably different from last year, inasmuch as there has been no such incident as an outbreak of smallpox, which, increases to a considerable extent the work of the District Health Office)' and Inspectors, and interferes considerably with the ordinary routine work. There has consequently been more opportunity this year for paying more attention to the routine work of sanitary inspection in the district and to the administration of the Sale of Food and Drugs Act. Inspections have been made and reports furnished on all the water-supplies of local authorities in the district, and where necessary samples have been taken for analysis. This was found advisable, as there was not in many cases any record of any of the water-supplies of local authorities. Very few of the water-supplies are subject to possibilities of pollution in the ordinary way from human sources, and consequently the few water-supplies which do run some risk in this way can be given more attention to.

11

fi.—3l

The hotels throughout the district were thoroughly inspected, and in many cases considerable alterations and improvements were ordered by the Licensing Committee on the recommendations of this Department. The Inspectors have also had more time and opportunity to give to the administration of the Sale of Food and Drugs Act. Four hundred and seventy-one milk samples were taken throughout the district, and more particularly of the Wellington City supply, and as a result there were forty-four prosecutions. The fines and costs in these cases totalled £427. This amount is probably a very small percentage of the illicit profit that is made by the dishonest members of the milk trade. Attached hereto are appendices. H. E. Finch, M.B. (Oxon.), D.P.H. (Camb.). Canterbury and West Coast Health District. —Report by District Officer (Dr. Chesson). I have the honour to submit my annual report for the above district for the year ending the 31st December, 1914. Although I had been paying visits to this district and had [generally supervised the work k thereof during the absence of Dr. Finch, I did not relinquish my duties in Wellington and permanently take up my residence in Christchurch until the Ist April. Since then I have been, permanently quartered here. In September the district offices were moved from their old unsuitable quarters in Hereford Street into more commodious and satisfactory offices in the old Provincial Building, a change which was eminently satisfactory from every point of view. Much additional work has been put on to the district office in connection with the regulations under the Sale of Food and Drugs Act, and considerable attention has been given to this branch of the work during the year. The outbreak of war and the training of contingents for the Expeditionary Forces by the Defence Department necessitated the establishment of a military camp at Christchurch, and this in the first instance was situated on the Addington Show-grounds, it only being anticipated that the men would be there for a few days. Considerable delay, however, occurred in the despatch of the Canterbury Contingent, and it was deemed advisable, after a visit to the camp, to recommend the selection of another site, owing to a number of men being placed on this comparatively small ground under military camp conditions with no proper sanitary conveniences suitable for such a large number of persons in a crowded district. Although the camp was conducted on the best military lines, and every care taken by the Defence authorities, it was feared that insanitary conditions would soon make themselves evident. The military authorities moved the camp to the Trotting Club's ground at Sockburn, which, being farther removed from close settlement, and being a much more extensive site, proved in every way satisfactory both from the military and the public-health standpoint. The garrisoning of the forts at Lyttelton and the drafting of a large number of men to the various Defence stations on Lyttelton Harbour also brought to light certain insanitary conditions at those places, and at the request of the military authorities I visited the barracks, forts, and other places, and made recommendations to the Defence Department for the improvement of sanitation, which were practically all given immediate effect to. An outbreak of diphtheria at the New Brighton School necessitated a special inspection of that institution, and it was found that the outbreak was confined to the infants' class, the accommodation for which was most inadequate. The matter was duly reported on, and increased accommodation was provided during the school holidays. Cases of infectious disease at the St. Albans School and the Normal School also brought to light insanitary conditions existing in those institutions. These were likewise dealt with by the Education Board. A special visit was made to the Chatham Islands at the request of the Public Service Commissioners, for the purpose of holding an inquiry, report of which has been duly forwarded. This visit necessitated an absence of close on three weeks from Christchurch. With regard to public-health matters in the Chatham Islands there is nothing special to report. Though little attention is given to sanitary matters, which are in a most primitive state owing to the sparseness of the population, no ill effects are evidenced, and the health of the community seems to be fairly satisfactory. The resignation of Dr. Champtaloup threw the administration of the entire Otago District into this district for some months, and the Buller Hospital Board's district was also added. The appointment of Dr. Sydney Smith to Dunedin in December, however, relieved me of the southern portionLe., all south of the Waitaki River. This district now comprises Canterbury (North Canterbury, Ashburton, and South Canterbury), and the whole of the West Coast (Buller, Inangahua, Grey, and Westland). Visits to the various parts of the district were made during the year, the places receiving special attention being Lyttelton, New Brighton, Sumner, Ashburton, Timaru, Waimate, Rangiora, Westport, Reefton, Greymouth, Hokitika, and Blackball. Attached hereto are appendices, being tables and data on the following matters : 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, quarantine, disinfection of oversea goods, Immigration Restriction Act, Midwives Act, and Sale of Food and Drugs Act. Herbert Chesson, M.R.C.S. (Eng.), L.R.C.P., D.P.H. (Loud.).

H.—3l

12

Otago and Southland Health District.—Report by District Health Officer (Dr. Chesson). I have the honour to submit my annual report for the above district for the year ending the 31st December, 1914. Many changes have been made in the district during the year. Formerly Waitaki, Maniototo, Vincent, Southland, Wallace, and Fiord formed part of the Canterbury District, Otago being a separate district worked from Dunedin. In May Dr. Champtaloup resigned his position as District Health Officer, and the above-named Hospital Boards districts were included in. the Otago Health District, and for a time were administered from Head Office, with Inspector Cameron supervising the work locally, pending the arrival of the newly appointed District Health Officer for that district. It having been, found advisable, however, to attach Dr. Smith to Head Office to assist Dr. Frengley during the absence of Dr. Valintine, the entire district was again attached to the Canterbury District for administrative purposes, and I made fortnightly visits to Dunedin for the purpose of dealing with affairs locally. Dr. Sydney Smith took over the district, however, in the latter part of December. I attach herewith appendices, being tables and data on the following matters : Notifiable infectious diseases, sanitary inspections, offensive trades, insanitary buildings, by-laws, legal proceedings, quarantine, disinfection of oversea goods, Immigration Restriction Act, Midwives Act, and Sale of Foods and Drugs Act. Attached hereto is Dr. Champtaloup's report for the Bacteriological and Public Health Laboratory, and Mr. Napier's report from the Public Health Analytical Laboratory. Herbert Chesson, M.R.C.S. (Eng.), L.R.C.P., D.P.H. (Lond.). 0. APPENDICES TO THE REPORTS OF THE DISTRICT HEALTH OFFICERS FOR THE YEAR 1914. (I.) INFECTIOUS DISEASES. The diseases declared to be infectious diseases in the meaning of the Public Health Act, and consequently notifiable, are as ''ollows : Scarlet fever, scarlatina, diphtheria, enteric fever, tuberculosis, puerperal fever (including milk-fever, saprsemia, acute sepsis, septicemia), plague, smallpox, leprosy, cholera, actinomycosis, hydatids, beriberi, blood-poisoning, cerebro-spinal meningitis (including cerebrospinal fever, cerebral typhus, spotted fever, petechial fever, malignant purpuric fever), poliomyelitis, typhus fever, chicken-pox. The following table shows the number of cases of infectious disease notified throughout the Dominion :—

Health District. Nature of Disease. j Wellington, , Canterb ot Total Auckland. and ™ d Scarlet fever Diphtheria Enteric fever Tuberculosis Blood-poisoning Chicken-pox Smallpox Poliomyelitis, cerebro-spinal meningitis, &c. Totals .. 109 536 521 340 1,506 379 350 255 111 1,095 537 ' 269 34 19 859' 245 307 235 170 957 65 55 16 26 162 513 370 147 93 1,123 63 .. .. .. 63 14 37 83 134 268 1,925 1,924 1,291 893 6,033

fi.—3l

13

The following return shows the infectious diseases notified per month in the health districts for the year ended 31st December, 1914 :—

Health District. Scarlet Fever or Scarlatii B fl Jl S i 3 S? i a rr£.rrC<rCrrrr,<OS a. a. Diphtheria. Enteric or Typhoid Fever. Tuberculosis. ! Tuberculosis. Auckland .. .. .. .. .. .. : 4 5 10 6 8 16 10 10: 15 Wellington, Hawke's Bay, Nelson, and Marlborough .. 33 32 42 54j 61 57 40 42 51 Canterbury and Westland .. .. .. .. 115 24' 33 44. 37 1 82 37 41 60 Otaeo and Southland .-. .. .. .. 33 21j 34; 33! 26' 20 23 31 27 D . I 1 1 I Totals for Dominion .. .. .. .. 85 82 119 137 132 175 110124 153 11 9| 5 2210 29 33 1 46i 61 35:20 44j2232 53 41: 30 2017 34 40 31 45 48 26 26 24 16 49, 62 37 81120211 331 30 3125 231415 36 25 31 7 8 .. 5 14 29 10 9 11 2 7 149 137 103 57 46 83 99124 165 12480 104 62 70 I 25 56 59 45 51'38 3041 654751 30:24 22 10 19 20 9 26 261621 26 232331 5116231314 25 22 201813 28 33 32 212130 15 20 27! 38 24 -2 6 4 3 5 6 2 3 1.... 223 19 19201619 17|27 16 25 9 SB.. 5 4 1 1 3 1 .. .. 2 .. 7 13 19 517 13 15 16 13 13 81 8896105 74 6750 60 94 70 71 5039 8075 8966 6388 7379 77 102 22l2i 23 1! 13,2: 17 2! 7591 — . 1,506 1.095 859 957 Health District. Health District. Puerperal Fevers. Chicken-pox. Smallpox. Infantile Pa : fl SiS 1 ji o - * ► <i ='-' S ? i S i » a t- d o fl i 5| i = i" » S «. > o 51-° Si's &|S Sfe P. <,BOZ B PS. S «l g £ r% < 30 O I 55 | fi ° Pi S <l g ? h < OC OlZ P " Si:S < «l -C Puerperal Fevers. ralysis, &c. 3 3 q o o m ~. < r. C 55 I fi Auckland Wellington, Hawke's Bay, Nelsori, and Marlborough Canterbury and Westland Otago and Southland Totals for Dominion II I I I I I I I I J ] I .. 7 4 3 1 6 9[ 410 8 8 1 4 14 1140 49 40 45 59 68 70 38 32 47 47 311 1 1 3 2 3 .. .. 5 6 3 : 5 5! 8i 6 5 2 2 2; 618' 7 30294238 38! 47 29 33 41 18 .. ..! i 411012 4 3 .. 3 1 1 1 2 2 5 1 10 2 8 2 5 9 16 16 10 19 22 3 9:21 13 9 5 .. 2.. .. 411' 3i 2 2 1 .. 1 .. 7 7 5 .. 6 1 12 22 9 11 6 7 10 26.45 25 10 5 .. 1711 71124 2012171112 9 1149 27 83|80 93 93 125 153 118101101100147 311 I..!....:.. II.. j.. .. 13 39|81 52 2613 3 1 6 9j 4 10 8 8 1 41411 3 : 5 5 8i 6 5 2 2 2 618 7 1 1 2 2 5 110 2 .. 411 3 2 2 1 ..; 1 ..; 7 7 71124 2012171112 9 1149 27 40 49 40 45 59 68 70 38 30 29 42 38 38: 47 29 33 8 2 5 9 16 16 10 19 5 .. 6 1 12 22 9 11 83|80 93 93 125 153 118 101 —I—l-l— I i — 32 47 47 311 1 41 18 22 28: 6 7 101 100:47 3 11 1 1..... 3 4110 3 9 ; 21 1026 45 1 .. .. .. 13|39l81 2 3.. 12 4 3 13 9 5 2510 5 1.. .. 1 3 1 .. 1 .. 1 .. ..5465 2 2 5 11 1 3 8999 :52;2613 162 1?123 63 a OH •268 162 1.123 _J I I

H.—3l.

The following table shows the more prevalent infectious diseases in hospital districts during the year ended 31st December, 1914 : —

Scaelet Fever. The District Health Officer, Auckland reports : — The cases notified from the health district during the last five years are— 1910 .. .. ..994 | 1913 .. .. ..203 1911 .. .. ..367 | 1914 .. .. ..109 1912 .. .. ..235 | The epidemic which occurred in 1910 has now lost its influence, and the case rate has returned to the normal. As in the previous year, the cases have been mostly in the city and suburbs, with but a few scattered cases in the country. The District Health Officer, Wellington, reports : — The cases notified from the health district during the last five years are — 1910 .. .. .. 495 | 1913 .. .. .. 760 1911 .. .. .. 1,061 1914 .. .. .. 536 1912 .. .. .. 644 j This shows a slight decrease in the total number. In the Wellington City there were 163 cases, as compared with 235 cases in 1913.

14

Health .District. Hospital District. ' -§ £ A .4 II rP^ • i so h |! ! if H " j S,|Q I I M o £h li, . kg a 3 mPM PH 0 H i I ~ I Auckland .. .. i Bay of Islands Marsden-Kaipara .. Auckland Waikato Thames Coromandel Waihi Bay of Plenty 2 14 5 11 69 228 22 69 2 32 2 5 14 11 228 69 32 5 15 5 67 19 104 217 44 1 3 82 I 17 2 9 6 2 65 176 54 331 26 4 66 11 1 30 2 2 1 6 6 1 6 4 2 1 2 1 2 7 116 110 965 413 120 10 29 163 15 7 5 54 2 2 Wellington, Hawke's Cook Bay, Nelson, and ! Waiapu Marlborough Wairoa Hawke's Bay Waipawa Taranaki Stratford Hawera Patea Wanganui Palmerston North .. Wellington Wairarapa Picton Wairau Nelson 4 4 3 2 1 5 46 13 20 6 22 6 28 37 3 1 2 40 88 53 59 222 85 30 31 2 13 2 14 44 4 2 5 13 6 6 84 25 4 16 2 16 2 9 20 51 4 25 2 1 13 , 2 5 3 .. 26 1 2 34 7 25 1 3 8 4.. 3 j 2 3 7 2 15 2 2 9 43 5 18 i 4 42 111 12 194 13 5 48 5 .. 25 4 .. 2 16 6 3 1 115 33 39 142 32 56 43 73 36 227 196 658 132 33 21 94 5 3 2 88 59 85 31 10 9 3 2 44 8 6 N o r fc h Canterbury Buller and Westland Westland Inangahua Grey North Canterbury .. Ashburton South Canterbury . . N o r t h Canterbury and Westland 11 7 12 .. 9 7 132 8 285 149 23 4 49 80 7 7 1 15 .. .. 1 .. 2 183 13 61 14 1 21 21 2 56 25 13 31 147 773 68 234 7 8 149 4 80 3 14 4 13 1 68 1 13 Otago and Southland Otago and Southland I Waitaki Wallace and Fiord.. Vincent Maniototo j Southland Otago 15 1 21 14 18 .. 1 1 85 55 200 40 1 14 1 55 40 1 1 3 14 20 2 13 7 2 2 3 1 4 1 .. 5 32 6 13 107 i 15 56 13 9 4 4 19 85 64 56 30 13 213 517 Totals 1,5061,091 1,095 859 957 162 1,123 63 268 6,033

H.—3l

15

The District Health Officer, Christchurch, reports : — There has been a considerable increase in the number of cases reported as compared with last year — viz., 521 as against 302—but this was owing to an. outbreak in the West Coast districts, where in some localities, owing to laxity in notifications, the disease obtained a hold before measures could be taken to check its spread, and several cases in North Canterbury were distinctly traceable to infection from the west. That the disease did not spread more freely in the Canterbury districts is attributable solely to the efficiency of the measures taken therein by the Boards and their Inspectors. Diphtheria. The District Health Officer, Auckland, reports: — The cases notified from the health district during the last five years are — 1910 .. .. ..257 1913 .. .. ..247 1911 .. .. ..223 1914 .. .. ..379 1912 .. .. ..260 The increased case rate referred to in the two previous reports shows no sign of abatement, the colder months being responsible for the heavier-returns. Auckland City and suburbs, and Thames and Waihi Boroughs are the districts principally affected. The city shows 66 cases fairly evenly distributed throughout the year, and at no time was there any definite epidemic. In the suburbs it is interesting to note the effect of drainage. Thus Grey Lynn, with its system of slop-water drainage, escapes with 5 cases, while Mount Eden, which is notorious for its absence of sewers, has 32 cases. Mount Albert, which has only a small area sewered, contributed 29 cases, while, Onehunga, which has almost completed its drainage system, yields but 8 cases. In Newmarket, which is completely sewered, no cases occurred. Similarly in the country towns the Boroughs of Thames and Waihi, which are quite unsewered, show 15 each, while the well-drained boroughs of Cambridge and Te Aroha had but 2 cases in. each. It might have been hoped that the dry season would have shown a decrease rather than the marked increase in this disease which occurred this year. That the dry spell which began in August had some influence is evident from the drop from 46 and 61 cases notified in June and July to 35 and 30 cases in August and September. But it is disappointing that this disease should not show any tendency to diminish. The distribution shows that this is probably due to the rapid increase of population not being counterbalanced by an improvement in sanitary measures commensurate with the increased needs of a more crowded population. The mortality in the city and suburbs is 10. The District Health Officer, Wellington, reports :— The cases notified from the health district during the last five years are — 1910 .. .. ..341 | 1913 .. .. ..254 1911 .. .. ..322 | 1914 .. .. ..350 1912 .. .. ..283 These figures show that diphtheria has been more prevalent this year. The disease has, on the whole, been of a mild type. The District Health Officer, Christchurch, reports : — This disease is endemic in the district, but an outbreak in Timaru assumed the character of an epidemic in the months of May, June, and July, 44 cases having occurred in the borough and immediate neighbourhood, sorely taxing the available hospital accommodation. No special local cause could be assigned to the outbreak, which was distributed over the whole of the borough, but several of the cases were traced to infection from others, and it is reasonable to suppose that carrier cases were responsible for its spread. It would seem that stricter measures should be adopted for more effective isolation of this disease, and the principle of two successive negative swabs being insisted on in all cases before release from isolation, as is done in the North Canterbury Hospital District. Several cases also occurred late in the yea]' at New Brighton, but these were practically confined to the pupils in the infant classes of the school, the accommodation for which was grossly inadequate, resulting in considerable overcrowding. Enteric Fever. The District Health Officer, Auckland, reports : — The cases notified from the health district during the last five years are- - 1910 .. .. ..197 | 1913 .. .. ..412 1911 .. .. ..346 1914 .. .. ..537 1912 ...... 252 | Again the province as a whole shows a high return for enteric fever. Yet Auckland City (30 cases) and suburbs (17 cases) show an unusually low case rate, Mount Eden with II cases being the least satisfactory. One suburban outbreak, amounting in all to 20 cases, occurred in the autumn, and was of some interest, in that it was traced to the eating of oysters exposed to sewage-pollution. The oysterbeds affected were those at Mangere, in close proximity to the bridge. So definite was the evidence that persons eating these oysters were being attacked that the Marine Department consented to place notice-boards at the affected parts warning persons against the dangers. The beds were not officially open for use, so that those taking the oysters were committing an illegal act, and the knowledge of this made them very reticent when asked as to whether they had taken oysters at this place. However,

H.—3l

16

sufficient evidence was obtained to demonstrate the danger, and as even the warning-boards failed to keep off poachers, it was finally decided to destroy the oyster-beds as far as possible—at least, those nearest the road, which offered the most temptation to passers-by. Experiments with various chemicals were not satisfactory, so finally resource was had to destruction by means of a hammer —a tedious business, which occupied some time. The ready co-operation in this matter of Mr. Ridings, Collector of Customs, who controls the oyster-beds, deserves grateful acknowledgment. The mortality .within the city and suburbs was 5 cases. The Native races are again chiefly responsible for the increased number of country cases—Bay o+' Islands, Thames, Rotorua, Tauranga, Waitomo, and Whakatane Counties have been conspicuous for outbreaks of enteric amongst Natives. Of the 507 cases reported, more than 250 are recognizable as of Maoris or half-castes. The exemption of Rotorua County, noticed in last report, no longer holds good —the town and county being this year affected to the extent of 71 cases, chiefly amongst the Native population. Of these, only 4 occurred in the town, but many of the settlements round the lakes suffered severely, especially in the spring. As in former years, many of the severest outbreaks among Maoris occurred in winter and spring, and probably are due to the normal water-supplies being cut off by a shortage of rain. Thus we find at Wliakatanc 15 cases among Natives in July and 1.0 in August: 18 cases in Kaitieki County in August and 20 cases in Rotorua County in September. The rainfall, which usually increases steadily each month from March to July, this year began to decrease in June, and fell to a very low point in August and the succeeding months. Correspondingly the typhoid incidence, which was on the decrease till June, rose in July to a total of 41 cases, and reached its maximum in August with 65 cases. After October the severity of the epidemic appeared to have spent itself, and the numbers notified in' November and December -30 and 24 cases —were not much above normal in spite of the continued dry weather. 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. It shows that in this area, with a good permanent water-supply, the typhoid rate was not affected by the dry weather in the latter half of the year, in marked contrast to the effect on the country returns, which practically are wholly influenced by the spread among the Natives. Indeed, in the city and suburban districts, with a watersupply free, from danger, the influence of temperature is much .more apparent than that of rainfall. Thus, though the weather was very dry during the last six months of the year, the mean temperature was considerably below the average, and the typhoid rate correspondingly low. A possible explanation is that typhoid incidence, when not due to water-supply, is greatly the result of localized insanitary conditions, such as areas of soil polluted by cesspools and defective drains. The activity of the organisms in such areas would be retarded by low temperatures and by excessive dryness of the soil, while warm moist weather would encourage their growth.

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

The thin typhoid line exhibits the average monthly cases during five years 1909-13. The line formed by the large dots exhibits the total number of cases of typhoid recorded within the whole health district during 1914.

17

H.—3l

Rainfall and Temperature, 1914. (Auckland Museum Observations.)

The District Health Officer, Wellington, reports :— The number of cases notified in the health district during the last five years were — 1910 .. .. ..278 | 1913 .. .. .. 120 1911 .. ... ..357 1914 .. .. ..269 1912 .. .. ..288 j This shows a fair decrease. There was a small epidemic among the Maoris at Patea in July and August. In September at Raetihi there were about 20 cases among the Maoris. -A small hospital was established at Raetihi by the Wanganui Hospital Board, and all the cases were nursed there. There were 84 cases of typhoid notified in the Cook Hospital District, 54 of which occurred in the Gisborne Borough. The installation of drains and water-supply might have been expected to have had a more pronounced effect on the number of cases of enteric fever in Gisborne Borough. The result, however, is not so disappointing as at first appears. Of the 54 cases, 23 occurred in the first two months of the year, and what cases have occurred since, at the time of writing it does not appear as if Gisborne is going to have another epidemic, there having been only two cases in January and two in February, 1915. The District Health Officer, Christchurch, reports : — Although there were more cases reported (34) in the district this year than there were last year (19) in the same area, there was no suggestion of an epidemic, the cases being widely distributed both in locality and time, and call for no special comment. Tuberculosis. The District Health Officer, Auckland, reports : — The cases notified from the health district during the last five years are — 1909 .. .. ..137 | 1913 .. .. .. 246 1911 .. .. ..177 1914 .. .. ..245 1912 .. .. .. 240 | The District Health Officer, Wellington, reports : — The number of cases notified from the health district during the last five years are— 1910 .. .. .. L 99 | 1913 .. .. .. 341 1911 .. .. ..278 1914 .. .. ..307 1912 .. .. .. 347 | The District Health Officer, Christchurch, reports : — Slightly fewer cases were brought under notice, the figures being 235 for this year, as against 262 last. This, however, is of no special significance. The establishment of the King George V Coronation Memorial Hospital for advanced cases makes provision for the reception of a number of the more infective type, and should greatly assist the crusade against the spread of this disease by the removal of such cases from homes where the conditions are not favourable for effective precautions being taken. BI.OOU-POISONING. The District Health Officer, Auckland, reports : — The cases notified from the health district during the last five years are — 1910 .. .. ..52 | 1913 .. .. .. 07 1911 .. .. ..55 lit II .. .. .. 65 1912 .. 70 I

3—H. 31.

Rainfall Average. Mean Temperature Average. 1.914. Previous 45 Years, 1914. Previous 45 Years. January February March April May June July August September October November December In. In. 1-32 2-77 1-66 3-18 2-22 2-78 4-21 3-05 4-71 4-50 3-32 4-53 4-08 4-95 1-16 4-19 I -45 3-42 1.15 3-42 .1.41 3-09 1-77 2-62 In. 1-32 1-66 2-22 4-21 4-71 3-32 4-08 I -16 I -45 1.15 .1.41 1-77 In. 2-77 3-18 2-78 3-05 4-50 4-53 4-95 4-19 3-42 3-42 3-09 2-62 Deg. 67-2 66-3 64-7 60-7 51 -0 51-3 50-2 52-4 53-3 55-6 58.4 60-5 Deg. 67-1 67-1 64-3 61-7 57-2 53-8 52-3 53-0 54-8 57-0 60-4 62-4 Totals and means 28-46 42-50 28-46 42-50 57-9 59-3 J_

H.— 31

18

The 65 cases in 1914 were — Puerperal fever . . .. 34 Tetanus . . .. . . I Erysipelas .. .. .. 17 Ophthalmia neonatorum) 1 Hydatids . . . . . . 1 Unclassified .. . . II The apparent increase in puerperal oases is probably a result of more definite methods of classification. Formerly many of the cases were reported as septicaemia. The District Health Officer, Wellington, reports : — Of the 55 cases of blood-poisoning, 34 were cases of puerperal sepsis. Chicken-pox. The District Health Officer, Auckland, reports : — The cases notified from the health district are- 1914, 513. The disease was made notifiable in July, 1913, and to the end of that year 492 oases were notified. The monthly average in 1914 was 43, and the average was exceeded in the months of April, Juno, July, August, September, and December, the first two months of the year having the smallest number of cases H and 11 respectively. A very widespread epidemic occurred in the city and suburbs in August, and some of the cases were sufficiently severe to make us somewhat anxious in view of the recent smallpox outbreak. Several cases were kept under close observation, and on recovery were vaccinated when good reactions were obtained. Later it was found that the disease affected vaccinated and unvaccinated children equally, so that the question was no longer in doubt. An outbreak at Karno was made the subject of a special visit by the District Health Officer, and suspiciously severe oases were investigated at Huntly, Mangonui, Whangarei, and Dairy Flat. The District Health Officer, Wellington, reports : — Three hundred and seventy cases were notified during the year. As probably only a small number were attended by a medical practitioner, it is evident that chicken-pox has been fairly prevalent throughout the district. The District Health Officer, Christchurch, reports:— The number of these cases reported cannot be taken as the actual number that have occurred, as only a percentage of these are over soon by medical men, and the others arc cither not recognized by the parents or, if recognized, the parents do not know of their obligation to report them. As long, however, as the more pronounced and adult cases are brought under notice, the principal aim of notification of this disease is attained, as it would only be in such cases that the suspicion of possible smallpox would arise. IN I'ANTILE PARALVS IS. The District Health Officer, Wellington, reports:— The inquiries made into these oases cannot be said to have been complete enough for compiling any accurate statistics. The following statements are based mainly on Inspectors' reports, and the replies of medical practitioners to a circular asking for particular information on their oases. In some oases I was able to see the patients, or interview the medical practitioner. Notification. —49 cases were notified ; of these, 29 were true cases ; of the remaining 20, half were certainly not true cases, and the other half were exceedingly doubtful. The 29 true cases only will be considered. Geographical Distribution.- 22 cases occurred in the district served by the railway-line between Now Plymouth and Otaki, the remaining 7 cases being scattered throughout the district. Age-distribution. —Under two years, 6 ; two to five years, 9 ; five to ten years, 5 ; ton to twenty years, 6 ; twenty to thirty years, 3. Duration of Epidemic. —From February to September, and the large majority of the cases occurring in March and April. Type. —There was the usual variation of type. In comparing these oases with accounts of other epidemics the cases in which there was very little paralysis and cases in which complete or almost complete recovery took place, seemed more numerous than were to be expected. On the other hand there were a few severe and 4 fatal oases. The 4 fatal cases were aged four, nineteen, twenty-one, and twenty-two respectively. These cases seem to have resembled clinically influenza followed by Landry's paralysis, but as they occurred during the epidemic, and similar oases are described as fulminant cases in accounts of other epidemics, they were probably due to infection by the same organism. To call these cases anterior poliomyelitis acuta or infantile paralysis is evidently absurd. It is evidently necessary to bear in mind that this disease is not confined to children, and the lesion is not always confined to the cells of the anterior horn of the spinal cord. Methods adopted to prevent spread of Disease. —A circular was sent to all medical practitioners. Inspectors were instructed to make special inquiries in reference to exposure to dust or hay, prevalence of flies, &c. Isolation of patient was enforced as far as possible, and disinfection of the premises carried out. In absence of much precise knowledge of the causes of the spread of this disease, one cannot derive much satisfaction from using these sorts of weapons to check its spread.

19

H.—3l

(2.) DANGEROUS INFECTIOUS DISEASES. Smallpox. The District Health Officer, Auckland, reports: — The notifications of cases of smallpox were, with the exception of one, case in September, oonlined to the first four months of the year, thus : — January . . . . . . . . .. ■ 47 February . . . . . . . . . . .. 3 March ' .. .. .. .. .. ..11 April . . . . .. .. .. .. 1 62 The case notified in September was in a European living at Whangarei, but subsequent investigation did not confirm the diagnosis. Of the 62 oases, only 3 were in Europeans and the majority of the cases were in outlying Native settlements in the Whakatane County. At the beginning of the year we had to deal with the spread of smallpox among the Natives living in the most out-of-the-way parts of the province. Thus the settlements in the Ur-wera country and round Waima and Taupo were suffering, the disease having spread from the outbreak occurring in Te Tcko in December, 1913. Similarly, in the north the disease kept reappearing in the outlying settlements round Hokianga. Practically no cases were found in any of the populous centres except one European in Auckland and one in Whangarei, notified in January, and one in Huntly in February. The bulk of the Natives and many of the Europeans in accessible districts had been vaccinated, but the outlying parts had in a great measure escaped the general vaccination campaign of the previous year, and thus constituted a danger. The problem was to get at these more or less nomadic Natives, so as to confer the protection of vaccination upon them. The restrictions as to Natives travelling wore therefore continued, and only those who could present certificates from certain appointed officers were allowed to travel. As an extra precaution, certificates enabling the Natives to visit Auckland only held good for the journey to the city, and they had to attend at this office for a permit to enable them to leave again. In this way a very large number of Natives unsuccessfully vaccinated earlier were attended to a second time at this office. Valuable service was rendered by Messrs. Webb, Sharp, Connor, Short, Blaubaum, and VVhitten, senior medical students, who travelled into the most outlying districts of the east coast during the earlier months of the year, vaccinating all Natives they could reach. Later when these gentlemen had to return to their classes at Dunedin three medical officers were appointed, to each of whom a special district was allotted, their instructions being to visit every Native settlement or house and attend any gatherings of Natives and vaccinate any not already protected. In this way about one thousand Natives were vaccinated. Dr. Duncan had the district north of Auckland, Dr. Newnham Davis the eastern division, where the majority of the unvaccinated Natives were found, and Dr. Childs the western counties. This service was continued till October, when it was found that few, if any, Natives remained unvaccinated, and ooinoidcntly the epidemic had been stamped out. Valuable assistance in attaining this end was received from the nurses engaged in Native work and the nurses attached to the Native missions. Advantage was taken of Land Court meetings and other Native gatherings, such as that at the ceremony at Orakau, when all Natives present were examined by our Inspectors, and any not already showing good marks were vaccinated. At first such Native gatherings were discouraged, but later in the year, when we felt that we had a majority of the Natives protected, we were glad to take advantage of these opportunities to test the thoroughness of our work. The restrictions against Natives travelling were finally removed in July —three months after the last authentic case of smallpox had been reported. The eradication of the disease was due to universal vaccination of the susceptible Native race and to nothing else, for with these people living in out-of-the-way' places isolation was impossible, while one could not claim that any marked improvement had been effected in the sanitary conditions under which they live, as the subsequent widespread outbreaks of typhoid only too plainly demonstrated. The leading Natives recognized the value of vaccination, and gave us every assistance in their power, and in this connection special mention should be made of the help received from the chief Rua, whose people in the Southern Whakatane district were chiefly affected by the epidemic. This campaign entailed a very great amount of work not only in the field, but also at the office, where the correspondence regarding the issue of Native permits alone filled several large files in a few months. The accountancy work also which resulted was very heavy, especially the aftermath of vaccination fees and other claims of medical men and Hospital Boards following the epidemic of the previous year. The work of our nurses and Inspectors in the field was most arduous, but in spite of all obstacles was carried through cheerfully and conscientiously and with a minimum of friction. The medical officers engaged in vaccination-work deserve much praise for the thoroughness with which they scoured their respective districts for unprotected Natives, overcoming the difficulties of lack of roads and absence of civilized accommodation. The work of Dr. Newnham Davis in the wholly uncivilized Urewera country is especially worthy of mention in this respect. It is satisfactory to feel that our weakest point—the susceptible Native race —is now protected from the invasion of smallpox for a good many years to come. Plague. The District Health Officer, Auckland, reports: — Again it is satisfactory to report absence of plague in man or rodents. Examination of rats has been conducted regularly, 10,659 having been examined, of which 4,752 have been submitted to bacteriological examination and found to be free from bacillus posfis. The District Health Officer, Wellington, reports no cases of dangerous infectious diseases in his district.

H.—3l.

Leprosy. The District Health Officer, Christchurch, reports:— No fresh cases have been admitted to the lazarette on Quail Island, there being still 2 active cases and the recovered Maori who continues to act as nurse to the blind case. Swabs and specimens have been taken from the Maori for bacteriological examination, but always 'with a negative result. Mr. Mackenzie still continues as caretaker, and contributes largely by his tact and kindliness to secure the comparative happiness of these patients. (3.) PROVISION FOR INFECTIOUS DISEASE. The District Health Officer, Auckland, reports : — Point Chevalier Hospital. —Strenuous efforts have been made by persons owning land in the vicinity of this hospital to have it removed. It is, however, most conveniently situated, and no better site is offered. Wherever such an institution might be placed there would be a local outcry against it, and the Hospital Board would only find itself out of the frying-pan into the fire. The value of this institution was well demonstrated during the smallpox outbreak in 1913. During the past year only one case - a white patient—was treated there. As a sort of compromise with local prejudice, the Hospital Board has opened the grounds for use as a public park while the hospital is not occupied. Provision for Tuberculosis Cases. —The Auckland Board has made no move towards providing more open-air treatment for consumptives. Most of their cases are sent to the Government sanatorium at Cambridge. A conference at which Dr. Bernstein and the District Health Officer attended was held in August, when the Board represented that financial conditions prevented them launching out to any extent. They were advised as a temporary measure to increase the accommodation at the Costley Home, while the Sanatorium would accept such of their cases as were fit to travel. The proposal to build at the Tamaki site has been abandoned. The typhoid outbreaks, being chiefly among Maoris in outlying places, has been dealt with largely by erecting temporary camps. Thus no special strain has been thrown on the hospital accommodation except at Rotorua, where the hospital accommodation had to be supplemented by tents. Prosecution for resisting the nurse and Inspector in removing cases to hospital had to be undertaken in one case at Taumarunui against some Natives. In one instance a patient suffering from tuberculosis - a married woman, who was mentally affected —was forcibly removed to the Costley open-air wards, as she was endangering the health of tho children. The District Health Officer, Wellington, reports : — Gisborne. —The hospital is now completed, and there is provision for 14 cases of infectious disease. Stratford. —A new infectious hospital, containing 6 beds, has been completed. Napier. —The provision, of a new up-to-date infectious-diseases hospital in place of the one on the present site, which is inadequate, is now under consideration. Four shelters and better kitchen and sanitary accommodation have been provided for chronic consumptives. Patea. —The Board has decided to erect additional accommodation, which will be available, if required, for isolation of cases of infectious diseases. Masterton. —The erection of a few shelters for chronic consumptives has been considered by the Board. The District Health Officer, Christchurch, reports : — Tuberculosis. —The King George V Coronation Memorial Hospital was opened on the 3rd Juno, providing accommodation for 44 patients in more advanced stages than would be suitable for treatment in the Sanatorium shelters. Since its opening some cases admitted have so far improved as to warrant their transfer to the Sanatorium. Scarlet Fever. —A ward for 19 beds was erected at Bottle Lake Hospital, replacing some old shelters. The permanent accommodation provides now for 41 cases, but in emergency a further 12 cases can be comfortably housed. New nurses' quarters have also been erected at this hospital. The want of special accommodation for infectious diseases was felt in Greymouth, when an epidemic of scarlet fever necessitated accommodation being found for 18 cases at one time. This was met by utilizing wards in the Old Peoples' Home, necessitating the housing of the women in the General Hospital and crowding the men into fewer rooms. Fortunately this did not last long. (4.) SANITARY CONDITION OF DISTRICTS. The District Health Officer, Auckland, reports:— Auckland City. The inclusion of Grey Lynn Borough in the city area during the past year marks an important advance in the Greater Auckland movement which one must regard as being essentially of sanitary importance. The attitude of the Grey Lynn Borough Council was always satisfactory from the Health Officer's point of view, but with the extension of the sewerage system to that district the nded for their existence as a separate body ceased to exist, and their mergence with the city will lead to the simplification of sanitary administration, as well as having economic advantages. The efforts on the part of the more parochial element to frustrate the inclusion of the Remuera Road District also led to an inquiry, at which the Health Officer gave evidence showing the various sanitary disabilities which this suburb suffered. Remuera will join the city during the present year, and it is hoped Epsom, Newmarket, and Eden Terrace will follow immediately. The health of the city has remained satisfactory during the year, the returns of typhoid cases being especially satisfactory considering the prevalence of this disease elsewhere.

20

21

H.—3l

The opening of the outfall sewerage works early in the year has now made it possible to connect all houses in the city, including Grey Lynn, to the new system, and will result in greatly number of houses served by the old insanitary nightsoil system. The opening of Myers's Park led to the demolition of a number of|more or less dilapidated buildings, and provides a new air-space in the centre of the older parts of the town. Drainage and Nightsoil Disposal. Auclcland Suburbs. —Among the local bodies not yet incorporated in the city the most important sanitary advance during the year has been the final solution of the old-standing difficulty as to the disposal of nightsoil. This was not accomplished without a struggle, and the work of the Auckland Health Office during the first five months of 1914 is largely the history of the effort to overcome local jealousy and ignorant opposition over this question. We were fortunate in having the whole-hearted support of Mr. 0. Nicholson, Mayor of Mount Eden, without whom the final solution would not have been reached. In the annual report for last year I mentioned the final collapse of the old system, and the failure of the clauses in the Lands Empowering Bill which Were intended to temporarily settle the difficulty. Under this Act a temporary depot in a suitable; locality was secured in the Avondale Road District. There was much active opposition on the part of the residents at first, and, indeed, police assistance had to be secured on several occasions. However, the opposition was overcome, and it was hoped the site Would serve till the completion of the outfall, sewerage works, and the connection thereto of the Arch Hill sewer enabled us to adopt the flushing-tank system of disposal. Unfortunately it was found that the area in use was under the jurisdiction of the Public Trustee, and, as his approval could not be obtained, the occupation of the site under the Lands Empowering Act became illegal, necessitating the removal elsewhere of the depot. After further efforts to secure the only really suitable site in the that in the Mount Roskill area —a site less suitable, but not actually loading to danger to the surroundings, was found after much effort at Mount Albert, and here the work Was carried on under the most stringent conditions as to preventing nuisance till the flushing-tank was completed. At the request of the residents the nightsoil was trenched in instead of being ploughed, and the surface, after covering, was treated with lime and kerosene —all at the expense! of the Department.. Meantime! the securing of a site for the Hushing-tank was meeting with infinite difficult) - . The approval of the Drainage Board had first to be secured to the genera] principle, but fortunately we had the support of their engineer. We were naturally limited to the sewer-line, which fortunately ran through an unpopulated area. lint though the position, was suitable, we had to face the sentimental objection of the local authority in whose district the site lay, and the natural opposition of the owners of neighbouring properties. After much heartburning and many somewhat heated meetings these matters Were settled and the work taken in hand, the Government advancing the money in the form of a loan to the various local bodies concerned. The flushing-tank system came into use on the 19th July, and after a few 1 preliminary difficulties as to working were overcome, involving the provision of a larger outfall pipe, has continued in regular use without causing the smallest nuisance or inconvenience to the neighbourhood, save for the unavoidable noise of the carts as they pass along the roads. The disposal of the nightsoil is now effected in. a wholly sanitary manner, and the long distance which the carts formerly had to traverse to the depot is avoided. The carts, too, can be effectively washed in the tank and leave the depot clean. The floor of the building is covered in concrete, and can be readily flushed down, while the tank itself empties completely. It would be difficult on entering the building later in the day to detect any trace of the purpose for which it is constructed. A plentiful flush of water and a little care on the part of the man. in charge ensures a very satisfactory result. No blockage in the seWer has occurred, the only noticeable result being a periodic increase in the work required to be performed by the screening apparatus at the outfall Works. The One-tree Hill district is now sewered in the most populous areas, but as a nightsoil service is still necessary in the outlying parts, the Board has secured a suitable site and erected a flushingtank similar in most respects to that at Mount Albert, which is now working Well. The Work of the Drainage Board has progressed so far that it is now possible in. many suburban areas to provide sewerage connections. The opening of the Arch Hill sower has thus provided for a large part of Mount Albert, Eden Terrace, part of Point Chevalier, and the more urgent parts of the Mount Eden Borough. It is for these bodies now to take advantage of the facilities offered, and this is being done in Eden Terrace, which in the course of the present year will be able to abandon the nightsoil service entirely. In Mount Eden the need for drainage in the clay areas is especially felt, and it is satisfactory to know that the Council proposes to secure a loan at an early date for sewerage purposes. On the eastern side, as already mentioned, the One-tree Hill Board has sewered the more needful parts of the district, which sewering-work is progressing at Epsom. The greater part of Remuera also has sewerage connections. In Ellerslie the Town Board are laying sewers, but a difficulty has arisen in regard to the disposal of the sewage. The Board proposed to discharge into the septic tank provided for the group of workers' cottages, and so into the porous scoria rock, but we have objected to this on the ground that it would endanger the Onehunga and Manukau Water-supplies. The sewage can be carried to junction with the Onehunga reticulation, or, if treated in the septic tank, must be sufficiently treated in aerating-beds before discharging into the subsoil. Northcote.—A drainage scheme has been prepared, and permission obtained from the Harbour Board to discharge the treated effluent into the harbour.

H. 31

22

Avondale. Proposals for a drainage scheme have been discussed, but little can. be done till the Drainage Board's sower is completed through Arch Hill. Onehunga.- Some uneasiness Was caused as regards the discharge of sewage into the harbour by the occurrence! eif typherid among those taking oysters from the beds on the Mangere foreshore. There was se>me reason to thirds: that earlier in the year the system of discharging the tank only at the middle eif ebb tide was not always observed, and this in certain states of the wind may have affected the Mangere beae!hcs. However, any such deficiencies Were remedied, and when in November I made a thorough inspection of the foreshores in the neighbourhood of the outfall no trrace of pollution e;ould be seen. The large body of sea-water passing out with the ebb tide is evidently sufficient te> secure the oxidatiem of the sewage. Water-supply. The spread e>f peculation, in the suburbs has caused a heavy increase in the demands on the Water-supplies, and this year the exceptionally dry seasem has shewn that the limit of safety has been reached. Further auxiliary supplies must be sought for those districts new dependent on the local springs at Onehunga, and those which draw their supply from Lake Takapuna. A severe outbreak eif gastro-enteritis in the Onehunga-Ellerslie district was eibviously due' to some infection in the water-supply, and a series of analyses of the water confirmed this suspicion. The source of contamination was probably the result of disturbance of the ground in the neighbourhoeiei of the springs in an attempt te> seek a more plentiful water-supply. Fortunately the contamination was only temporary, and the- water rapidly returned to its normal state of purity. These' springs generally shew a high degree of purity, but a comparison of the analyses extending back seiine twelve years shows a steady increase in. the proportion of nitrates. This is doubtless due to remote contamination from the ever-increasing population e>f the catchment-area, and indicates that apart from its insufficiency this source of supply cannot be relied upon for an indefinite period. A number of townships along the Main Trunk line from Ellerslie southwards to Papakura must new be regarded as suburban areas, and are increasing in population steadily. All these places will soon require Watersupplies, and as there arc available goe>d catchment-areas in. the Maungatawhiri and Hunia Ranges, it would seem reasonable to establish a Water-supply Board dealing with all these plains and the south-eastern parts of Eden County by means of one comprehensive scheme. Some move in this direction is contemplated by the Onehunga Borough Council and the Manukau Water 'Board. The Mount Roskill Board have! a small scheme in, hand whereby they can supplement the supply at present drawn from the Manukau Trust. The; source is from a deep well in. the volcanic area from which the water is pumped to a reservoir. This will augment the former supply sufficiently for immediate needs. In the Epsom Road District there is a small but populous area wholly without water-supply, and, owing to the dry weather, the householders here suffered severely. The Epsom Board derive their supply from the Manukau Trust, but owing to some extraordinary oversight this aiea is excluded from the operations of that Trust, and the Road Board are unable to evolve any solution fe>r what appears to be a simple enough situation to those not versed in the, Gilbertian difficulties Which arise; from the absurd system of local government by small and wholly inefficient bodies. This case forms one of the many anomalies which will be removed by the inclusion e>f these suburban Boards in a Greater Auckland. On the northern side e>f the harbour the four suburban boroughs had to exercise strict economy in the matter of water-supply, as the level of Lake Takapuna fell to a point dangerously near that at which the pressure of the sea will overcome that in the lake. These bodies are rather unfortunately situated in the matter e>f water-supply, since there is no satisfactory auxiliary source within reasemable distance, and an expensive scheme must soon be faced. The Devonpe>rt Borough Council are trying to make! use eif one of the natural reservoirs e>f Water often, found beneath the volcanic hills round Auckland. This may affeird a temporary relief, but cannot be regarded as a permanent solution of the difficulty, as the supply must be very limited, and, though pure at present, is much exposed to possibilities of contamination. A. comprehensive scheme shared between the boroughs or, better still, handleel by a large body resulting from the union of these boroughs—is much required. Disposal of Refuse. The disposal of household refuse in the more populous suburbs is an ever-increasing source of difficulty. At Mount Eden, for example, an old crater is used as a dump, and, though precautions arc taken, it is a very unsatisfactory method e>f dealing with the waste from ten themsanel persons. Newmarket was making use of one eif the harbour reclamations, and thereby creatcel a very serious nuisance. At Devonport a gully is being reclaimed with refuse, with the result that the neighbouring heiuses arc infested with rats, and often in warm, moist weather are seriously inconvenienced by foul odours. In many of the suburbs no effort is made te> deal with refuse. One of the benefits whie;h will follow the! inclusion of the suburbs in a greater city will be that modern methods eif dealing with refuse can be introduced. Sanitary Conditions of Country Districts. In the country towns generally there has been distinct progress in sanitary matters during the year, and many of these places are models so far as their needs and means go of sanitary virtue. Te Aretha and Cambridge, as usual, coming first in this respect. Many town ships are handicapped from the first by having developed from a group of hastily constructed shanties needlessly crowded together. One of the principal sanitary needs of New Zealand is legislation which will prevent this overcrowding of buildings in rural districts. Later, when a town emerges from the primary chaos the local authority recognizes the neeel for some restriction in this direction, and building by-laws are passed limiting the subdivision of areas. But these towns are

23

H.—3l

generally handicapped by a nucleus of the original shacks and shanties from which it developed, A very simple remedy would be the addition of a clause to the Public Health Act wherein it is laid down that, pending the adoption by the local authority of by-laws dealing with overcrowding, it shall not be lawful to erect a dwelling on,any section of land eif less area than a quarter of an acre, and the definition of " dwelling " should include hotels and residential shops. This clause would afford a most necessary basis for any later town-planning scheme. The reports of the country Inspectors show that already the Plumbers' Registration Act is bearing good fruit in the country districts by securing a better standarel of sanitary plumbing. Thames. —There is good reason to hope that the handicap from which the Thames has suffered— the division of authority as regards water-supply will soon be removed. A Commission is now dealing with the matter. When this matter is decided a sewerage scheme will be possible. Great improvements have been effected in the Karaka Creek by the feirmation of a concrete invert. The Thames-Paeroa district generally has suffered less this year from typhoid than formerly, a result deiubtless of the improved sanitary conditions which Inspector Franklin reports have been established among the. Natives. Hamilton. —This town is growing to such an extent that it should get rid of the last relics of its primitive days, and adopt the usages which become necessary where large numbers eif persons live in one community. A municipal abattoir is erne of its chief needs, and the removal from the midst of the town of the cattle sale-yards. With the object of improving the sanitary condition of these yards the expenditure of £1,500 was proposed, and much indignation was arouseel by my protesting against this course on the ground that the yards should be removed altogether instead of patching them up. It is to be, feared that the supposed interests of a few persems have received undue consideration in this matter. Te Awamuty,. —This town is now a borough. During the year an excellent water-supply from. Pirongia Mountain was introduced, thus paving the way to general progress and improvement. Te Kuiti. —The borough sewers have been extended, anel a weekly system of refuse-removal in the central part of the town introduced. Taumarunui. -Here also a refuse-removal scheme has been adopted. Rotorua- -The septic-tank system of treatment for the town sewage has hitherto been somewhatprimitive. This year it has been overhauled and placed on a more modern basis, especially as regards the filtration-beds. The keeping of poultry in small yards has given rise to much trouble. Unfortunately, the Tourist Department did not see fit to adopt the by-laws dealing with this matter suggested by the Health Department. The adoption of by-laws limiting the area for building-sections to a, quarter of an acre in unsewered parts of the town has been productive, of beneficial results. Taur'anga.- The sewerage scheme for the town is now almost complete. The sewage received treatment in a septic tank, the effluent from which is discharged into the sea at ebb tide only, Whangarei.- The extension eif the sewer to the southern end of the town is an important sanitary advance. The elifficulty as regards the disposal of the Hospital drainage will now be removed. The! question of refuse-disposal has engaged some attention, and a suitable spot for dumping this has been secured. It is desirable, however, that a destructor should be provided as soon as possible. Dargaville.— A suitable water-supply has been secured, and will before long be installed, unfortunately at considerable expense for a town eif this size. A scheme for drainage has been prepared and approved by the Department. Helensville.- —The work eif connecting the houses to the sewer is proceeding. Unfortunately the Board have been very lax in the matter of by-laws, with the result that much of the plumbing-work is extremely bad anel will require tei be removed, thus causing the unfortunate householder needless expense. The District Health Officer, Wellington, reports :— Wellington. —At Miramar good progress has been made in connection with premises with the drainage scheme. Nearly all the houses on the flat portion of the borough have been connected. Onslow. -No progress has yet been made with the water-supply and drainage scheme. Petone. —Good progress is being made with the drainage-works, the contract of which is rendered difficult owing to the high level of the subsoil water and the sandy nature of the ground. The, estimated ceist has been exceeded. Upper Hutt.—The water-supply has now been completed, and about half the houses are connecteel. The porous nature of the subsoil facilitates the disposal of drainage. Martinborough. —The water-supply has now been completed. Greytown. —The ratepayers have approved by a two-thirds majority of a loan for the installation of a, water-supply and a drainage scheme; estimated cost, £20,000. Material has been ordered from England. Masterton.— The water-supply mains are in course of duplication. Eketahuna. An cxtensiem of the drainage scheme is under consideration. Havelock North— The new water-supply is nearing completion. Some' 3| miles of drainage has been laid. It is expected that these works will be completed early this year. Gisborne. —The drainage from the freezing-weirks which flowed into the Tarahura River has now been piped direct to the sea. Considerable defects were found in the methods adopted for the laying eif the house drains, and in certain points in connection with plumbing-work. It is not easy to finel out how this conelitiem eif things arose, but'in order to put an end to it I offered to send Inspector Middletem there for one memth at the expense of the Council, in order to put all such details of construction of all sanitary work on a proper basis. This eiffer the, Borough Council accepted. It is, unfortunately, only aneither instance of a local body spending large sums of memey—in this case £200,000

H.—3l

24

and the main object, the improvement of the public health, being liable to be defeated by lack of attention to details, or trying to economize in the expense of supervision. New Plymouth. —Inspector Feilder made a detailed report on Mangotuka Stream. The extension of the drainage system is the only way to improve matters. Patea. —A water-supply is to be installed, the water being obtained from an artesian, well. Waverley. —Owing to faulty construction, the dam for the water-supply burst. The watersupply scheme has therefore been delayed. The poll for the drainage scheme was defeated by 8 votes. Wanganui.- -The outlets of the sewers are being improved by being carried out to low-water mark. The whole of the Aramoho district is now sewered, and Durie Hill is now being attended to. The rubbish-removal service is being improved, but will not be satisfactory until the Borough Council do the work themselves, and charge the cost to the rates instead of charging individuals. Gonville. —Good progress is being made, with the extension of the drainage scheme. As in the case of Petone, this work has been carried out under considerable difficulties in the way of shifting sand and subsoil water. Mangaweka. —The work of connecting to the sewers is now in progress. Taihape. —A sewerage system has been installed, but, as is often the case, property-owners have not in many cases connected their premises to the sewer. The Borough Council has compelled a few individuals to connect in cases where their attention has been drawn to the special need of it, but has not enforced connections as a routine practice, which obviously should be done. Marlon. —The water-supply has on several occasions been unsatisfactory. Analysis shows that the filtered water is sometimes little, if any, better than the unfiltercd. This is probably due to the Bell filter not being used in the proper manner. Investigations are now being made to see if more scientific use can be made of this filter. Feilding. —The Department has approved, under the provisions of section 66, of the, expenditure of £1,200 on the extension of the sewerage system. The District Health Officer, Christchurch, reports : — Christchurch. —The City of Christchurch has been enlarged by including the district eif North Richmond, formerly part of the Waimairi County, and it has been found necessary, as this is outside the Drainage Board's area, to recommend the City Council to adopt special by-laws for that area. The water-supply of the city has been increased by the sinking of additional wells. Great improvements have taken place in the general condition of the city during the past year. It would seem desirable from a sanitary point of view if the boundaries of the city were still further increased to include Opawa anel the, small boroughs adjoining the present boundary of the city. Heathmte County. —A drainage scheme has been installed in the, Cashmere Riding, dealing'with the sewerage from the Hills suburb of Christchurch. Owing to the, hilly nature eif the, district is was necessary to divide this into two separate systems, each of which discharged through a septic tank and filter-beds on the banks of the Heathcote River. The scheme has not yet been sufficiently long in operation to judge whether the system of disposal will be satisfactory or otherwise. Lyttelton. —Improvements have been made in the stabling-accommodation in the town by the erection of new brick stables with up-to-date stabling and proper manure-receptacles. The water-supply has been improved so as to secure an efficient service to houses on the higher levels. Complaint was made on two or three eiccasions of the dumping of spiteions into the harbour from the passengers' cabins of the ferry-steamers, but since action has been taken in this matter the trouble has ceased. Considerable pollution unavoidably takes place by the discharge from the sanitary conveniences of the vessels in the harbour into the comparatively confined area of the harbour, where there is no current to take the matter out to sea. A small sewer from the town also continues to elischarge into this harbour. New Brighton Borough. Public conveniences, which were badly needed, have been erected. Some trouble was caused by the elefective state of the side channels, but these are now being put into proper order, they having been defectively laid in the first instance, and many of the culverts being not of sufficient size to carry away the waste water which is permitted to discharge therein for want of better moans of disposal. It will be necessary for this borough to soon consider the question of a proper drainage system. Rangiora Borough. The saleyards, which are situated in the business portion eif the town, became a nuisance during the winter months, from want of being properly paved and drained. After considerable correspondence and discussion, the Saleyards Company are now taking the matter in hand of providing proper paving anel drainage. Owing to insufficient water-supply for the flushing of side channels these became very offensive. The; Borough Council are now considering means to provide sufficient water for this purpose. I have also recommended the Borough Council to consider the question of a proper public water-supply. Sumner. —A destructor has been erected to deal with the refuse of the borough. It is intended as soon as possible to carry out an extension of the sewerage system, and include a pumping plant to enable the effluent to discharge at Sumner Head. Considerable nuisance was caused by the sewerage being washed on to the foreshore, but this was found to be due, to the discharge of public conveniences into the effluent-pipe of the septic tank. Neeellcss to say, action was taken to cut off this connection. At low water the end of the present effluent-pipe is exposed, and has been the cause of considerable complaints from residents at the south-eastern end of the borough. The Borough Council has been recommended to extend the present outfall into deeper water, as it will necessarily be some two or three j r ears before the proposed new system can be put into operation.

25

1T.—31

Woolston Borough. —The condition of the Heathcote River owing to the discharge of trade wastes was brought under my notice by the Council, which have certainly grossly polluted what was once, I understand, a clear stream. The matter has been referred to the Drainage Board, who now have control of this river, with a view to establishing standards for trade wastes discharged therein. Condemnation notices were served with regard to two old premises. These, however, are still standing, though they are now in such a condition as to there being no chance of their being inhabited. Ashburton Borough. —No progress has been made with regarel to the propcseel sewerage scheme for this borough. This work is badly needed to replace the existing pan system in the more densely populated portion of the town, where some nuisance has been caused by this system. Permits have been given for the erection of two septic tanks in the borough, but it is not desirable that many of these installations should be put in, and the permits for these two were only given after very careful consideration. Ashburton County. —The sanitary condition generally is fairly satisfactory. Timaru Borough. —Early in the year the northern sewer outfall elischarging into the sea at the Dashing Rocks, near Smithfield, was ceunplcted, and the, Work of connecting the houses is being pushed on with. Portions, however, at berth north anel south ends of the borough are so situated that connections cannot be made into the existing sewers, ar.d it will be necessary to install a pumping plant to deal with these areas. The Work in. connection with the southern portion is being gone on with.. Complaints have beer, made with regard to offensive odours being noticed in business premises in Stafford Street, due! apparently to the, condition of-the old George Street seWer. Considerable improvement has been effected by the pre/peu- trapping of stormwater drains connected thereto, but there is no doubt the smell is largely accounted for by the discharge therein of the gasworks effluent. The Post Office also discharges into this old seWer, and, although the Borough Council has complained to the Post Office officials with regard tei their failure to connect with the new system, nothing has so far been, done. I understand, however, that it is proposed as soon as possible that a connection with the new sewer will be made. The water-supply feir the borough has been improved by the laying of larger mains during the year. The supply is eirawn from Pareora River, and conveyed to a reservoir of sufficient capacity for fifty-seven days' supply at 30 gallons per head. Refuse-removal is not satisfactory, and I think it weiuld be better if the work was undertaken by the Council instead of being let to a contractor. At present the refuse is dumped eiver a cliff on to the foreshore abeiut half a mile from the southern boundary eif the borough, ar.d some nuisance was caused thereby, and in consequence I made recommendations to the Borough Council for the better conduct of this depot. Waimate- All the houses in the present drainage area have been connected with the sewerage system, which seems to be Working quite satisfactorily. An extensiem, however, of the system is urgently needed, and the Borough Council has the matter in hand. The Water-supply is drawn from a creek in Kelso Bush, about four miles from, the borough. It is conducted by gravitation to a concrete reservoir near the town, which has a capacity for an eleven-day supply at 30 gallons per head, with a pressure eif 100 lb. to the square inch. All premises in the borough are connected to the Water-supply. Tem,uka. —Only a small area of this beirough is sewered, and in this area connection has not been enforced, and consequently there is a condition of pan-closets being next deior to premises connected with the sewer. The Borough Council has been receimmended to enforce their by-laws with regard to connection with the sewered area. The outfall, however, is not satisfactory, and the question eif extending the system and treating the effluent by means eif a septic tank before discharging into the river is new being considered. The borough has a high-pressure water-supply derived freim the Waihi River, but all the premises have not been connected thereto. Geraldine.- —Sei far this borough has not gone in for a sewerage scheme, and there is consequently some! pollution of watercourses running through the beireiugh by discharge of Waste water. A nuisance has arisen owing to the state in which these watercourses have been allowed to get into. The borough has been recommcndiid tei take measures to improve this condition. Other premises get rid eif their waste, water by discharge into soak-pits, and seime septic tanks have been installed. The borough has a high-pressure Water-supply deriveel from the Waihi River, which is conveyed by an open race to the north end of the borough, and thence out to a reservoir, giving a pressure eif 80 lb. South Canterbury generally- The sanitary conditions seem to be satisfactory. Greymouih. —The general, sanitary condition of this beirough is by no means satisfactory, and there is little prospect of improvement until a new sewerage system is installed. Unfortunately, the local authorities on the West Oeiast do not seem tei seriously consider the advantages of effectively carrying out their powers as sanitary authorities, and no assistance is given by the Greymouth Borough Council in connection with the demolition eif insanitary buildings. The water-supply eif the borough is obtained from the Grey River, which is liable to considerable pollution, beet sei much memey has been spent on this matter that it is hardly likely that any improvement will bo effected for seime time to come. A gravitation scheme could be obtained from what is known as the 10-Mile at an approximate cost of £30,000. Blackball.- A scheme is under consideration by the Grey County Ceiuncil for a sewerage scheme and Water-supply feir this township. Cobden. —The Grey County Council has alsei under cemsideration a drainage scheme .for this tewr.ship. Reefton.— The sanitary condition eif this township continues to be fairly satisfactory. Runanga. The prospect of arranging feir a sewerage scheme, and water-supply, alt.heiu.gh badly required, is not great, but the Borough Ceiuncil is now considering a nightsoil-remeival system.

■I— FI. 31.

H.—3l

26

(8.) SANITARY CONDITION OF THE MAORIS. The District Health Officer, Auckland, reports : — The smallpox epidemic and the very widely diffused typhoiel outbreaks among Natives have made the work of this branch exceptionally heavy. The number of smallpox cases dealt with was not great, but the method adopted —fortunately with great success —for stamping out the disease by means of universal vaccination entailed much detailed work, as shown in the section of this report elealing with smallpox. Typhoid proved a much more difficult disease to combat. Some 250 cases are known to have occurred, and probably there were many others the existence of which, in accordance with Native! custom, were concealed. At the following Native settlements outbreaks were dealt with : — Tauranga . . Judea January. Upper Wanganui .. Taumarunui, Manunui, and' January-October. Kakahi Mangonui .. Sweetwater and Awanui Dis- July-October, trict Mangonui November-December. Whakatane .. Poroporo April July. Whangaroa .. Matauri Bay May-June. Lower Waikato .. Keihunga July. Hokianga .. Waima September. Bay of Islands .. Matarawa October. Kaikohe April. Rotorua .. .. Rotoiti-Ngongotohi and Ohi- July-December. nemutu Matamata .. Okoroire and Putaruru November-December. Thus the whole year round typhoid was epidemic. Eight temporary camps were established to deal with typhoid cases as follows : — C.-.a n. Judea .. .. .. .. .. . . 5 Nurse Anderson. Poroporo .. .. ~ .. ..10 ~ North. Manunui .. .. .. .. ~ 5 ~ Moore. Kakahi . . . . . . . . . . 8 ~ Moore. Rawene . . . . . . . . . . I ~ Byrn. Kaikeihe . . . . . . .'. 4 ~ Byrn. Keihunga . . . . . . . . 6 ~ Grigor. Matauri Bay .. . . ~ , . .. 5 ~ Byrn. Matarawa .. .. .. .. .. 20 Miss Bagley. A camp hospital for the treatment of smallpox cases was established at Waimana in January, in charge of Nurse Taare. A severe outbreak of measles accompanied with pneumonia occurred at Parenga in December. As usual, a great deal of difficulty arose in getting the Natives to bring their sick intei these camps, and still more when it was proposed to take the cases to general hospitals. This feeling was especially strong in the Taumarunui district, in which the Natives are particularly backward and ignorant. They even assaulted Nurse, Moore on one occasion when the cases from the temporary camps at Manunui were being transferreel to the Hamilton Hospital. The principal assailants contracted typhoid, and one of them subsequently died, so no legal action was taken in this instance,; but two Natives who obstructed Inspector Calderwood were prosecuted and fined £1 ss. each. The legislation requiring the registration of deaths among Natives is now in force, but permits of too much time elapsing between the death and the, date of registration to lie of any value for preventative purposes. A number of deaths probably are still unregistered. Some apprehension was felt when recruiting for the Native Expeditionary Force began, owing to the spread of typhoiel involving practically all Native settlements. A warning was issued, however, and the, recruiting officers endeavoured to avoid drawing troops from the areas most in danger, and it served also to discourage Natives from crowding into the township. Tohungaism is still widely practised, and often greatly hampers the work of the Department. Two cases were dealt with, both being Europeans. One, a Mrs. Hill, had for years practised exclusively among Maoris, and as a result certain cases of typhoid had not received proper attention. She was prosecuted under the Tohunga Suppression Act, and sentenced to six months imprisonment. The other case was that of a man named Hogg, who practised among the Natives in the Rotorua district and gave much trouble during the typhoid epidemics. He was prosecuted for representing himself to be a medical practitioner, and was fined £25 or given three months' imprisonment. A good many changes and new appointments were made in tha Native nurting staff during the year. Nurse McKinven, who succeeded Nurse Dawson, took up work in the Thames district, Nurse Moore was appointed to Upper Wanganui district, and Nurse Grigor to the Waikato district. Nurses Byrn, Taare, and Mataira resigned towards the end of the year, Nurse Ferguson taking up the work of the former at Bay of Islands in December. Nurse Stephenson's health unfortunately broke down in December, and Nurse Wright took her place at Rotorua. Nurse Grigor had the misfortune tei contract first measles and then typhoid fever during the period she was dealing with the hospital, camp at Kohunga, but fortunately made an excellent recovery. The work performed by these nurses is often very trying, and, owing to the difficult conditions they have to nurse under, there is a certain amount of danger. They have to face long wearisome journeys, and often active opposition from the older type of Native. Even the younger and better educated Natives learn but slowly and uncertainly to adopt sanitary methods, so the nurses have

i-i.-:;!

constant disappointments and difficulties. The patience and pluck they display in spite of all these disabilities is admirable, and has earned for them more recognition and support than they have hitherto received. It is satisfactory, however, to note that the Heispital Boards are beginning to appreciate the value of the work done. Agreements have been made with the Bay of Islands and Waikato Boards as to payment of their expenses, and the latter have provided a horse and equipment for the nurse stationed at Taumarunui. The Bay of Plenty Board have alsei provided a horse, and find it in paddocking, for the nurse at Tauranga. The Thames Hospital Board have from the first given every support to the Native nurse, anel this year have received a demonstration of the value of her services, for their district, despite the spread of typhoid generally among the Natives in the province, has been singularly free from the disease. At Rotorua, also, among the Natives living at Whakarewarewa there has been little disease —a result no doubt of the special supervision which has been exercised over this settlement during the past two or three years. There are therefore sufficient signs of progress to warrant the Department in making every endeavour to encourage the Native nursing branch. More nurses are required, especially at Opotiki East, Hokianga, and in the Mangonui County, where conditions are especially bad. The Department also should recognize the discouraging conditions under which the nurses work, and could reasonably make further efforts tei secure for them comfeirtable housing and means of transport. A special word is due to Miss Bagley, on whom falls the chief burden of organizing this service. The establishment of eight or nine hospital camps during the year at short notice, and in. more or less inaccessible places, is no small work, and speaks well for the system she has established. The Inspectors in the various infected districts have throughout given loyal support and assistance tei the nursing staff in establishing these camps. Should the need ever arise, our Army Medical Service, woulel finel the elements for a field hospital organization already well established and ready for service at a moment's notice in any part of the province. The following medical officers have been appointed to attenei Natives in their districts during the year:— Dr. Phippen .. .. .. .. .. .. .. Wellsford. Dr. Latchmore .. .. . . .. .. .. .. Taupo. Dr. Macfarlane . . . . . . . . . . . . To Puke. Dr. Smith .. .. .. .. .. . . .. Rawene. The District Health Officer, Wellington, reports : — . The largest typhoid epidemic of the year occurred at "Raetihi. The Wanganui Boarei established a temporary hospital in the schoolhouse, to which all the casess were removed. There was a small epidemic among the Natives at Patea and a few cases in the Cook and Waiapu districts. Nurse Cormack, To Karaka, reports having visited 30 pas, inspecting and instructing, paying altogether 92 visits, attending 77 cases eif sickness, including 3 confinements, and 23 sick babies, during the year nursing throughout 16 cases typhoid fever. Most of the pas show a decieled improvement as regards general health. Nurse Lewis, Otaki, was granted twelve months' leave on the 26th May to attend to private business in England. Advice has been receiveel that she has gone to the war with one of the nursing divisions. Nurse Te Au, who is relieving her, reports since the 26th May she has visited 13 pas, inspecting anel instructing, paying 1,306 visits since she took over. She has attended 226 cases of illness, 3 confinements, 7 deaths. The general health in all pas has been exceptionally good. The following extracts from Nurse Beetham's report on the work in Taranaki District are of more than ordinary interest, and may be taken as a sample of the effects that may be looked for fiom the establishment of Native nurses :— " The total number of patients attended and adviseel during the year 1914 is 174. " There was most sickness during the months of March and August, when the number of patients totalled 22 and 23 respectively. During June and July the.number totalled 17 and 18, while in February, April, and October the number was down to 14. " The greatest decrease in sickness proved to be in the months of May and December, the number of patients in the latter being 7 only. " The year has proved remarkably free from epidemics, whooping-cough being the only persistent one ; and though other epidemics have prevailed amongst the Europeans, the Natives have not been affected. " The district has been free from enteric fever, though I believe one or two Native patients received treatment in the Hospital. " Chest complications are most frequently met with, and demand, I suppose, half of one's time. There has been a groat amount of sickness amongst infants and children. A great amount of time is devoted to this portion of the work, and instruction given to the relatives re correct management, &c. " The people arc most negligent in the artificial feeding of infants ; the feeding of children is little better. " The subject of diet is probably one of the most difficult things to instil into the Native mind, both in sickness and in health. " It is difficult to give a correct estimate of the birth-rate ; 17 totals the number that I have been able t record. Registration is now being steadily enforced, and will prove a great assistance in our work as well as elevating the race. It is only epiite recently that compulsion has been resorted to in this Native district; consequently many objections anel arguments are raised by the people as to the necessity of it. " Obstetric nursing is greatly required. The people persist in adhering to their old customs, and, generally speaking, assistance is not sought till complications have arisen.

27

H.—3l

28

" I have recorded J 6 deaths, 4of that number being unattended by eioctor or nurse. Seven were incurable cases. " After three years' work in the district one notices many improvements. Though slowly, progress is undoubtedly being maele as regards sanitation. We cannot hurry those people —' Taihoa' will for ever be their watchword. " Three years ago Kate Marae Pa was the dirtiest and most neglected pa in my district. Tei (lay 1 compare the two in my mind's eye, and the improvements, I consider, are remarkably good, taking all into consieleration. " Each year brings a greater decrease in the number of pa inhabitants. They are becoming more enlightened, and leaving the pas. They build their own little European cottages, and work far more inelependently and with, greater zeal." Nurse Walker, of the Waiapu district, has also some interesting remarks to make on her work. Unfortunately, the remarks she makes as regards the sly grog-selling are applicable to other districts besielcs Waiapu : — " During the year I have noticed a general improvement in sanitation. Mostly all the Natives in this district have their houses built in the European style, and those that have not are fast pulling down their old whares and rebuilding in the modern style. They are slowly getting into the way of keeping their houses clean. Some are more easily taught than others. As a rule, they have very little furniture, just the bare necessaries. Their bedding has almost a daily airing in the sunshine. " Consumption is a prevalent disease among them. t They have been instructed to use antiseptics, and to expectorate into tins, which are afterwards burned. " Typhoid fever has been much less during the year, strict instructions have been given to them regarding precautions. " it is, of course, hard to deal with, their superstitions, which they seem to cling to, especially the older ones. The younger generation seem to be forgetting it. In spite of it all, I try to meet them as much as I feel is light. " Most mothers breast-feed their infants, the majority of whom get. on exceedingly well. Those that are obliged to feed them artificially are usually mothers suffering from consumption. The chief ailment has been diarrhoea, and sometimes gastric trouble. " I find that cows' milk suits them better than patent foods. They are not careful enough in the preparation of patent foods. " The children, on the whole, are in better health in summer than in winter. They enjoy the open air, and indulge freely in both sea and river bathing. The skin-diseases are less, proving that cleanliness and fresh air is. a good tonic. "A. great trouble here, or perhaps the greatest, is the drink question. This is a prohibited district for the, Natives, but the amount of sly grog-selling that goes on is simply appalling. Useless pakeha men make quite a big living in this way, selling drink at twice its value. The Natives take it to their homes, and men, worrlen, and children partake of it freely and become intoxicated. At all Maori settlements they have sheds in whie'h to store it. At every funeral, tangi, or entertainment of any kind the majority are drunk. Three different school-teachers have told me of their pupils being drunk after attending a tangi. One small child of abeiut five, was seen by a teacher to be drunk, and carrying a bottle eif liquor. This sort of indulgence must surely be, injuring their health. The Natives while in this state become very savage, and it is not the nicest thing for me to be going among them while they are in this state." The District Health Officer, Christchurch, reports:— Medical attendance on Natives in all the principal pas in the district has now been arranged for. Tuberculosis seems prevalent amongst the race, and this is especially noticeable at Tuahiwi, where tuberculin treatment is still largely carried out. Three special health tents have been provided for special cases in this pa, and more will be sent up should occasion demand. Taken as a whole, the conditions under which the Natives live in the pas in this district are fairly satisfactory as compared with some of the districts in the North Island, although there is considerable room for improvement. The appointment of a District Nurse for Maoris will no doubt greatly assist in improving the general conditions. (0.) SANITARY INSPECTION. The District Health Officer, Auckland, reports:— In the earlier part of the year the work in connection with the smallpox epieicmic kept the country Inspectors very busy, and later the continual outbreaks of typhoid among the Natives kept them working at high pressure. The Hamilton Borough, having decided to employ an Inspector who could devote himself to borough work only, relieved Mr. Bennett of this part of the work, but we lost the services of Mr. Furness from our Auckland staff, as he was appointed to the Hamilton Inspectorship. To take his place in the Hospital Board work Mr. Wilkinson was selected. The division of the Marsden-Kaipara Hospital Board into twei independent Boards upset the arrangement as regards the employment of Mr. Shenton in that district. The Kaipara Hospital Board elected to employ an Inspector independently of the Health Department. Mr. Shenton was transferred to the permanent staff of the Department, and an arrangement was made with the Whangarei Board to pay a subsidy for his services in their district. With the outbreak of war we lost Mr. Grieves services from our departmental staff, as he joined the Expeditionary Force for foreign service. His special work in connection with the Sale of Food and Drugs Act has been taken over so far as possible by Mr. Shenton. The following tables indicate the work done by the Inspectors during the year: -

29

H.—3l

Summary of Sanitary Inspections, Auckland District.

Food-sell Food-sellers' Pr< lers" Pj ises. Factories. r-neral. Nuisances. O-ias tested. District. = ~ * sa 2 OP : % fi Ph ft ■a o o PH $ fc. 8 to ° M O 1 ei a HZ o ft ~ £ h rS & O — < fl rr -j m rr . si -1 § ! I si'if J | 1 T. * -£pH Sr'~ is | l' s |s~ fc O rC O g 5 to Q o o - 00 DO o - Auckland — ■ Total number inspected .. .. 5 8 6 2 1 1,755 .. Number in which defects existc d .. 1 .. .. 193 Number requiring requisitions under 1 190 Public Health Act or local by-laws Bay of Islands —• Total number inspected .. .. 32 .. 6 j 23 48 .. 28 1 .. 16 763 47 Number in which defects existe d .. 3 6 15 2 5 52 11 Number requiring requisitions under 1 .. .. 3 3 .. 1 .. .. 2 I 15 11 Public Health Act or local by-laws Bay of Plenty —- Total number inspected .. ..45 1 5 11 50 3 24 62 8 .. .. 212 15 Number in which defects existed Number requiring requisitions under Public Health Act or local by-laws Marsden-Kaipara — ■ Total number inspected .. .. 52 .. 12 20 38 5 24 j 6 25 7 43 1 .. 30 275 12 Number in which defects existed .. 2 .. .. 1 .. .. 3 22 Number requiring requisitions under 2 .. .. 1 .. .. 3 22 Public Health Act or local by-laws Thames (including Coromandel and \ Waihi) — Total number inspected .. .. 96 20 34 26 158 73 42 29 35 .. 75 10 .. .. 346 22 Number in which defects existed .. 22 3 6 7 12 4 6 8 .. .. 11 2.. .. 64 4 Number requiring requisitions under 15 1 3 4 4 6 4 4:5 .. .. 6 2 .. .. 35 Public Health Act or local by-laws* | Botorua and District — ■ Total number inspected .. .. 96 ! 21 ' 20 17 \ 58 13 52 13 85 7 14 5 .. 16 2,145 42 Number in which defects existed .. 5 1 3 6 7.. 9 1 2 I 2 1 .. .. 79 2 Number requiring requisitions under 5 1 3 6|7.. 9 1 2 1 2 1 .. 79 2 Public Health Act or local by-laws Waikato Korth — ■ Total number inspected .. ..263 354 4 122 259 83 167 17 138 41 207 23 .. 88 583 26 ! Number in which defects existed .. 47 2 .. 5 1 .. 4 3 ..j.. .. 17 1 Number requiring requisitions under 47 j 2 .. 5 1 .. 4 3 .. .. ■■- j 17 1 Public Health Act or local by-laws Waikato South — ■ Total number inspected .. ..140 129 102 66 233 24 179 41 102 39 80 49 .. 314 1,030 21 Number in which defects existed .. 10 2 2 2 3.. 2.. 4.. 5 1 .. 10 30 2 Number requiring requisitions under 10 2 2 2 2 .. 1 .. 4 .. 5 1 ..10 24 1 Public Health Act or local by-laws 5 .. 10 58 29 2 25 61 11 99 84 1 .. 1 16 2 1 .. 1 15 2 1 20 59 10 90 44 25 10 11 .. 2 215 72 114 211 .. .. 131 73 2 2 ! .. .... 34 2 2 .. 1 .. 2 23 72 114 211 ', 86 39 4 .. 31 .. .. 3 { 5 14 13 1 .. 98 7 .... 2 5 9 2 6.. .. 2 ! 5 6 2 34 57 .. 1 20 .. 4 21 5 .. 26 7 | .. 7 .. 4 21 5 19 37 9 27 12 1 27 51 ' .. 79 69 132 8 5.236 697 6 14 4 8 6 23 .. 536 2 9 2 4 .. 1 9 32 .. 77 72 94 2 6 343 .. 52 26 36 114 112 57 102 1,089 3,300 10 11 1 2 39 ! 3 63 165 2.277 10 11 1 2 39 .. 41 22 32 .. .. f .. 193 160 1 55 24 1 12 55 14 64 65 ! 39 .. 1,095 5.940 1 8 .. 66 462 1 1 54 .. 320 .. 98 75 1 13 61 23 98 98 66 35 2,023 .. 27 I 3 1 ..25 1 13 61 23 98

H—3l

30

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

Pn lises. Fad iries. teral. Nuisances. S22SL *»•».*-«■ District. rS O 2 St M g as g Si fl a o B g Ph Ph - i S cs as fc £ Mm 5 eS | i o p< 3 c8 ei rH . *G .2 « >_ So fi O r3 rC O i — a si *i a 1 =1 O 00 > O | M O > P5 ri s eel -* fc 9 fc fc O ST. C 1 I I I I Yaiapu — ■ Number inspected Number in which defects existed Cook — ■ Number inspected Number in which defects existed Wairoa — ■ Number inspected Number In which defects existed Hawke's Bay - Waipau-a — ■ Number inspected Number in which defects existed Taranaki —• Number inspected Number in which defects existed Hawera-Stratford — ■ Number inspected Number in which defects existed Wanganui-Patea —• 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 Wairarapa — ■ Number inspected Number in which defects existed Wairarapa — Number inspected Number in which defects existed Picton- Wairau — ■ Number inspected Number in which defects existed Nelson — ■ Number inspected Number in which defects existed " 163 55 79 39 23 16 8 4 4 22 5 " •• 1 4 10 13 1 .. 8 1 1 25 13 in 2 4 41 2 75 5 " 88 33 1 4 3 3 9 1 3 3 11 1 1 7 11 2 30 I 2 II 21 8 8 .. 12 1 .. 1 .. 4 1 3 1.. 7 .. 3 4 .. .. 2 1 1 24 3 .. 14 .. 9 1.. 3 .. 7 40 ..42 .. 9 .. 1 .. 51 8 5 .. 16 .. .. 186 .. .. 7 .. 21 247 .. i 55 9 23 1 .. 10 169 2 | 35 ' " •• 2 42 1 10 16 .. 423 75 2 9 14 .. .. 6 2 16 6 .. | 3 2 6 6 5 1 3 14 4 .. 3 .. .. I .. .. '". " " 11 29 13 4 15 2 58 94 24 ..13 4 . 14 .. 6 .. . I . 6 4 2 2 5 .. 3 .. 7 .. .. 9 1 1 21 54 52 128 58 1 .. 1 21 54 52 .. .. 4 2 .. 1 .. 16 .. 66 66 2 16 .. 7 7 _ . ! : . _ ■ _ 5 1 .. 1 ' 6 .. 8 7 .. .. 1 .... 1 7 16 .. .. 5 j 35 7 47 44 8 .. .. 5 : 35 4 .. 5 41 3 13 25 20 61 26 1 7 1 3 17 5 .. .. 2 20 26 .. 4 2 .. 30 18 .. .. 5 .. .. £ 6 15 7 3 21 21 2 4 2 1 17 19 1 22 3 1 8 46 .. 61 7 5 .. 1 .. 37 .. 37 .. 3 24 5 16 4 60 10 12 4 8 5 47 24 20 7 28 27 120 50 610 36 3 90 31 14 16 2 4 15 3 21 1 18 6 1 8 31 .. 19 4 .. .... 7 .. 6 3 6 .. 183 3 .. 27 35 15 12 2 3 5 ■• ...... 11 147 163 22 14 1 89 5 1 4 82 .. 23 1 1 1 .. 2 1 .. 12 640 1 I .. 6 15 19 " -..„...„... 77 9 42 ! 30 2 70 5 98 2 .. 23 4 -14 43 1 6 33 5 .. 61 5 .. 2 .. 8 1 10 .. .. 72 2 i .. .. 11 .. .. 41 1,198 2 i 178 48 105 67 3 I 7 8 5 172 .. .. 32 41 .. 90 56 1 11 .. .. 4 8 .. 51 .. .. 75 61 .. 8 72 275 188 101 ..20 4 .. 7 43 38 12 12 1 182 .. ..121 .. ..121 121 7 1 8 .. 1 1 5 .. 7 7 2 .. .. 2 7 .. 5 .. 113 7 8 1 851 175 130 20 .. '25 56 15 90 17 44 1 .. 82 483 2 52 .. .. I 34 | 29 72 2 12 12 .... 79 8 22 100 8 24 1 24 81 1 4 40 | .. '.. 106 45 ...... 20 2 .. .. 621 .. .. 133 99 157 54 17 61 7 38 2 .. 13 ■• I 2 24 1 53 1 5 2 5 4 .. i .. 28 | 1 .. .... 2 : 1 2 180 .. .. 27 14 47 1 6 16 1 ". " *

31

H.—3l

Summary of Sanitary Inspections, Canterbury and West Coast District.

District. Food-sellers* Pi *- ° . 5 CB 3 jJ -S 8 | S «-i I i | I | %S Food-sellers' Pn lises. Fad tries. meral. Xuisi nces. Plumbinginspections. Drains nested. as o fc. Ph ph S DO 3 1 i HH *g © 3 £4 3 PI k3 cs as 1$ 3 O H 3ph pq > fi I I 1 <a Ofi -pH ft £j SO CD > -3 pp g — a .£ 3 o M ° ■a » s P» P3 <! fc. O fc O 3 43 fc .1 o I I 17 31 2 J 5 1 5 ; I | j 5 | 23 | 80 48 2 14 36 2 j 9 28 j ..13.... 3 1 .. j 2 I 6 13 1 20 16 851 4 3 ....:.. .. .. 3 7.. .. .. j .. 12 2,768 247 .. 11,152 410 North Canterbury — Total number inspected .. ..165 13 Number in which defects existed .. 60 2 Number requiring requisitions under 5 2 Public Health Act or local by-laws j Ashburton, — ■ Total number inspected .. .. i 42 .. Number in which defects existed .. 25 J .. Number requiring requisitions under 2 I .. Public Health Act or local by-laws South Canterbury — ■ Total number inspected .. .. 12 Number in which defects existed .. 8 Number requiring requisitions under 1 Public Health Act or local by-laws Inangahua — ■ Total number inspected .. ..19 4 Number in which defects existed Number requiring requisitions under Public Health Act or local by-laws j 8 3 2 62 6 .. 30 .. 1 .. .. 2 .. .. 2 1 .. .. 12 6 1 72 .. 2 .. 1 .. 13 .. 17 5 3 2 4 808 106 88 17 251 3 1 16 I 93 4 7 2 3 3. | 1 7 1 1 .. j 2 .. | .. 22 II 2 I 3 1.. 35 .. 9 2 11 20 1 7 14 1 5 9 3 .. I .. 2 8 _ I ! " .. I .. .. j ...... .. | .. i I 18 . I 1 .. 6 179 12 2 6 18 10 4 17 .. 23 21 4 86 .. 123 96 .. . 1 1 170 ...... " " " Grey — ■ Total number inspected .. .. 110 17 Number in which defects existed .. 1 Number requiring requisitions under ... Public Health Act or local by-laws 13 39 - o 1 6 I 22 4 31 .. . 915 234 2 40 99 2 16 17 I 38 61 3 . i Grey. — 3 insanitary buildings pulled down : 1 insanitary bakehouse pulled down.

H.—3l

Summary of Sanitary Inspections, Otago and Southland District.

32

Food-sellers' Premises. Factories. General. Nuisances. Plumbing- j Dratas tested District. a I . I I 1| I -J .- , I Mjg ft (*( E=f Ph HiMJO t> a e3 c3 C I ft ft cq t> ft Z u I % I a | - i a = a « «•» i -a | . I 18 18 15 I 54 13 73 5 84 219 2 3 14 2 10 1 32 116 .. .. 1 5 2 10 .. 17 91 12 9 .. 1 1 15 .. 3 21 1 2 .. .. 1 4.. 3 20 2 3 18 8 10 6 .. .. 5 4 4 .. ., 5 4 .... ! .. 2 .. .. 5 12 21 6 .. ! 2 2 .. 33 34 1 3 1 ..' .. 1 .. 15 14 1 | .. 1 .. 2 1 3 5 1 .. 7 9 1 5 5 6 13 3 .. .. 4 .. 22 26 3 j 1 .. .. 1 .. 8 12 -- .. i ' 1 i I > fi j < j r? O I I f 71" -as £ft is -a as fc -as Eft CO fc . as IS' j C I 1 ! I 1 I ! I I I ! I ! I I Otago — Total number inspected Number in which defects existed .. Number requiring requisitions under Public Health Act or local by-laws' Southland — Total number inspected Number in which defects existed .. Number requiring requisitions under Public Health Act or local by-laws Wallace and Fiord — ■ Total number inspected Number in which defects existed Number requiring requisitions under Public Health Act or local by-laws Waitaki — > Total number inspected Number in which defects existed Number requiring requisitions under Public Health Act or local by-laws Maiiiototo — ■ Total number inspected Number in which defects existed .. Number requiring requisitions under Public Health Act or local by-laws Vincent — ■ Total number inspected Number in which defects existed .. Number requiring requisitions under Public Health Act or local by-laws 86 S2 36 I 18 8 i 9 22 40 93 34 , 12 11 114 12 40 2 .. 13 17 24 5 j 2 5 I 11 .. 6 .. .. 13 .. 1 .. | .. 4 | 1 .. 4 .. .. 12 1 1 .. 1 .. • 1 .. 21 .. .. 3 .. 1 1 .. 8 .. .. 3 .. 1 1 .. 6 .. .. 2 .. 2 .. 1 .. 3 .. i 13 .. .. 1 1 .. 6 .. .. 1 .. 1 .. I 6 I .. 2 16 23 3 5 .. I 9 5 13 .. .. .. 8 8 1 1 .. 1 1 5 .. .. S " "j 2 5 .. I 1 .. 5 .. I 4 .. 1 3 1 .. 1 .... 2 8 .... ..13 ..12 .. .. 1 4 1 .. j 3 .. .. 1 | 683 112 79 18 ..180 .. 141 275 .. I 14 .. 1 98 .. j 8 .. .. 80 155 1 155 1 i " ~ | 16 2 4 .. 4 .. 267 53 53 3 20 18 1 12 3 j 3 3 590 590 12 1 •■ 12 .. 5 5 .. ■ 85 15 15 I i 2 3 5.. 2 .. 2 .. 2 38 5 16 1 12 3 12 104 3 22 2 6 45 .. 22 64 1 44 1 12 18 4 .. 2 23 3 .. 9 .. 2 6 6 4 ._ .. 72 .. 13 12 i .. 4 .. .. 14 .. 5 1 I 4 Otago. —'Houses pulled down, 68 ; houses repaired, 25. Southland. —Buildings pulled down, 7 ; buildings repaired, 15. Waitaki. —-Buildings repaired, 4. buildings repaired, 3. Vincent. —-Buildings pulled clown, 2 ; buildings repaired, 4. Maniototo. —-Buildings pulled down, 1;

33

H.—3l

The District Health Officer, Wellington, reports:— Inspector Middleton remains attached to the District Office as departmental Inspector for special sanitary work, more particularly for the, administration of the Sale of Food and Drugs Act. Wellington. —In addition to the Boroughs of Onslow and Levin, the Hutt County and the Upper Hutt Town Board have appointed the Hospital Board's Inspectors as Sanitary Inspectors for their respective districts. Wairarapa. —lnspectors Cairns and Keay continue to act as Sanitary Inspectors for all the local authorities in the Hospital Board's district. In this district, therefore, the administration is on better lines and more complete than in other Hospital Board districts. Hawke's Bay. —The Town Board of Havelock North is arranging with the Hospital Board for the services of Inspector Gardiner as Sanitary Inspector, more particularly in the inspection of drainage and plumbing-work in connection with the new drainage scheme which is now being installed. Cook. —The newly formed Mangapapa Town Board is trying to arrange for the services of Inspector York. The Cook and Waikohu Counties had previously delegated their powers under the Health Act to the Hospital Board. Wanganui.- Inspector Pargeter is in charge of the district for the purpose of infectious disease. As Inspector Wilson, who was stationed at Marton and was acting as Sanitary Inspector for some of the local bodies, has resigned his position as an officer of this Department, the Hospital Board is now considering the appointment of a second Inspector who will probably be stationed at Taihape. Many of the local bodies in the district will then probably avail themselves of the services of the Board's Inspectors as Sanitary Inspectors. Patea. —Owing to the resignation of Inspector Wilson, who was acting as Inspector for this district, the Hawera and Stratford Boards have now agreed to let Inspector Gray act for the Patea Board on the same basis of contribution as was existing between the Hawera and Stratford Boards, and the Patea Board has also agreed to this. Taranaki. —lnspector Feilder, who was temporarily appointed as Inspector, vice Inspector Kendall, who is acting as clerk of works for the new hospital, carried out his duties very satisfactorily until his resignation to take up a position in the Labour Department. The Secretary of the Board has been appointed to act as temporary Inspector. This can hardly be considered a satisfactory arrangement, and the only excuse is its temporary nature. Nelson. —The Nelson Borough arranged with the Board for the services of Inspector Coltman to assist in the sanitary inspections of the city. This should enable a large number of minor defects which, have not been properly attended to for some time to be put right, and gradually a better standard of sanitation, obtained in fkb city. In other districts no change has been made in the canying-out of sanitary inspection. The District Health Officer, Christchurch, reports :— The work of sanitary inspection has gone on as usual, there being no change in the, inspecting staff of the Department or Hospital Boards. Inspection of Hotels. The District Health Officer, Wellington, reports : — During the year 159 hotels were inspected and reported on by the Sanitary Inspectors. Extracts from these reports, with recommendations, were forwarded by me to the Licensing Committees. In several cases new drainage with modern sanitary fittings was ordered by the Licensing Bench. The recommendations of the Department have been given effect to in the large majority of cases. In a few cases adverse influences have been too strong for the recommendations of the Department to be given effect to. As the result of an important judgment of the Supreme Court, the following circular was sent to all Inspectors : — " Doubt has frequently been expressed by Licensing Committees as to their powers to enforce the recommendations of Inspectors in regard to sanitary improvements, &c. The, following summary of a case which went to the Supreme Court for decision is therefore of interest: —A.B., licensee of the Hotel, was on the 25th May asked to carry out the following improvements : A new range and hotwater service be put in the hotel, and a pipe to be connected with the bath to take the water therefrom. The yard to be gravelled ; the stable and water-closet to be thoroughly cleaned ; the yard, stable, and water-closet to be, kept clean in future ; coiling of kitchen to be painted, and leak in same attended to. " On the sth June, as these improvements had not been carried out, the Committee refused to grant any renewal of license, but stated that if requirements were complied with by the licensee before the next quarterly meeting they would then be prepared to grant a renewal. A temporary license was granted for three months. At the quarterly meeting, held on the 2nd September, it was shown that the requirements had still not been carried out, and the premises were not being maintained as required. On these grounds the renewal of license was refused. " The licensee applied in. the Supreme Court for a mandamus to compel the Licensing Committee to grant a renewal of his license. The application was heard in. the Wellington Supreme Court on the 3rd November before Mr. Justice Hosking, who found that the action of the Committee was valid and effective, and for those reasons the motion for a mandamus was dismissed." The District Health Officer, Christchurch, reports :— There were 231 hotel premises visited by the Inspectors, and reports were made to the Licensing Committees. Some of the Committees seemed doubtful as to their powers to enforce sanitary improvements, but the decision given by the Supreme Court in the, case mentioned in your memorandum of the 7th December last should be of assistance to these Committees, and, in consequence, I anticipate more support beingjgiven to the Department's recommendations.

5—H. 31.

H.—3l

34

(7.) OFFENSIVE TRADES. The District Health Officer, Wellington, reports : - Sites at Feilding and at Taihape for the proposed establishment of freezing-works and offensive trades in connection therewith were inspected. A permit was granted for the establishment of the offensive trade of fellmongering at Hastings. The District Health Officer, Christchurch, reports :— No new permits have been applied for and no fresh premises have been erected. Early in the year some complaint was made with regard to the disposal of drainage at the Christchurch abattoirs, but suggestions made as to ploughing the ground seemed to have had the, desired effect, no further complaint having been made. The question of the contamination of the Heathcote River by offensive-trade works situated on the banks thereof is referred to in another portion of the report. Taken as a whole, the offensive-trade premises are fairly well conducted. The District Health Officer, Dunedin, reports : — Trouble arose at the Burnsidc Works, a nuisance being created by offensive gases from the, fertilizer department. The company first of all put in an Ozonair apparatus. This, however, was not satisfactory, and they subsequently put in an installation of scrubbers. Since then the nuisance seems to have been considerably modified. (8.) INSANITARY BUILDINGS. The District Health. Officer, Auckland, reports : — Notices for the condemnation of buildings under the Public Health Act have been issued as follows: Auckland City, 1 dwelling ; Takapuna, 1 dwelling ; Wainku, I. stable,; Panmure, 2 dwellings ; liaurimu, 1 building; Ngaruawahia, 1 dwelling ; Frankton, 2 piggeries ; Paeroa, 1 dwelling. Notices for structural alterations under the Public Health Act have been issued as follows : Auckland City, 1 dwelling; Whangarei, 2 dwellings; Hun try, 1 butcher's shop; Karangahake, 2 dwellings; Panmure, 4. dwellings. Notices under the regulations under the Sale of Food and Drugs Act for alterations .to buildings in which food is prepared or stored have been issued as follows : Rotorua, 2 restaurants, 1 general store ; Cambridge, 1 fish-shop ; Huntly, 1 butcher's shop. Inspection of buildings prior to removal from one district to another have been made as follows : Auckland City to Point Chevalier, 3 ; Auckland City to Swanson, 1 ; Auckland City to Epsom, 1 ; Tamaki West to One-tree Hill, I. A Court order for the demolition of a building condemned in the Takapuna Borough was obtained. The District Health Officer, Wellington, reports : — The following insanitary buildings were condemned : Tolaga Bay, 1 ; Pokarae, 1 ; Mangapapa, 1 ; Gisborne,! ; Eltham Borough, 3 ; Hawera Borough, 1 ; Foxton, 3 ; Palmerston North, I ; Masterton, 3; Ekotahuua, I ; Pahiatua, 1 ; Wellington and suburbs, 10; and requisition for repairs in lieu of demolition for 29 buildings. The District Health Officer, Christchurch, reports : — Condemnation certificates in connection with insanitary buildings were issued as follows : Christchurch, 5 ; Woolston, J ; Doyleston, 1 ; Timaru, 1 ; Reefton, 1 ; Greymouth, 5 ; Grey County, 6. With regard to the premises condemned in Greymouth, the Borough Council gave notice in each case to the owner to pull down, but they appear to consider that having done this it is not their place to press the matter further. As a consequence, there is a deadlock, and the buildings still remain. With regard to the other buildings, all these have either been destroyed or repaired to the satisfaction of the Department and the local authority. The District Health Officer, Dunedin, reports : — Insanitary buildings dealt with as under, —

(<).) BY-LAWS. The, District Health Officer, Auckland, reports : — Sanitary by-laws were dealt with for the following local bodies: One-tree Hill (advised as to addition to by-law re buildings ; drainage by-law approved) ; Eden Terrace (amended drainage and plumbing by-laws approved subject to certain corrections ; amended by-laws re buildings frontages approved) ; Epsom (drainage by-laws approved) ; Rotorua (advised respecting by-laws relating to the erection of buildings, keeping of fowls, &c.); Northcote (amendments to the drainage, by-laws approved, also general by-laws but with protest with regard to areas) ; Helensville (drainage and plumbing by-laws approved) ; Tauranga (amendments in drainage by-laws agreed to) ; Mount Albert

Hospital District. Condemned. Repaired under Requisition. Otago .. Southland Waitaki.. Maniototo Vincent (18 7 I 2 25 15 4 3 4

35

H.—3l

(departmental models for drainage and plumbing supplied and adopted) ; Auckland City (sanitary conveniences for public buildings approved) ; Waiuku (models supplied for general sanitary and drainage by-laws) ; Mount Wellington (general sanitary models supplied and agreed to) ; Otahuhn (alterations in drainage by-laws suggested approved). The District Health Officer, Wellington, reports : — Sanitary by-laws were dealt with for the following local, bodies : Patea Borough, Wairoa Borough, Havelock North Town Board, Upper Hutt Town Board, Mangapapa Town Board, Wangamomona County. The District Health Officer, Christchurch, reports :—- The Riccarton Borough passed by-laws regulating the area and frontage of sections on which buildings may be erected. The Waimairi County Council also adopted by-laws regarding the installation of septic tanks and the deposit of nightsoil. The Christchurch City Council also have in hand the remodelling of their present by-laws, and these will probably include special plumbing and drainage by-laws relating to districts recently included in the city and outside the Drainage Board's area, and also by-laws relating to septic tanks, the licensing of milk-vendors, and dealing with stables. The Eangiora Borough also drafted general sanitary by-laws, but it having been ascertained that this body had delegated its powers to the Hospital Board, it was unable to proceed with its by-laws under the Public Health Act. They are now making their by-laws solely under the Municipal Corporations Act. The New Brighton Borough have also drafted sanitary by-laws, but these, however, have not yet been finally passed.

Legal Proceedings under Public Health Act and Local By-laws.

(10.) QUARANTINE INSPECTION OF OV.KRSEA AND INTERCOLONIAL VESSELS. The District Health Officer, Auckland, reports:— Vessels were inspected at ports in this district as follows: Auckland, 285; Dargaville, 3; Kawakawa, 2. The District Health Officer, Wellington, reports : — Vessels were inspected as under at ports in this Health District : Wellington, 156 ; Gisborne, 6 ; Napier, 12 ; New Plymouth, 13 ; Wanganui, !) ; Picton, 1.

Defendant Offence UudBr what Aofc ' Dato oI Namo oi Jjucuoaiit. urrenoe. or By-laws. Hearing. ; Magistrate. i j i | Kosu Proceci Finns. J lit ot idings. Costs. Remarks. Wellington District. W. D., Gisborne Dirty privies and Public Health Aot 27/7/14 Mr. Barton yard F. B., Eltham.. Offensive aecuiiiula- Borough by-laws 22/12/14 J.P. .. tion J, 8„ Wanganui Dirty yard .. „ 18/7/14 Mr. Kerr £ s. d. 2 0 0 0 17 6 1 0 0 £ s. d. 2 0 0 0 17 6 £ s. d.l I 7 6 1 8 0 and costs I 0 0 Canterbury and West Coast District. 1 1 0 Convicted. P. M., Christ- Failure to abate nui- j Waimairi County 29/7/14 T. A. Bailey .. church sauce A. H., Christ- ' Insanitary dwelling Woolston Borough 26/8/14 „ church T., Christchurch j Failure to notify in- Public Health Act 10/9/14 „ I foctious case 2 0 0 Given one month to do work. 2 0 0 0 17 6 Otago and Southland District. B., Dunedin .. Insanitary stables . . Dunedin City by- 27/3/14 Mr. Bartholomew laws K., Dunedin .. „ .. Ditto .. .. 27/3/14 .. „ .. .. 27/3/14 T., Dunedin .. Insanitary drains . . ,, . . .. 1/4/14 Mr. Wieldowson D, Dunedin .. Milk-adulteration .. Sale of Food and 10/7/14 Mr. Bartholomew Drugs Act H., Dunedin .. „ .. Ditto'.. .. 10/7/14 L., Dunedin .. „ .. „ .. .. 10/7/14 A., Dunedin .. „ . . „ .. 14/9/14 K., Dunedin .. „ .. „ .. .. 14/9/14 0 10 01 0 5 0 0 5 0 3 0 0 2 0 0 5 0 0 0 10 0 0 10 01 0 5 0 0 5 0 3 0 0 : 0 7 0 0 7 0 0 7 0 2 8 0 0 17 6 [A second charge. 2 0 0 5 0 0 0 10 0 0 17 6 0 17 6 1 18 6 Convicted and discharged, as he is an old-age pensioner. II., Dunedin .. „ .. „ .. 14/9/14 II., Invercargill „ .. „ .. 12/8/14 Mr. Hutchinson. C., Invercargill „ .. „ .. .. 16/9/14 M., Gore .. „ .. „ .. .. 11/12/14 Mr. Young o io o i o o 5 0 0 15 0 0 o io o i o o 5 0 0 15 0 0 I 18 6 3 2 6 3 2 6 3 19 (i

H.—3l

36

The District Health Officer, Christchurch, reports : —

The District Health Officer, Dunedin, reports : —

(II.) DISINFECTION OP OVERSEA UOODS. The District Health Officer, Wellington, reports: — Six packages oversea goods fumigated daring the year. The District Health Officer, Christchurch, reports : —■ No disinfections were made, but several bales of waste material were inspected and passed. The District Health Officer, Dunedin, reports : — Two bales of cotton waste from oversea were disinfected. Pour bales were prohibited altogether. (12.) IMMIGRATION RESTRICTION ACT. The District Officer, Wellington, supplies the following particulars of persons reported to Customs Department: — Aug. 1. -W. H. G., s.s. " Ruapehu " —epileptic : Bond executed. ~ 11. —W. P. 8., s.s. " Athenic " —consumptive. Oct. 3. —F, s.s. " Ruahine " —melancholia: Returned to London. ~ 3. —A, s.s. " Tainui " —infirm : Bond executed. ~ 14. —G, s.s. " Marama " —chest trouble : Returned to London. ~ 19.- -I, s.s. " Rotorua " —consumption: Child, dying condition; allowed to land. ~ 19. —M. P., s.s. " Rotorua " —insane : Returned to London. Nov. 6. —Mrs. T., s.s. " lonic " —insane : Returned to London. ~ 16. —8. McC, s.s. " Turakiua " -insane : Returned to London. „ 16. —A. T., s.s. " Turakina " —infirm : Bond executed. ~ 24.—8. S., s.s. " Ulimaroa " —heart-disease and infirm : Bond executed. The District Health Officer, Christchurch, supplies following particulars of persons reported to Customs Department: — Jan. 3. —T. C, s.s. " Willochra "-- syphilitic. • Mar. 6. —J. P., s.s. " Rangitira "- -syphilis. May 8. —R. W. N., s.s. " Zealandic " —syphilis. ~ 9.— W. G. G., s.s. " Zealandic " —tuberculosis, June 20.—M. L., s.s. " Batsford "--syphilis. ~ 22.—8. 8., s.s. " Kaipara "—tuberculosis. „ 25. —J. H., s.s. " Harmatris "--syphilis. Aug. I.—A. T., s.s. " Waihora "—tuberculosis. Sept. 2. —P. O, s.s. " Remuera "-—syphilis. The District Health Officer, Dunedin, supplies the following particulars of persons reported to Customs Department during the year 1914 : — Jan. 26. —W. H. G., ex s.s. " Orari"---syphilis: Removed to hospital for treatment under shipper's guarantee. Nov 2i.—M. P., ex s.s. " Tongariro " —dementia: New-Zealaiider; allowed to laud. (13.) PRIVATE HOSPITALS AND MIDWIVES ACT. The District Health Officer forwards Miss Bagley's report as follows : — During the year all the private hospitals have been inspected, in some cases more than once, for various special reasons, and reports supplied. The Sanitary Inspectors have also examined and reported upon the drainage arrangements of all licensed private hospitals in the district.

Port. Lytteltoo Timaru Greymouth Westport.. Port Health Officer. Dr. Upham Dr. Thomas .. Dr. MorioeJ Dr. Monson Number of Vessels inspected. I 44 11 2 10 (since May, 1914)

Port, Port Health Officer. Number of Vessels inspected. Dunedin . . Port Chalmers Bluff Oamaru .. Dr. Ogston Drs. Hodges and Borne . . Dr. Torrance Dr. Douglas 8 18 55 1

37

H.—3l

Thirteen private hospitals have closed down. Ten new licenses were issued. Four licensees have had their licenses transferred to new and improved premises. Two private hospitals have changed hands. One license has been revoked consequent upon the licensee having had her name removed from the Midwives Register. On the whole, the conduct and staffing of the private hospitals in this district shows signs of improvement. Qualified nurses are being employed more, and there is less need for the, granting of concessions under the Act with regard to licensees and resident managers. Reports that illicit private hospitals are being conducted, are continually being dealt with, and many houses have been visited and searched in view of this. On only one occasion was there available evidence sufficient to convict, and the offender was on that occasion fined only £2, and cautioned by the Magistrate. Midwives. The inspection of the midwives has not been as thorough this year as is desirable, although most of the registered midwives in the country districts have been visited and their kits examined. Warnings have been sent to many unregistered women who were known to be illicitly practising as midwives, there not being sufficient evidence available to convict in the event of the prosecution of these. From the number of inquiries received it would seem that the public are becoming more anxious for better midwifery and nursing attention, and more dubious of the ministrations of the unqualified woman. There is no doubt that the district nurses and subsidized midwives appointed by the Hospital Boards and the emergency services of the Native District Nurses have provided much improvement in nursing facilities for the country districts. The Bay of Islands Board has three subsidized midwives in different parts of its district. The Whangarei Board, the Kaipara Board, and the Auckland Board have each got one ; while the Waikato Board salaries in full two trained midwives in its district. Many more such nurses and midwives are still required. Two midwives have been removed from the register in this district, one for a serious breach of the regulations, and one for having been convicted under the Tohungas Act and sentenced to six months' imprisonment. The District Health Officer, Wellington, reports : — Inquiries were made into two fatal cases of puerperal septicaemia, both of whom had been attended by the same midwife. As a result, legal proceedings are being taken. The District Health Officer, Christchurch, reports :— One private hospital was closed for a few days for disinfection after a case of puerperal septicaemia which had died on the premises. In other puerperal cases reported, the midwives attending were temporarily suspended pending disinfection. (14.) THE SALE OP POOD AND DRUGS ACT. The District Health Officer, Auckland, reports : — The regulations in regard to labelling are for the most part being strictly carried out by the manufacturers. Some lines of goods have caused a great deal of correspondence, notably aerated waters and cordials. These compounds known as " summer drinks " are for the most part made from essences in regard to which the aerated-water manufacturers have very little idea of the method of manufacture, and in many the border-line between " natural" and " artificial "is very indefinite. In regard to the articles bearing fancy names, there is often a good deal of doubt as to the correct method of describing on the label. Many lines hitherto posing as " limejuice," " cider," and so forth have now to appear labelled " artificial." Some important decisions have been made in regard to lines as to which some doubt has hitherto existed —thus, the so-called " vinegar essence," a substance made of acetic acid coloured with caramel or malt-extract, is now no longer permitted to be sold. In order to meet the manufacturers of tomato-sauce who hold that apple is an essential flavouring, a sauce known as " tomato-chutney sauce," containing not over 10 per cent, of apple, is now allowed to be sold. A good deal of work has resulted from an investigation into the weights of packages of tea and of butter. Over 300 samples of each have been weighed in various parts of the district. On the whole the results have been satisfactory, especially in. regard to tea. With the butter packages a large number were very slightly underweight, but only to the extent of a small fraction of an ounce, and, as the total deficiency over some hundreds of samples only amounted to a few ounces, it is probable that the defect is due to imperfect methods rather than a deliberate attempt to make a profit. A good deal of attention has been paid to ice-cream, and it was found that very many of the makers were selling as ice-cream what was merely milk and arrowroot. The trade was circularized, and later some prosecutions were undertaken. A circular was issued to biscuit-makers in regard to the declaration of the weight of the contents of packages of biscuits. Some difficulty has been found in regard to small lines of fancy biscuits, which vary greatly in weight. Considerable advance has been made in the direction of enforcing that part of the regulations dealing with the protection of foodstuffs from dirt and flies and vermin. In the city area the City Council authorities had passed by-laws identical with our regulations on these matters, and have undertaken a campaign on lines which have been mutually accepted. Thus the methods of dealing with the various kinds of fruit and vegetables have been decided, and already good results are in evidence. In the country districts the same methods are being followed by our Inspectors, and in most of the larger towns the fruit is now being displayed in protected cases.

H.—3l

38

In the construction of butchers' premises also many improvements can be seen, and the old flyridden, grease-smeared butchers' shops are disappearing. Action under these regulations has been taken to close or alter several insanitary premises wherein foodstuffs were stored or prepared. Thus in Rotorua alterations have been made in two restaurants and a general store. InJCambridge a|(ish-shop was partially pulled down, and in many other districts minor improvements have been secured. The routine campaign as regards adulteration of milk has been carried on systematically, and the result of the increased penalties inflicted by the Magistrates has been most satisfactory. A large number of observations of loaves, as regards weight, have been made, and a good many prosecutions have resulted. The higher price of flour, due to the war, and the resulting cost of bread has had a tendency to induce some of the more unscrupulous bakers to reduce the weight of the loaf. The District Health Officer, Wellington, reports :— Milk-adulteration. -The Department has been more successful during the, last year in obtaining convictions and penalties more in accordance with the crime than previously. It is evident, though, that heavier penalties will have to be inflicted to put a stop to the large amount of adulteration that is being carried out. The good effect of heavy penalties is shown by the fact that in one, town where two milk-vendors were fined £20 and £30 respectively numerous samples taken in that town since have all proved to be unadulterated. In two cases the decision of the Magistrate was appealed against, and the case was taken to the Supreme Court. In Palmerston North the Magistrate's judgment in favour of the Department was appealed against by the defendant on the ground, that the letter of the law in regard to the taking of samples had not been observed. The facts were that the Inspector handed the vendor three bottles which contained approximately (me pint. The vendor filled the three bottles from the can, and in so doing had to take more than one dip. The contention was that the Inspector had purchased not one sample of milk but three separate samples. His Honour Mr. Justice Edwards dismissed the appeal on the grounds that the statute neither directly not by necessary implication required the Inspector to divide the sample with his own hands. There was nothing to prevent him from procuring division to be made by another person in his presence and under his superintendence. His act in so making the division through the agency of the appellant's servant was rather to the benefit of the appellant than otherwise. By no possibility could she be thereby prejudiced. The case of Smith v. Savage showed that minute technical objections devoid of merit were not to be favoured in the administration of this Act, and was indeed a much more doubtful case than the present. In the other case the Department appealed against the decision of the Magistrate. The Magistrate's decision was to the effect that it was no offence under the Sale of Food and Drugs Act for adulterated milk to be sold to a member of the public, but only to an officer under the Act. His Honour the Chief Justice upheld the, Department's contention that the value of the Act would be greatly impaired if this judgment was correct. In the course of his judgment His Honour expressed the opinion that " any common informer might prosecute, and that, in cases where an officer or person was not proceeding under the special provisions of sections 4, 5, 7, and 8, it was not necessary to comply with the provisions of those sections. It would impair the influence of the Act and make it of little value if no one could be prosecuted unless a sample was taken, and the proceeding under section 7 followed. In cases like the present, if the contention of the respondent were correct, adulterated food might be sold wholesale, and a conviction of the seller be impossible, however guilty he might be. The appeal would therefore be allowed, and the case remitted to the Magistrate with the Court's decision." The history of this case is an interesting one as showing the difficulties the Department has to contend with in administering the Act. The following copy of my letter to the City Council gives the chief features of this case :— (1.) On the 24th February, 1914, a sample of milk was obtained from J . The Analyst's certificate shows it contained annatto and 29 per cent, of water. On the 17th April J— - was convicted and fined £1 10s. costs. She swore in Court that she had obtained the milk from I , and had not tampered with it. (2.) On the 13th March a sample of milk was taken from A . The Analyst's certificate shows it contained annatto and 23-6 per cent, of water. On the Bth May A was convicted and fined £1 and costs. A swore in Court that he had obtained the milk from I , and had not tampered with it. (3.) On the 20th March a sample of milk was obtained from a private customer, M , which had just been left by I , employee. This employee refused to give the Inspector a sample from the milk on the cart. This man was prosecuted for obstruction, but the case was dismissed. M 's milk contained 20 per cent, of water and annatto. On the 15th May I was prosecuted for selling this adulterated milk to M . The case was dismissed. (4.) The Department then decided to prosecute I for selling adulterated milk to A ■ on the 13th March. The case was heard in April, and was dismissed. The Department then appealed to the Supreme Court, where His Honour Chief Justice Stout upheld the contention of the Department that I should have been convicted. The case was therefore referred back to the Magistrate, and on the 12th March, 1915, I was fined £20 and costs. At the hearing of this case I admitted adding annatto, but denied having added water. There was no direct evidence to prove that I had added water. At the time these samples were taken in 1914 the amount of milk that I was dealing with and the amount of water he added gave him a clear illicit profit of £2 per day, and after he ceased adulterating he was obtaining 105 gallons per day from the farmers instead of 70 gallons. During the last few months since I was aware he was going to be prosecuted several samples have been taken and found to comply with the standard. The S.M. in giving judgment appears to have paid undue importance to his complying with the law since he had been found out. It is obvious that the fine, apart from I 's legal expenses, can be paid several times over out of the profits made if the adulteration had been continuing for some time, as would appear had been the case.

39

PL—3l

In this case, as the adulteration was wilful, the maximum penalty was £200 or two months' imprisonment, and the fine of £20 was inflicted in the Magistrate's Court. It certainly does not seem an adequate penalty. Fortunately, the matter did not end here, as the City Council, in consequence of the facts disclosed in my report, decided, not to grant a license to this dairyman to sell milk. Food-shops, &c. —A systematic inspection of premises where food is sold or prepared for sale has been made throughout the district. As a result, great improvements have been effected, mainly in butchers' shops and premises used for manufacture of small goods, ice-creams, &c. So far it has not been necessary to take any legal action. It is certainly creditable to the Inspectors that they have been able to get so many improvements without any prosecutions. There are generally one or two leading tradesmen in each town whose premises have already complied in the main with the provisions of the regulations, or who admit that improvements are necessary, and as soon as one or two have got their premises in proper order the recalcitrant ones have to recognize that they cannot expect to get much sympathy from the public or the S.M. if they continue, to resist. Labelling. —Much time has been occupied in. advising on the correctness of labels submitted for approval. Most of the common articles of food, such as tea, coffee, butter, jam, cordials, vinegar, &c, arc now correctly labelled. The correct interpretation of the regulations is not in some cases an easy matter, and some of the difficulties will have to be met by amendments. Often what appears to be a somewhat trivial point is found to be an important one from the commercial point of view. The District Health Officer, Christchurch, reports : — In Christchurch an inspection was made of butchers' shops, small-goods factories, bacon-curing premises, fish and poultry premises, ice-cream factories, and other food premises, and directions were given where necessary to make the premises comply with the provisions of the regulations, the details as far as the City was concerned being as follows : Fish-shops, 28 ; small-goods factories, 36 ; baconcuring premises, 5 ; fish and poultry premises, 13 ; ice-cream factories, 5. Similar inspections were carried out in Ashburton and the county, with the result that most of these premises now comply fully with the regulations. Similar work has been carried out at Lyttelton, New Brighton, Papanui, Kaiapoi, Woodend, Amberley, Rangiora, Oxford, Cust, Kaikoura, Sumner, Timaru, Temuka, Waimate, and Greymouth, and it is to be hoped that next year all food premises in the district will have been similarly dealt with. In addition to samples taken under the Act many samples of milk were taken in order to ascertain the quality obtainable on the farms, and also the milk-supplies of the various hospitals and institutions were tested. Unofficial samples were also taken of other foodstuffs for the, information of the Department. Labelling also received a considerable amount of attention, and many interviews were granted to representatives of various firms to assist them in getting their labels into proper form. The weights of most brands of butter and tea put up in the district were likewise tested to see that they complied with the net weight stated on the labels. There is work in this district for at least one Inspector who would have no other duties to perform than inspection, under the regulations. Unfortunately I have no such officer. Inspector Kershaw, whom I should be able to solely detail on this work, has also to act as Inspector for the Ashburton. Hospital Board.

Summary of Samples taken.

Samples taken. Results of Weighing or Analys lis. Where purchased. Number, j Nature. Iff -S« B'l P. Si a Complying. g£ , a 813 V _ § 9 _ ffl S fl .h A S fl PH i?i Rendered difeetive in Transit. Auckland District. Auckland (in and around) j. .» Hamilton (in and around) j. .1 64 10 14 (i 1 17 10 8 19 3 4 5 4 7 21 (i 9 14 1 4 3 6 1 Milk Bread .. Ice-cream Cordials . . Whisky .. Milk .. Bread Butter Tea Coffee . . Coooa Milk Bread Butter . . Milk Bread Milk 50 5 4 (i I 13 8 8 18 2 4 4 1 2 9 3 2 I 12 3 I I ... ii Rotorua (in and around).. I 4 7 Taumarunui (in and around) 17 6 6 12 4 Thames (in and around) Whangarei (in anel around) 2 Bread Butter [ce-cream Cordials .. Milk 4 2 6 1 i 1 Dargaville (in and .around)

H.—3l.

Summary of Samples taken — continued.

40

Samples taken. Results of Weighing or Analysis. where purchased. ~ ~Z 7. i 7~ r Non- Rendered Number. Nature. Complying, complying: Prosecuted. defective in ' Warned, j Transit. Wellington - Hawke's Bay - Nelson District. Napier .. .. .. 8 Bread .. . . 2 3 3 11 Milk .. .. 9 I 1 Cisborne .. .. .. 20 „ .. .. 14 2 4 New Plymouth .. .. 18 „ .. .. 12 2 4 6 Bread .. . . 4 2 South Taranaki .. .. 37 „ .. .. 35 2 16 Milk .. .. 15 .. I Wanganui (in and around) .. 22 „ .. .. 16 3 3 S* ., ,. 2 Vinegar .. .. .. 1 I Palmerston North .. . . 28 Milk' .. . . !) 4 7 Wellington (in and around) .. 285 „ .. .. 243 12 30 „ .. 6 Cream .. .. 2 .') I ,. .. 6 Pepper .. .. 6 12 Paraffin-oil .. 7 3 2 „ . . 6 Vinegar .. .. 6 27 Bread .. 22 3 2 21 kSmoked fish .. 18 3 . . 8 Whisky .. . . 8 Wairarapa and South Wairarapa .. 30 Milk .. .. 15 5 4 (it Blenheim .. .. . . 4 „ .. .. 2 .. 2 2 Bread .. .. 2 Nelson .. .. . . 37 Milk .. 26 1 4 4 Bread .. .. 2 2 .. 6$ 1 1 I 3 30 3 1 4 4 I 3 I 7 30 I 1 I I 3 8* 2 2 2 4 <i 4 2 '('it 4 4 "n Canterbury - West Coast District. 19 Christchurch (in ami around) .. 196 Milk .. .. j 143 24 I 19 15 Bread .. ..8 . r i 2 „ ..II Vinegar .. 5 5 I ..2 Butter .. .. 2 ..6 Tea .. .. 4 2 30 ,Tam§ . . ..I Jelly§ .. Ashburton . . .. . . 22 Bread .. .. 10 12 Timaru .. .. . . 5 Tea .. .. 4 I .. I 2 Malted food .. | .. .. 2 2 19 2 1 2 Otago and Southland. Dunedin .. .. .. 61 Milk .. .. 40 ■ I 7 7 Oamaru . . .. .. 7 ,, . . .. 7 Invercargill .. . . .. 33 „ .. .. 30 I 2 Gore .. .. .. .. 12 „ .. 10 1 I Quoenstown .. . . .. 2 ,, . . . . 2 Bluff . . • .. .. 3 „ .. .. 3 Dunedin . . . . .. Ill Bread . . .. 131 10 Clyde .. .. .. 16 „ .. 12 4 Alexandra .. .. .. 14 ,, .. 10 | 4 Ophir .. .. .. 10 „ .. 10 Papanui . . .. .. 20 ,, .. 15 5 Palmerston .. .. .. 8 ,, .. .. 8 .. .. Oamaru .. .. .. 88 „ . . 88 Enfield .. .. .. 8 „ .. 8 Waipiata .. .. .. 8 ,, .. 8 Bdendale .. .. .. 2 ,, .. .. 2 Otautau .. .. .. I ., • ■ • • 1 Rivertou .. .. .. 3 „ .. 2 I Dunedin . . . . .. 2 Butter .. 2 .. ,, .. . . .. 3 Condensed milk- 3 ,, .. .. .. 8 Vinegar .. .. 8 Lumsdcn .. .. .. 1 Tea .. .. I Riversdale .. .. .. 1 ,, .. .. I Dunedin .. .. .. 6 Chocolate .. .. .. .. 6 „ .. .. .. 1 Lime-water .. I „ .. .. .. 2 Baking-powder .. .. .. 2 „ .. .. .. 3 Cream of tartar . . . . 3 7 7 2 I I 8 6 3 2 * Per unregistered : 1 broken In transit. t Not re sgistered. t Brol ;en in trans §Fm 'ardod to Poi linion Analyst.

H.—3l

41

Food-inspections from 1st January to 31st December, 1914.

6— H. 31.

Food and Drugs inspected. Where. J Date. I Action taken. Aucklai imi id District. Milk 5 carcases pork 4 I Milk (10 lb. figs Butter Fruit 1 carcase pork 1 4 „ 150 Ib. bacon 120 „ 2 dozen rabbits 10 carcases pork 1 keg herrings 3 crates figs 11 pieces ham 3 hams 2 half-hams .. 6 piecos bacon Groceries Butter 1201b. bacon Cordials Fruit and groceries Cordials 24 tins tea Groceries 21 kegs corned meat Tea Coffee Tea 8 lb. bacon Fruit, preserved Salmon, preserved 20 lb. butter 10 lb. lard 110 lb. bacon Fruit, preserved 12 lb. butter 30 lb. tea 20 lb. cocoa .. 2 lb. pepper 180 lb. bacon and ham 5 cases oranges Milk Cider Fruit 6 boxes margarine 150 lb. bacon 601b. „ 3 cases condensed milk Groceries Meat Tea, cocoa, and butter.. 90 lb. bacon Bananas and apples Oranges and apples Oranges and vegetables .lam, pickles, and tinned apples .. Kruit Cordials Groceries Bread Onions Kruit and vegetables 40 lb. bacon 1501b 2001b. „ Kruit 300 lb. bacon Kruit Rotorua Auckland Rotorua Hamilton Rotorua Hamilton Frankton Auckland Hamilton Auckland »> - • Rotorua Hamilton Rotorua Auckland Rotorua Putaruru Hamilton Rotorua Hamilton Mokai Cambrieige Hamilton Thames Rotorua Thames Hamilton Manunui Rotorua Hamilton Whakataue Tauranga Taupo Tokaanu Auckland Tauranga Hamilton Te Puke Opotiki Tauranga Cambridge Whakatane Opotiki I 7/1/14 D/l/14 22/1/14 28/1/14 3/2/14 7/2/14 10/2/14 10/2/14 14/2/14 14/2/14 25/2/14 28/2/14 21/3/14 21/3/14 27/3/14 14/4/14 24/4/14 24/4/14 25/4/14 25/4/14 25/4/14 28/4/14 2/5/14 2/5/14 2/5/14 8/5/14 16/5/14 22/5/14 23/5/14 25/5/14 28/5/14 5/6/14 4/6/14 4/6/14 5/6/14 13/6/14 14/6/14 14/6/14 15/6/14 15/6/14 20/6/14 24/6/14 25/6/14 25/6/14 25/6/14 25/6/14 27/6/14 27/6/14 3/7/14 8/7/14 9/7/14 26/7/14 18/7/14 18/7/14 21/8/14 28/8/14 28/8/14 28/8/14 29/8/14 3/9/14 I 7/9/14 28/9/14 6/10/14 19/10/14 24/10/14 28/10/14 28/10/14 28/10/14 12/11/14 14/11/14 14/11/14 21/11/14 16/11/14 27/11/14 2/12/14 19/12/14 24/12/14 24/12/14 I i , \ [ I t [ [ [ I : •: : [ : : : : : ; j Uncovered, destroyed. Portions destroyed. Seized and destroyed. Exposed, cautioned. Condemned. Imperfectly labelled ; eautiou»d. TJnsouud and destroyed. Destroyed. Seized and destroyed. Portions destroyed. Sound. Declared unfit for human consumption. Destroyeel. .» Seized and destroyed. Wrongly labelled ; cautioned. Sound. Wrongly labelled ; cautioned. Woight correct. Wrongly labelled ; cautioned. Destroyed. Weight correct. Wrongly labelled. Weight correct. Sounel. Destroyed. Weight, &c, correct. Sound. Destroyed. Weight, &c, correct. Sound. Sorted ; warned. Uncovered ; warned. Wrongly labelled ; warned. Action by Agriculture Department. None. Sound. Stopped sale. No action. Weight and labels correct. Sound. No action. Destroyed. Sound. Wrongly labelled ; warned. No action. Destroyed. Sound. ii

H.—3l

42

Food-inspections from 1st January to 31st December, 1914- continued.

_ . ._ ■■-■•■--- Food and Drugs inspected. Where. Date. Action taken. Action taken. Wellington - Hawke's Hay - Xelstin District. 20 1b. assorted fruit .. .. Hawera .. H/l/14 I Destroyed bv owner's consenl. 1601b. currants .. .. Eltham .. 24/1/14 No action taken. 4 sacks flour .. .. .... ..15/4/14 29 J-lb. tins Swiss milk ,, .. 7/7/14 Condemned and destroyed. 1 shoulder bacon .. .. ,, .. 7/7/14 401b. bananas .. Stratford .. 2/3/14 Destroyed by owner's oonsent. 6 lb. grapes .. .. „ . . 2/3/14 ' „ 201b. pears ., .. .. ., .. 27/4/14 „ 2 cases apples ' .. .. ,, .. 15/8/14 1 cwt. carrots . .- .. ,, 15/8/14 251b. bananas .. .. „ .. 15/8/14 15 lb. bananas .. .. Kaponga .. 24/1/14 94 mutton-birds .. .. Wanganui .. 18/9/14 Burned at rubbish-tip. 99 cases apples .. .. „ .. 11/11/14 Destroyed. 3 boxes butter .. .. „ .. 19/5/14 Sent to soapworks. 2 tons onions.. .. .. „ .. 20/11/14 Destroyed at rubbish-tip. 5 cwt. potatoes .. .. „ ..20/11/14 2 sacks oysters .. .. Palmerston North.. 20/9/14 Destroyed, Crayfish .. .. .. „ .. 31/8/14 3 cases flounders .. .. ,, .. 9/10/14 i 2 tins whitebait .. .. „ .. 13/10/14 I 10 boxes almonds .. ,. Wellington .. 23/1/14 „ 46 boxes figs.. .. .. ,. .. 29/1/14 3 boxes almonds .. .. ,. .. 29/1/14 „ 4 sacks fish .. .. .. ,, .. 6/2 II „ 100 lb. currants .. .. .. .. 6/2/14 ,, 2 boxes almonds .. .. ,. .. 11/2/14 ,, 20 cases bananas .. .. .. .. 13/2/14 To be picked over. 20 cwt. hazel-nuts .. .. ., .. 16/2/14 Reshipped to exporters. 2 carcases pigs .. .. ,, .. 26/2/14 Destroyed. 15 gallons milk .. .. „ .. 28/2/14 14 Dozes Jordan almonds .. .. .. 12/3/14 ,, 5 gallons milk .. .. ., .. 9/6/14 Destroyed (can patched with soap). 300 packets evaporateel apples .. .. 13/8/14 Destroyed, 1 carcase pork .. .. | „ .. 13/2/14 1 case apples . . .. .. Masterton .. 2/2/14 ' 1 „ •• .. .. ,. .. 2/2/14 I bundle flounders .. .. „ .. 2/6/14 ,, Quantity bananas .. .. ,. .. 31/7/14 „ „ ' whitebait .. .. ,. .. 15/10/14 201b. fruit .. „ .. 30/11/14 I bag potatoes .. :. Featherston .. 8/4/14 „ Quantity bananas .. .. Carterton .. 10/9/14 ,, Meat .. .. .. Grevtown .. 29/7/14 121b. onions .. .. .. „ .. 23/10/14 Canterbury - West Coast District. 5 cases almonds .. ., Christchurch goods- 2/2/14 i Permission given to pick over! then n shed inspected before marketed. 32 cases walnuts .. .. Ditto .. .. 6/10 14 Permission given to clean and pick over then reinspected before used. 12 cases figs .. .. .. Christohuroh .. I 28/3/14 Sent to destructor. Fish (10 cwt.) .. .. Greymouth .. | 13/6/14 Destroyed. ..I 26/6/14 .. ! 15/9/14 Otago - Southland District. 112 lb. saccharine .. .. Dunedin .. .. 3/2/14 .Seized and destroyed. 1 cwt. dog-biscuits .. .. ,. .. .. 3/2/14 528 1-Ib. tins Cerebos salt .. „ .. .. 3/2/14 7 cwt. tea .. .. .. ,. .. .. 7/2/14 Sound. 24 cases malt-extract .. .. .. .. .. 7/2/14 8 cases biscuits .. .. „ .. .. 7/2/14 Condemned. IJ cwt. confectionery .. .. ,, .. 7/2/14 93 cwt. raisins .. .. „ .. ..-18/2/14 Sound, 22 sacks flour .. .. Port Chalmers .. 3/3/14 1 cwt. coffee .. .. .. .. .. 3/3/14 4 cwt. ship's biscuits .. .. .. .. 3/3/14 2 cases pickles .. .. .. .. 3/3/14 ,, 21 cases cerebos fruit-salts .. .. .. 17/3/14 Seized and destroyed, 102 12-lb. boxes Fry's cocoa .. „ .. 17/3/14 Sound. 47 cases Symington's coffee .. Dunedin . . .. .. ,, 2 cwt. Fry's chocolates .. ,. .. .. 7/4/14 110 1b. butter .. .. 7/4/14 Condemned. 1,0501b. ham.. .. .. ., .. .. 7/4/14 66 cases bananas . . . . ., .. .. 7/4/14 150 lb. confectionery .. .. „ . . .. 7/4/14 3,380 lb. bacon .. . . 7/4/14 22 rolls bacon . . . . .. .. .. 1/9/14 No action taken. 8 hams .. .. .. .. 1/9/14 10 cheese .. .. .. .. .. .. 1/9/14 12 tins honey ,. .. 1/9/14

H.—Bl

Food-inspections from 1st January to 31st December, 1914 — continued.

Legal Proceedings under the Sale of Food and Drugs Act, 1908.

43

Pood and Drugs Lnspeoted. Where. Date. Action taken. 12 rolls bacon 4 4 boxes eggs . . '1\ cases dates 4 boxes apples \\ crates rabbits 164 tins condensed milk 4 bags oysters 6 1 rolls bacon 200 boxes figs 8 boxes frozen fish 147 lb. corned beef 5 cases mutton-birds . . Tea Butter Tea Butter 63 csacs bananas 81 lb. bacon 12 cases biscuits 3 cases lollies 70 lb. ham 100Ib. bacon 20 lb. butter 80 lb. butter 2481b. bacon 44 Ib. butter 412 lb. bacon 1,056 lb. cheese 10 cases bananas Otago- Southland. District —conti Dunedin . . .. 12/11/14 .. | „ .. .. 13/11/14 .. [nveroargill :: :: .'.. A/14 /7/14 •■ /7/14 /7/14 /7/I4 /7/I4 .. Waipiata.. .. 14/10/14 14/10/14 Oph'ir .. .. 15/10/14 15/10/14 .. Dunedin .. .. 27/1/14 .. 11/2/14 .. 11/2/14 4/3/14 4/3/14 4/3/14 .. 4/3/14 26/5/14 21/10/14 21/10/14 12/11/14 16/12/14 16/12/14 inued. Seized and destroyed. Destroyed. No action taken. Condemned.

Defendant. Offence. Date of Hearing. Name of Magistrate. Result of Proceeding* Fines. Oosts. _j J Auckla md District. A. B., Mount Roskill Selling adulterated milk J. R. H., Whangarei C. J. B., Owhango .. „ W. J. D., Owhango.. J. C, Manunui .. ,, S. W., Waihi . . Selling short-weight bread W. R., Waihi .. G. S. H., Waihi C. H., Otahuhu . . j Selling adulterated milk T. S., Parnell .. ! Selling short-weight broad C. B., Cambridge .. „ R. S., Ngaruawahia.. „ G. and 6., Te Kuiti P. and L., Te Kuiti G. G., Whangarei . . Selling adulterated milk W. M., Taumarunui „ K.H.G.L.,Taumarunui „ A. F., Avondale .. W. G., Cambridge . . E. H., Auckland .. „ • B. and B., Kingsland Adulterated ice-oream 23/3/14 28/6/14 13/8/14 13/8/14 13/8/14 18/8/14 18/8/14 18/8/14 26/8/14 31/8/14 6/9/14 8/9/1.4 15/9/14 15/9/14 6/10/14 15/10/14 15/10/14 4/11/14 8/12/14 11/12/14 18/12/14 Mr. Frazer Mr. Page Mr. Hazelden. . i» • - Mr. Burgess . . ». ■ ■ Mr. Frazer Mr. Cutten . . JVlr. Rawson . . Mr. Page Mr. Hazelden. . Mr. Frazer Mr. Rawson . . Mr. Cutten .. £ s. el. £ s. d. .. . 5 0 0 0 17 0 .. 10 0 0 0 7 0 ..200 4 0 0 ..400 2 0 0 0 7 0 2 0 0 0 7 0 2 0 0 0 7 0 2 0 0 0 17 0 3 0 0 4 0 0 10 0 9 0 0 2 0 0 0 7 0 3 0 0 0 7 0 3 0 0 0 7 0 2 0 0 0 17 6 .. 20 0 0 0 10 6 5 0 0 0 10 6 2 0 0 3 6 6 3 0 0 0 19 0 2 0 0 0 19 0 10 0 0 19 6 Wellington - Hatoke', (1. K., Gisborne •• Selling adulterated milk Selling adulterated food without informing purchaser G. T., Gisborne . . Selling adulterated milk O. T., Gisborne .. Soiling adulterated food without informing purchaser J. W. H., Waipukurau Selling light-weight bread D. T., Napier .. W. E., Dannevirke A. M. B., Dannevirke Selling adulterated milk W. D. G. C, Hawera T. B., Wanganui . . „ B. McG., Wanganui H. W. W., Wanganui „ D. R. W.. Wanganui Selling vinegar not up to standard H. H., Palmerston N. Selling adulterated milk .1. MoL., Palmerston N. E.M.G., Palmerston N. „ A. G., Palmerston N. „ * Bay - Nelst 12/8/14 12/8/14 12/8/14 12/8/14 26/2/14 22/6/14 25/6/14 24/7/14 3/8/14 21/7/14 22/7/14 23/7/14 19/8/14 26/8/14 5/10/14 1/10/1.4 I m District. Mr. Barton .. Mr. McCarthy Mr. Kendrick Mr. Kerr Mr. Poynton . . .. 30 0 0 0 17 6 Convicted and dischargeiel. .. 20 0 0 0 17 6 Convicted a n el eiischar ged. .. 10 0 0 Case dis missed on technical point. 5 0 0 0 7 0 2 0 0 0 17 4 .. 10 0 0 0 17 8 5 0 0 0 7 0 5 0 0 0 7 0 . . 5 0 0 0 7 0 5 0 0 .. 10 0 0 0 19 6 10 0 0 0 19 (i .. 20 0 0 0 19 6 0 10 6 0 19 (i

H.-31

44

Legal Proceedings under the Sale of Food and Drugs Act, 1908— continued.

D. LABORATORY REPORTS. BaCT E EtIOLOG LCAL LABORATOR V, Wb I. LI NGTON. Report by Mr. J. A. Hurley, Government Bacteriologist, Wellington. I have the honour to report on the work done in the bacteriologica] laboratory and vaccine station during the year ending the 31st March, 1915. Q In the laboratory the number of examinations made was 5,432. This is an increase of 38 per cent, on the number for the preceding year. The details of the examinations are shown in the attached classified lists. The fees for outside work since the Ist January, 1914, amount to £1,033 Is. The amount outstanding on the 31st March was £348, but a considerable portion of this sum has since been collected. As regards the work done for the. Public Health Department and the Charitable Aid Board, I estimate it, on the basis of the half-fee rate paid by public hospitals and the special fees paid by the Department for similar work, at not less than £700.

Defendant. Offence. Hewing. Na ""' "'' •bB'strate. | ttesult of Proceedings. Fines. Costs. Wellington - Hawke's Bay - Nelson District —continued. K. D., Foxton A. W., Palmerston N. W. A., Wellington .. S. B., Wellington .. R. V. B., Levin A. J. S., Wellington H. S., Wellington .. F. J., Wellington . . Selling adulterated milk .. 30/10/14 Mr. Poynton .. 9/11/14 7/5/14 Mr. Cooper .. 12/6/14 3/9/14 Mr. Poynton . . .. 11/9/14 Mr. Cooper .. 11/9/14 11/9/14 18/9/14 7/10/14 Milk below standard .. 20/1.1/14 ■• 27/11/14 £ s. d. £ s. d. 20 0 0 0 19 0 20 0 0 3 13 (i I 0 0 14 0 10 0 0 0 19 (i 20 0 0 2 16 0 10 0 2 0 6 5 0 0 2 0 6 Dismissed; seals saiel not to be efficient. 5 0 0 0 17 6 20 0 0 2 2 6 0 10 0 0 17 6 5 0 0 1 18 6 C. J'. D., Wellington J. G., Lower Hutt .. H. M„ Wellington . . C. C. and C, Wellington I. 0. S., Wellington.. V. and. A., Wellington F. M., Lower Hutt .. W. G., Mangaroa .. Selling adulterated paraffin .. 21/12/14 „ .. 21/12/14 Selling short-weight bread .. 4/11/14 „ Using milk-can patched with 14/8/14 „ soap Using milk-can, broken surface 9/10/14 „ 9/10/14 Selling unsound fruit .. 24/7/14 ,, Selling adulterated milk .. 17/4/14 17/4/14 13/5/14 13/5/14 21/8/14 21/8/14 9/12/14 Mr. Riddel I .. 31/7/14 Mr. Poynton . . 31/7/14 31/7/14 31/7/14 31/7/14 18/9/14 Mr. Reid .. 18/9/14 8/10/14 8/9/14 Mr. Loughnan 22/9/14 18/9/14 Mr. Evans .. 28/8/14 28/8/14 Convicted 1 .18 6 0 17 6 10 0 0 9 0 5 0 0 1 .12 0 Convicted 0 9 0 0 9 (I 5 0 0 110 10 0 0 7 0 Convicted 0 7 0 20 0 0 17 6 Convicted 0 7 0 10 0 0 17 6 Convicted 0 17 6 3 0 0 1 17 6 20 0 0 15 0 10 0 0 15 0 20 0 0 15 0 5 0 0 15 0 10 0 0 I. 5 0 3 0 0 0 17 6 2 0 0 0 17 6 0 5 0 0 17 6 5 0 0 0 17 6 5 0 0 0 17 6 3 0 0 1 17 6 10 0 0 17 6 3 0 0 0 17 6 5 10 and costs r-Tl .1. B., Hayward s .. A. S., Mangaroa P. B., Wellington .. R. J., Wellington . . R. J., Wellington . . W. 0., Mangaroa W. C, Mangaroa A. D., Wellington .. A. D., Wellington .. A, C, Lower Hutt .. T, H., Te Horo E. W., Otaki W. K, Otaki T. T., Te Horo H. M.T., TeHoro .. G. W., Masterton .. B, W. T., Masterton S. K. A., Carterton .. A. F.. Blenheim W. P., Blenheim .. H. C, Nelson K. S., Nelson >S. K, Nelson A., Nelson Canterbury and, West Coast District. N. C, Lyttelton Selling adulterated milk .. 28/1/14, Mr. Bishop .. 4/5/14 12/5/14 Mr. Bailey .. 12/5/14 22/9/14 22/9/14 Mr. Bishop .. 22/9/14 „ .. ■ Selling light-weight bread .. 22/9/1.4 22/9/14 2 0 0 0 17 6 10 0 2 19 6 10 0 2 19 6 2 0 0 2 1.9 6 3 0 0 2 19 6 20 0 0 2 19 6 3 0 0 2 1.9 6 3 0 0 2 19 6 C. S., Christchurch .. W. C, Christchurch.. S. B. W., Christchurch G. J., Christohuroh .. T, McG, Christeihurch J. P. P., Christchurch McK. and S„ Christchurch A. J. D., Christohuroh T. W., Christchurch T. B., Christchurch.. R. E., Christchurch.. W. G., Christchurch Selling adulterated milk .. 1/12/14 1/12/1.4 1/12/14 • - 1/12/14 1/12/14 2 0 0 2 19 6 3 0 0 2 19 6 2 0 0 2 19 6 2 0 0 2 19 6 2 0 0 2 19 6

45

EL—3l

In the vaccine station forty-four calves were inoculated, and from these a quantity of lymph, equal to 60,000 tubes, was collected. The required reserve stock, equal to 20,000 tubes, has always been ready for immediate delivery, and there have been distributed in New Zealand 7,900 tubes and 397 cc. of calf-lymph. To Rancagua, in Chile, and to the French Government in Tahiti, 2,500 tubes have been supplied. The quality of the lymph has been good, and the reports received have been satisfactory. The total value of the lymph, at 6d. per tube, which is a low estimate, and is half the lowest price paid by the Department when supplies were received from other sources, is £1,500. The cost of production is Jess than 2d. per tube. In the importing and distributing branch of the Vaccine|Station|the quantity of sera imported, such as diphtheria antitoxin and tetanus antitoxin, also increased last year. A greater number of medical practitioners and public hospitals in both Islands each year obtain their supplies from the Department. In every branch the work has been strenuous, and much overtime and Sunday work has been necessary, especially since the early part of the present year. J have again to acknowledge the loyal assistance of each member of the staff. There has always been a cheerful volunteer to meet the emergencies which not unfrequently happen in a laboratory of this kind.

Table showing Results of Examinations of Pathological Specimens, 1st April, 1914, to 31st March, 1915.

Res >ult, Material. Object of Examination. Total. Positive. Negative. I I Sputum M icroscopical examinations— - For tubercle bacillus .. I ,, other conditions Cultural examinations I2<S 12!) 387 515 49 178 88 i ... Total for 1914 .. 781 880 Purulent disoharges. . M icroscopioal examinationsFor gonocoocus „ tubercle bacillus „ other pathogenic organisms Cultural examinations .".7 II 273 240 67 104 36 47 40 313 25 265 Total for 1914 .. 729 595 Pleuritic fluid Microscopical examinations— For tubercle bacillus Other conditions Cultural examinations 3 18 14 21 21 3 21 8 22 Total for 1914 .. 67 40 (lerebro-spinal fluid Microscopical examinations Cultural examinations 10 <s 7 26 18 20 Total for 1914 .. 52 44 Synovial fluid Microscopical examinations Cultural examinations II 4: II 7 II Total for 1914 .. 22 Nil Stomach-contents .. Total for 1914 .. 26 12 38 7 Faeces Chemical Microscopical Cultural II 18 8 6 17 3 21 5 13 Total for 1914 .. 51 31 [Trine Chemical Microscopical Cultural 987 664 4 12 2,063 830 Total for 1914 ..

H.-ol

Table showing Results of Examinations of Pathological Specimens —continued.

46

I Result. Material. object of Examination. Total. Positive. | Negative. Blood Widals Typhoid ,, Paratyphoid Cell counts Differential counts; estimate haemoglobin Wassermans Cultural Chemical 59 136 50 182 8 8 8 I I 95 232 118 88 16 9 Total for 1914 .. 658 432 S^abs Examinations for parasites .. For diphtheria Total for 1914 .. For hydatids . . . . • . . „ sputa „ other parasites Total for 1914 .. 84 195 (i II 2 5 2 5 279 213 17 . 7 7 31 49 Animals examined Rats .. Guinea-pigs Others 6 18 / Foods Total for Hill .. Artificial Milk Others Total for I'd 11 .. 28 73 6 10 3 19 10 Water Total for 1914 .. 6 21 Solid tissues requiring section Total for Hill .. 288 214 I'nclassified Dressings (surgical) Disinfectants ('lothing. . Sewage Drugs ('alculi . . . . 3 3 3 2 3 2 Total for 1914 .. 16 21 Vaccines (autogenous), (not including typhoid vaccines) 253 Total for 1914 .. 303 Examination of call-lymph . . Total for 1914 .. 50 153 5,432 Totals for 19/ I .. 3.9 in

47

n.—Hi

Details of Urinary Examinations.

Summary of Work performed at the Vaccine Station for the Year ending 31st March, 1915. Calves inoculated . . .. . . . . . . . . .. • • 44 Total for 1914 .. .. .. .. .. .. .. ..71 Post mortem of calves. . . . .. . . . . . . . . . . .. 44 Total for 1914 .. .. .. .. .. ..44 Cultural examination of lymph . . .. . . . . . . . . . . 80 Total for 1914 .. .. .. .. .. .. .. ..153 Amount of lymph prepared .. .. 3,205 0.0. (sufficient for 128,000 inoculations). Total for 1914 .. .. .. 14,053 0.0. „ 1.006.480 Amount of lymph issued in tubes .. .. .. 7,919 0.0., equal to 15,838 doses. bulk ... .. .. 3970.0., „ 1.5,880 „ 31,718 „ Total for 1914 .. .. .. .. .. .. .. 347,614 „ Typhoid vaccine-Amount issued (at 500 mills, per dose), equal to .. . . 57,292 doses. Tuberculin dilutions . . . . . . ..... . . . . . . 74 Amount of lymph sent out of New Zealand .. .. .. .. .. 2,500 tubes. Bacteriological and Public Health Laboratory, Dunedin. Report, for the Year ending 31st December, 1911, by Professor Champtaloup. This report does not include the work of the clinical and pathological laboratories or the laboratory work in connection with the University classes of bacteriology and public health. On the Ist April the University of Otago took over full control of the laboratory and staff, the Public Health Department and the Otago Hospital Board agreeing to make an annual contribution for work carried out on their behalf. The laboratory is still situate within the Hospital buildings, but during the year the public of Dunedin and Otago subscribed £8,000, which, with a Government subsidy of a similar amount, is to be expended in erecting a complete pathological and bacteriological block on a site of half-acre which has been secured opposite the main hospital building. During the year the following investigations have been continued or completed : (a) An investigation into the type of tubercle bacillus present in the lesions of children under sixteen years of age ; (6) an investigation into the action of sensitized bacterial, vaccines in puerperal sepsis and other conditions ; (c) an investigation into the pathological significance of yeast-like cells in catheter specirhens of urine.

Method. Chemical Quantitative Qualitative ('ult ural What sought Estimation of urea ,, sugar . . ,, albumin ,, chlorides, &c. ,, albumin sugar . . ,, others . . . . For B. coli . . „ gonoooccus ,, B. typhosus ,, others Result. Total. Positive. Negative. L76 .. ! .. . . 64 21 174 71 192 263 50 188 238 29 22 51 987 '180 52 232 3 6 9 6 18 24 80 67 147 Microscopical For tubercle baoillus . . ,, casts, pus, &c. 412 23 105 128 398 138 536 664 Total for 1914 2,063 830

H.—3l

48

During the greater part of the year we have been fortunate in having had the services of Dr. J. T. Howie, who efficiently supervised the routine work of the laboratory, when our time was largely taken up with University work. Specimens examined and, reported on. SPUTA. Positive. Negative. Total. Examination for the tubercle bacillus . . 132 318 450 General bacteriological examination . . . . . . . . 239 Total specimens of sputa examined . . . . . . 689 throat swabs for diphtheria. Positive. Negative. Total. 86 177 263 All suitable swabs are examined direct, and in a few cases immediate positive reports can be issued. Cultures are examined after twelve hours' and again after twenty-four hours' incubation. In one case only was the diphtheria bacillus found after twenty-four hours' incubation, where it had not been detected after twelve hours. No cases of Vincent's angina were reported during the year. WIDAL REACTION. Positive. Negative. Total. For typhoid.. .. .. .. .. ..14 63 77 For paratyphoid fever .. .. . . . . 0 3 3 Total .. .. .. .. . .. .. 80 WASSERMAN REACTION IN SYPHILIS. Positive. Negative. Total. 25. 32 57 The, original reaction (slightly modified) is the method used. The, increased number of positive reactions as compared with previous years is partly due to the fact that practitioners are availing themselves more and more of the reaction in diagnosis, and partly because the number of cases of syphilis in the primary and secondary stages is on the increase in this district, which has in the past been singularly free from the disease. EXAMINATION OF SMEARS AND EXUDATES FOR THE PALLIDA. Positive. Negative. Total. 5 4 9 URINE. Positive. Negative. 'Total. Tubercle bacillus .. . . . . .. . . 26 21 47 Typhoid bacillus .. .. .. .. ..2 1 3 Streptococci ....... . . . . . 5 .. 5 Staphylococcus (aureus or albus) .. . . . . L 8 .. 18 B. coli commnunis (group) including B. lactis terogenes .. 43 .. 43 Gonococcus .. .. .. .... 1 1 Pneumococcus .. .. .. .. .. 1 .. L Influenza bacillus .. . . . . . . . . 1 .. 1 Sporothrix .. . . . . . . . . .... 2 2 Torula .. .. . .' . . . . 2 . . 2 Enterococous .. .. .. .. .. 1 .. 1 Sterile specimens .. . . . . .... .. 28 Total specimens .. .. .. .. .. .. 152 The most noticeable feature of this group is the large increase of positive examinations for the tubercle bacillus, 26 as compared with 3in 1912. In the majority of cases the result was confirmed by animal inoculation. BACTERIOLOGICAL EXAMINATION OF PITS FROM VARIOUS SOURCES (BACTERIA ISOLATED). Pneumococcus .. . . . . 11 B. lactis oerogenes . . .. .. 1 Gonococcus -positive, 10; negative, 7 .. 17 Diphtheroids .. .. .. ..15 Staphy. aureus.. .. .. .. 45 Strep, actinomyoes—negative, 1 .. .. 1 Staphy. albus .. .. .. 14 i Sporothrix negative, 1.. .. .. ] B. coli .. .. .. 16 Sterile .. ~ .. 14 Streptococci . . . . . . 31 Mixed infection -various . . .. 2 Tubercle bacillus-positive, 1 ; negative, 2 3 B. Proteus .. . . . . . . 1. Total specimens . . .. , , 174 B. friedlander .. .. .. .. 2

49

H.—3l

BODY FLUIDS: BACTERIOLOGICAL EXAMINATION.

FEMALE GENITAL TRACT: EXAMINATION OF MORBID DISCHARGES.

7—H. 81.

Pleural Ascitic Arthritic Cerebro-spii Fluid. Fluid. Fluid. Fluid. i Ascitic Fluid. Arthritic Fluid. Cerebro-spinal Fluid. Ccrobro-i Flui< inal Miscellaneous. Miscellaneous s. Total. i ; I I J. influenza .. .. .. . . .. 2 itaphy. aureus .. .. .. .. 1 tubercle .. 1 .. .. 4 Itreptococci .. .. 2 2 1 'neumococcus .. .. 3 .. .. 1 J. coli .. 1 I .. 1 looklets —negative, 1 .. 1 .. .. ... Iterile .... 11 3 6 9 2 i 1 2 4 1 1 i 2 5 i 2 1 5 6 4 5 1 M I 2 3 6 9 5 Total .. .. 19 6 8 17 17 8 58 l_ BODY FLUIDS : OYTOLOGICAL EXAMINATIONS. Pleural fluid 11 Ascitic fluid 2 Arthritic fluid • • 5 Cerebro-spinal fluid 13 Blood films .. .. .. .. .. ... 15 Miscellaneous 1 Total 47 BLOOD OULTUBES. B. coli 1 Staphy. aureus 1 Streptococci Sterile 7 10 Total 19

Intra Uterine Discharges. Cervical Discharges. Fallopian Tube. Total. Gonococcus Staphylococcus aureus .. Staphy. albus Streptococci B. coli Diphtheroids Pneumococcus Sterile 1 3 2 20 7 4 1 6 1 2 1 1 3 3 4 21 7 6 1 10 2 4 Total 55

H.-31

50

MISCELLANEOUS EXAMINATIONS.

WATER ANALYSIS : BACTERIOLOGICAL. Total, ... .. .. .. .. .. .. ~ 11 AUTOGENOUS BACTERIAL VACCINES. Not ~ ... . ... , Sensitized, sensitized. Staphylococcus aureus . . . . . . .. .. 9 1 Streptococcus .. .. .. .. . . .. 4 12 Gonococcus .. .. .. .. .. 6 B. coli. .. .. .. .. .. .. 9 2 Pneumococcus .. .. .. .. .. .. 3 B. friedlander .. .. .. .. .. .... 3 B. diphtheria .. .. .. .. .. .... 1 Micrococcus catarrhalis .. .. . . . . . . I Total .. .. .. .. .. ..32 19 The output of autogenous vaccines has been largely reduced by the preparation every six to twelve months of polyvalent stock vaccines of virulent and recently isolated staphylococci and streptococci. In hospital and outpatient practice, lesions which after investigation are found to be due to either of these groups of organisms are treated in the first place by the corresponding laboratory stock vaccine, and an autogenous vaccine resorted to only in cases where subsequent events indicate it. •' During the year the following stock vaccines were prepared : — .Stock Vaccine. Quantity in Bulk. Staphylococcus aureus (6 strains) . . . . . . .. .. 2,000 cc. Streptococcus vaccine (12-15 strains) .. .. .. .. 1,000 cc. Streptococcus (6 puerperal strains) .. .. .. .. 500 cc. Sensitized streptococcus (puerperal) .. .. . . .. 200 cc. sera. _ During the year the following sera have been prepared in the laboratory : — Polyvalent antistreptococcal serum (horse). Hsemolytic sera rabbit v. sheep. Hsemolytic sera rabbit v. human. Antityphoid serum. ~/<)! J MISCELLANEOUS. . - I ,'- ;; All tuberculin required in the hospital and much of that used in the district for diagnosis and treatment is diluted and put up ready for use. , -. 8 Salvarsan and nco-salvarsan injections are also prepared ready for use, the intravenous route being almost entirely used. Several doses of salvarsanized serum have been prepared for practitioners. . ■■:■']' THERAPEUTIC INOCULATION. The practice of this department is now largely carried out by the Resident Medical Staff acting under the advice of the laboratory. Doubtful or difficult cases and patients from outside the hospital district are treated at the laboratory, '

Catgut for sterility Milk for tubercle Nasal discharge Faeces for parasites Faeces for typhoid bacilli Hairs for ringworm . . Cysts, &c. for hydatids Precipitin reaction for hydatids Lung-puncture Nodules for actinomyces Disinfectants for germicidal efficiency Films for malarial parasites Positive. I I 2 3 2 Negative. Total. 23 20 3 2 2 8 I I I 23 21 1 3 3 4 \l 1 I 1 2 2 ■ J-t" Total 73

51

ELr-31 ♦' ■

Summary of Analyses made in the Dominion Laboratory, Wellington.

Nature. Object of Analysis. Number. FOR THE I'tJBI L1C HEALTH DEPARTMENT. Acid " Shamrock" . . ... I Baking-powder . . Castors CiderCocoa Coffee and chicory Colouring-matter Cream Cream of tartar Fish (smoked) Formalin Crape-juice Hubbard's rusks Ice-cream Ice-cream powder .. Infants' food .. .. Laotogal . . '.. Lemon squash .. Lemon essence .. Lemonade-powder . . Lime juice Lime-water Liquid paraffin Margarine Milks Nuts Oatmeal Oil of lemon Paint Pepper Pickles, mixed Preservatives Quinine port wine Raspberry fruitex Raspberry balm Butter process Sugar ol: milk Sulphur dioxide ; Soccoline .. -;j .. Tea .. Tinplate-ware Vinegar Wisky Water Zinnatite Nature i Purity Capacity Alcohol and preservatives Purity Labelling Re smoked fish Purity Colouring-matter Formaldehyde Alcohol Starch Purity Nature Analysis, general I! iS , . . | Purity Analysis, general Purity . I. • • • • i? • ■ ,. ■ ?i Soundness Poisoning Analysis, general Lead ... Purity ,, Analysis, general I, ii I, ., Purity Re milks Purity .. .. ,, . . ,, Lead Purity Alcohol Analysis, general ,, ,, ■ f • j ■ ■ 1 6 1 2 1 I 5 9 3 25 2 2 1 4 1 5 1 1 I 1 8 I 17 4 527 2 1 2 1 4 1 7 2 1 2 I I I 1 1 14 13 34 1 720 POLICE I DEPARTMENT. Exhibits Sheep-dip Spirits Stomach and contents Poisons Analysis, general Adulteration Poisons 16 2 3 5 26 SUMMARY. Public Health Police .. 720 .. 26 Total :. 746

H.—3l.

52

Report on the Public Health Department's Laboratory, Dunedin, by 0. J. W. Napier, B.A. (lion.). Camb.. Government Analyst for Otago. The work|done in this laboratory from Ist April to 31st December, 1.914, was necessarily rather limited, as this was the first year that work in connection with the Sale of Food and Drugs Act of 1908 was carried on in Dunedin. The work for the Public Health Department, as will be seen below, was mostly confined to the examination of milk samples, it being considered that this was by far the most important subject to be investigated, as, of course, milk lends itself far more easily to adulteration than any other food. Unfortunately, owing to the, war, none of the laboratory equipment ordered fromJEngland in May has yet arrived, and this lack of sufficient apparatus and also somewhat cramped quarters made it impossible to attempt any more work. However, ample space for work will be available, in April, 1915, on the completion of the new University buildings, when the main Public Health Laboratory will be more than three times the size it is at present. In the basement of the new buildings there will also, in addition, be a bench for water-analysis, in a room free from all possible contamination with ammonia vapours. During the year 1915 we hope to widen the scope of our work and to examine a much wider range of foodstuffs, &c, including infants' and diabetic foods, cordials, ice-creams, and air of schools and places of amusement, and also drugs. On the arrival of the apparatus from England it is intended also to carry out the oryoscpoio test for the detection and determination of adulteration of milk with water. The importance of this test is fully dealt with by the Dominion Analyst in the appendix to his forty-seventh annual report, for 1914. The total number of samples received and reported on from Ist April to 31st December, 1914, was 183. Of these, 123 were for the Public Health Department, and were nearly all taken under the. Sale of Food and Drugs Act, 1908; 1.9 were for other Government Departments; and 41 for firms and private individuals. The analyses are classified as follows : — 1. Milks .. .. .. .. .. .. ~ ..112 2. Butters . . . . . . . . . . .. .. .. 2 . 3. Margarines (Customs Department) . . . . .. . . 5 4. Waters .. . . . . .. . . . . . . 18 5. Examinations for the, Police Department . . . . . . 2 6. Miscellaneous . . . . . . .. 44 Total . . .. .. . . .. . . 183 The nature of the. analyses done for the various Government Departments is shown as follows :— Public Health Department. Samples taken by the Inspectors of this Department under the Sale of Food and Drags Act, 1908, were almost entirely confined to milks, a few samples of butters, vinegars, and chocolate being taken as well. Of the 112 samples of milk collected, 12 were below standard in solids other than milk-fat, and 2 below standard in milk-fat. No preservative was found in any of the samples. The average analysis of these milks was :— Per Cent. Fat .. .. .. . . . . . . 4-09 Solids not fat .. . . .. .. . . . . 8-65 Total solids .. .. .. .. .. .. .. 12-74 The following are three of. the most varied results obtained, and are of interest: Fat, Solids not Fat. per Cent. per Cent. Highest in fat .. .. .. .. . . 8-1 8-62 Lowest in fat and solids not fat .. . . . . .. 2-8 6-95 Highest in solids not fat .. . . .. 5-2 9-55 The butters were genuine butter-fat and contained, borax within the prescribed limits, the water being well below the maximum allowed (1.6 per cent.). The vinegars, comprising both locally manufactured vinegars and vinegars made by English firms, all complied with the regulations, and contained no adulterants. Customs Department. —The only samples analysed for this Department were five samples of margarine, four of which complied with this Margarine Act of 1908, but one of which did not comply, in that it was strongly coloured with anatto and contained no sesame-oil.

H.—3l

53

Police Department. Two cases were investigated for this Department, one case of suspected poisoning in which no trace of poison either organic or inorganic could be found, and the other a case of strychnine poisoning in which a quantity of strychnine was isolated from the specimens submitted by the Department. Defence Department. The 12 samples examined for this Department consisted of 6 samples of water drawn from the ballast-tanks of the troopship " Ruapehu." These were examined for their chlorine-content. The water was to be used for horses, and the examination was for the purpose of ascertaining whether the, ballast-tanks were sufficiently free of sea-water. The chlorine-content of these six samples was below 10 parts in 1.00,000. The other six samples were two of coffee and chicory, one of black pepper, one of white pepper, and two of condensed milks. The analyses were to ascertain whether the samples complied with the Army Service Corps Regulations. Details of samples analysed according to the list above,: 1. Milk : 112 samples for the. Public Health Department. 2. Butter : 2 samples for the Public Health Department. 3. Margarine : 5 samples for the Customs Department. 4. Water: Of the 18 samples analysed, 10 were for drinking purposes, six for the Customs Department (q.0.), and two for the Otago Acclimatization Society for the. purpose of ascertaining suitability for fish-stocking. 5. Examinations for Police Department (q.0.). 6. Miscellaneous.- -The 44 samples under this heading include patent foods for infants and invalids (to ascertain if these conformed with the regulations for labelling under the Sale of Food and Drugs Act, 1908), condensed milks, rice, coffee, pepper, chocolate, milk, sugar, limejuice, vinegar, oils, guanos, phosphate rocks, samples of coke and steel for sulphur, and also two samples of human milk. Schedule of specimens analysed from Ist April to 31st December, 1914 : — 1. MILK. (Contributed by the District Health Officer.) No. Locality. No. Locality. 3-8 .. .. Dunedin. 64-65 .. .. .. Queenstown. 9-11 .. .. .. Invercargill. 66-71 .. .. .. Dunedin. 12-17 .. .. .. Dunedin. 72-75 .. .. .. Gore. 18-23 .. Invercargill. 84-89 Dunedin. 24-29 .. .. .. „ 90-96 .. .. .. Oamaru. 30-35 „ 97-104 .. .. Dunedin. 36-41 . . .. . . Dunedin. 105-108 . . Gore. 42-47 „ 109-113 .. .. Dunedin. 48-53 .. .. .. Invercargill. 114-119 .. 54-59 .. „ 121-123 .. .. .. Bluff. 60-63 .. .. Gore. 2. BUTTER. (Contributed by the District Health Officer.) ;No. Looality. J and 2 .. .. .. .. .. .. .. Dunedin. 3. MARGARINE. (Contributed by the Customs Department.) No. Looality. 88-12 .. .. .. .. Dunedin. 4. WATERS. No. Looality. Contributor. 814 .. .. Milton .. .. .. Milton School Committee. 815 and 16 .. Balclutha .. Balclutha Corporation. 818-24 .. ! Dunedin and neighbourhood . . Dunedin City Corporation. 831 (6) .. T.s. " Ruapehu," Port Chalmers .. Defence Department. 832 and 33 .. Leith, Dunedin . . .. .. Otago Acclimatization Society.

f1.—31

54

5. MISCELLANEOUS.

No. Nature of Specimen. Locality. Contributor. 76-S3 120 Bl-2 B3 B4 B5 B7 B13 B17 B25 B26 28 Vinegar . . .. Dunedin Chocolate . . . . ,, Malt liquor • Vinegar . . . . ,, Human milk . . | Christchurch Malt liquor . . ' Dunedin Food for infants . . ,, Vinegar . . Malt liquor .. „ Steel .. .. i Green Island Guano . . Dunedin Coke .. .. Green Island Limejuioe .. Dunedin Spindle-oil . . ,, ilice . . ..- .1 ,, Moist refuse ., ,, Lime juice .. I ,, Human milk .. Christchurch Castor-oil . . . . Dunedin Coffee and chicory . . ,, Pepper . . .. ,, Condensed milk .. „ Milk-sugar .. Edendale .. .. District Health Officer. Murdoch and Co. Marshall's Proprietary. Hospital. Murdoch and Go. Pi. Hudson and Co. Marshall's Proprietary. Murdoch and Co. Otago Rolling-mills. N.Z. Loan and Mercantile Agency Company. Otago Rolling-mills. Taine and Co. A. E. Qsherwood and (Io. W. Gregg and Co. Wc'llpark and Co. Hospital. A. E. IIsherwood and Co. .. I Defence Depa ctment. ■ • 11 .. '■ Sugar of Milk Company, Edendale. B28-80 B34 B36 B37 B38 B39 B40 B41 B42 and 43 B44 and 45 B46 and 47 B49

H—Bl.

APPENDIX lI.—HOSPITAL AND CHARITABLE AID.

Table I.-Showing Receipts of Hospital and Charitable Aid Boards for the Year ended 31st March, 1915.

55

Contributed Balance Contributed by Local Voluntary (loveriiinu Bodies. from last .,"■;,.„ Authorities: ContribuVear. >*o\un Ordinary tions. ment - Levies. ' Recoveries from those Rents, ' assisted Interests, (other and than those Dividends, included in Column 2). I Payments OD Account j *;S, ! from other Charitable Aid Boards. Total. J I l_ Hospital and Charitable Aid Boards, C £ £ £ Bay of Islands .. 381 2,704 2,271 293 Whangarei .. .. 277! 3.237 2,584, 754 Kaipara .. .. .. 1.473 5oo 1,186 : 58 Auckland.. .. 5.447 26,0-41 23.160: 73 Waikato.. .. .. (147 6,778 8,902 2^, Thames .. .. .. I ,891 3,506 2.922 27 Waihi .. ..I 63 1,798 1.500 I 236 Cororaandel .. ..j 149 675 330 I 325 Bay of Plenty .. .. 390 26 808 204 Cook .. ' .. .. 966 j 7.672 8,681 460 Waia|ii, .. .. 62 700 1,100 413 Wairoa .. .. .. 269' I .143 818 81 Hawke's Bav .. 1.719 6.477 6,760 3.001 Waipawa..' 5,588 3,587 1,411 Taranaki.. .. .. 547 3,403 3,206 248 Stratford .. .. .. 730 I I ,039 I .100 7 Hawera .. . . I,638 ! I .904 1,934 22 Patea .. .. 138 584 715 Wanganui .. 3 6,545 5.165 910 Palmerston North . . 2,977 11.080 7,785 185 Wellington .. 5,438 22.401 20.848 616 Wairarapa '.. 2,360 2,845 4.341 , 72 Wairau .. ..I 2,866 3,893 j 5,529 81 Picton . . .. . . 185 812 980 5 Nelson .. .. .. 18,270 6,371 4,722 1,163 Westland.. .. .. 194 3,210 2,169 705 Buller .. •• 259 3,380 1,871 ; I ,189 Inangahua 113 2,002 1,600, 479 Grey .. .. •• ■■ 2,771 2.325 | 15 North Canterlmrv .. 3,363 27,159 28,726 3.023 Ashburton - r >08 1,529 2.111 76 South Canterbury . . .. .. 6,363 5,250 332 Waitaki .. . . . . 802 891 731 8 Otam> .. .. .. .. 19,574 15,831 1,849 Vinoent .. •• 379 1,171 687 276 Maniototo .. .. 1.198 719 205 Southland .. .. 373 7,154 5.324 833 Wallace and Fiord. . 390 I .31 I 1.548 131 £ 293 754 58 73 ■255 27 236 325 204 460 413 81 3,001 1,411 248 7 22 910 185 616 72 81 5 1,163 705 1,189 479 15 3.023 76 332 8 I .849 276 205 833 131 £ 63 I,227 2 i 1.960 369 2.012 11,821 468 2,423 22 I ,064 742 2 i 222 84 34 I .644 357 480 96 2,908 I .079 56 ! 3,883 5 | I ,002 657 237 503 1,279 ! 1,796 25 ! 1,875 i 3.704 ' 6,648 8 ! I.964 44 970 41 638 530 I 1,852 102 I ,649 58 ! 1,781 781 I , 707 394 i 10,442 35 713 30 1,766 4 839 833 8,131 5 289 467 304 3,233 4 633 £ £ 284 267 72 30 | 212 3,076 620 652 347 j 15 17 ioo ! 407 ! 34 44 I.311 570 230 71 I 355 4 14 307 25 393: 312 66 ' 809 91 332 220 I 56 102 312 343 45 37 51 275 187 ! 134 26 i 464 72 291 38 2 1.567 5,970 16 38 19 Ml 141 22 £ 7,224 9,154 3,617 71,842 20,093 10.984 4,701 1,721 [',613 19,864 2,667 2,834 22,848 11,895 I 1 ,539 3,960 (i,462 2,202 16.091 24.239 60,529 12,012 13,658 3,076 33,252 8,073 8,576 5,027 7,094 73,428 5,461 14,104 3,316 53,763 2,862 2,608 17,474 4.038 Totals .. 55.208 205.434 189.886 20.021 20,021 J—: 10.397 81,270 4.710 16,916 583.900 iSki'Auatk Institutions. Hospitals — Mcrcurv Bav .. .. 531 386 . . 407 Oamaru .. .. 2,520 +43 .. 358 407 358 227 1.118 431 15 130 262 1,566 5.262 Totals .. .. 3,050 830 765 765 1.118 658 I .118 658 130 276 «, 828 ('haritcMe Institutions — Jubilee Institute for the 767 3.067 .. 2,219 Blind Wellington Society for the 6,822 401 .. 487 Relief of Aged and Needy Wellington Ladies'Christian j 678 58 .. 148 Association Wellington Convalescent | 1.478 164 .. 116 Home St. Andrew's Orphanage. 38 •">! 5 . . 908 Nelson Reefton Ladies' Benevolent 122 .148 .. 104 Society Hawke's Bay Children's 152 318 .. 433 Home 767 6,822 678 1.478 3,087 401 58 164 2,219 487 148 116 1,694 j 283 351 | 213 33 i 100 ; 126 17 682 3 136 597 1.694 351 33 100 283 213 126 320 10 11 8,349 8,284 929 1 ,984 38 51 5 908 17 682 350 15 2.523 122 .148 104 3 29 406 152 318 433 136 597 21 I .65ti Totals .. .. 10.054 t.671 .. 4.416 10.054 4.671 4.416 2,334 1,901 2,334 ,.134 4 1,001 670 86 24,131 UoVJSRNMENT 1 NSTTTIH'TONS. Maternity Homes — St. Helens Hospitals— Auckland .. ... 588 Wellington .. .. I .040 Christchureh . . . . 693 Dunedin .. .. 913 Consumptive. Sanatoria in Cambridge .. .. .. 3.003 ... 25 5(18 I .040 693 913 868 813 757 656 j 2,671 868 813 757 656 230 281 220 186 1,686 2.134 I , 66!) I , 733 25 2,671 1069 6,768 3.003 Totals 6,218 25 5,764 1,964 13,971 Grand totals 68.372 217.152 | 189.886 25,227 13,849 89.592 5,510 19,242 628,831

H.—3l

56

Table II.—Showing the Expenditure of Hospital and Charitable Aid Boards for the Year ended 31st March, 1915.

Governing Bodies. I Hospital Maintenance. Indoor Relief. Charitable Aid. Outdoor Relief. Total. Sabsidiee Vabiic District Hobs. Administration. Capital. Amounts paid to Tu.r.tss. other Hos- ,5?*, Other Aid Boards. Total. ! i i . i „ 9 Hospital and Charitable Aid Boards. Bay of Islands Whangarei Kaipara Auckland Waikato Thames Waihi Coromandel Bay of Plentv Cook .. Waiapu Wairoa Hawke's Bay Waipawa Taranaki Stratford Hawera Patea Wanganui Palmerston North Wellington Wairarapa . . ..... Wairau Picton Nelson Westland Buller Inangahua Grey .. North Canterbury Ashburton South Canterbury Waitaki Otago Vincent Maniototo Southland Wallace and Fiord I — 3,210 3,824 1,840 29,030 10,127 4,193 . 3.805 1.276 939 5.917 1.407 1.772 I 12,086 6,043 6.037 1,960 3,289 1.494 9.026 5,421 35,268 7,359 3,447 2.059 4.416 7,135 3,934 2,488 5,274 32,076 2,904 7,857 26.792 1 ,654 1,099 9,962 2,278 £ 180 1.002 337 13,105 1,078 1,318 54 1,076 31 3,345 1,634 1,459 206 101 174 1.896 591 8,849 748 701 217 1.614 184 953 55 237 11.781 74 1,396 1,076 7,405 73 3,314 291 £ 579 319 241 9,768 585 461 448 91 310 268 2 53 880 486 214 234 273 481 1.003 2.317 1.171 434 73 I .487 613 149 768 681 3,575 151 1,462 552 4,509 315 97 826 144 £ 759 1,321 578 22,873 1,662 1.779 448 146 310 1.344 33 53 4,225 2,120 1,673 440 374 174 2,377 1,594 11,167 1.919 1,035 290 3,100 797 1,102 823 918 15.357 225 2,858 1,628 11,914 315 170 4,140 435 £ 456 76 47 625 596 116 22 492 338 698 160 160 129 143 198 477 175 780 201 547 632 194 19 294 7 11 137 327 921 201 266 201 638 67 333 50 £ 415 370 37 39 42 1,078 110 92 50 £ 60 52 54 316 7 41 242 227 6 329 68 518 50 94 390 182 997 615 183 344 £ 264 397 331 1,694 579 436 271 108 213 730 85 105 780 295 659 192 306 115 . 786 465 2,773 560 182 82 455 554 306 198 287 2.604 304 692 186 3.328 257 173 910 198 £ 1,279 764 547 8,144 2,161 1.342 110 147 1.333 10,427 314 538 4,572 1.736 168 652 1,025 1,132 15,032 4,615 958 11.059 434 1.609 378 600 21 212 23,499 1 .197 850 28 15,901 97 1,403 994 £ 6 17 35 286 8 232 32 137 137 50 531 31 51 108 220 26 23 58 49 143 26 356 405 263 59 440 £ 14 349 30 107 3 33 86 2 170 83 54 78 147 35 1.044 3 97 112 85 15 411 18 35 358 56 4 £ 19 25 8 5.632 074 35 9 139 385 17 15 73 162 153 309 100 468 218 940 33 279 50 380 156 i82 2.682 108 11 633 23 268 367 2 £ 6.402 0.488 3,419 68,087 16.834 8,193 4.657 1,723 3,701 19,528 2.785 2,715 22,119 10,624 9,333 3,884 6,124 2,136 15,232 23,048 56.448 11,905 16,685 3.267 10,320 9,021 7.201 3,667 7,258 78,705 5,099 13,210 2.583 59,969 2,004 1,932 18,005 3,960 Totals T 268,694 \ 268,694 66.557 ; 36,019 66,557 36,019 102,576 102,576 1 10,734 10,734 I 2,233 2,233 4,775 4,775 22,862 22,862 115,279 : 115,279 : 3,728 3,728 3,430 3,430 14,556 14,556 548,868 548,861

57

H.—Bl

B—H. 31

Separate Isstitutiohs. Hospitals — Mercury Bay .. .. .. .. .. 1.097 Oamaru .. .. .. .. .. 1,886 15 _L_ 2 1,17. 2,031 74 131 I Totals .. .. .. .. 2,983 2,983 206 15 I 2 3,20; Charitable Institutions — Jubilee Institute for the Blind Wellington Society for the Belief of Aged and Needy Wellington Ladies' Christian Association Wellington Convalescent Home .. St. Andrew's Orphanage, Nelson .. Reefton Ladies' Benevolent Society Hawke's Bay Children's Home 3.445 1,065 483 1,305 1,028 183 183 4.473 I 1,065 : 183 ; 483 1,305 183 1,226 439 95 21 4 30 48 60 2,200 250 275 ! 72 "98 3 282 : 7,387 1,232 204 487 1,683 234 1,569 1,226 Totals .. .. .. .. 7,524 1.394 8,918 696 2,450 730 12,795 ! GOVEBNMEST INSTITUTIOXS. Maternity Homes, St. Helens Hospitals — Auckland .. .. .. .. .. 1,486 Wellington .. .. .. .. .. 2,025 Christchurch .. .. .. .. .. 1,594 Dunedin .. .. .. .. .. 1,641 Consumptive Sanatorium — Cambridge .. .. .. .. .. 5,469 I 83 75 i 75 79 ' 19 35 13 79 1,666 2,135 1.669 1,733 i ! 190 j 172 936 6,768 ,014 ! 13,971 Totals .. .. .. .. 12,215 502 239 1,014 ! Grand totals .. .. .. j 283,893 74,081 37,413 111,494 10,734 2,233 ; 4,775 24,266 117,983 3,728 3,430 16,303 578,838

H.—3l

58

Table III.—Showing Hospital Statistics for Year ended 31st March, 1915.

Medical. i Nursing. ! Domestic. J I Stipendi- \ ! g Hospitais controlled by Boards. ary. j 2 rg § | S „; rr i , III il o 8 i § I H S g M e i 1 a g « ! Z j H Pp O \fc Staff. a as ft os 2 fl as > 3 as > H Nun o pp Number of Beds. mber of Be as "fl s fl o as tH "3 o « as £ Number of Patients _ §• gsg under Treatment g «<_, ■ during Year. c ° ® Sex. §3 Is as aS I*" 2 "" £ as o -a! <! g &i H -~ . ! 1.8 I I §8.5 « w flaipa> "• rr 13 fl ■ ■— mft as P<p pi .So n h as aS $ 3 %<irr -§« g§OPj 5c a is Out-patients. as as fl as hs Ph < o 'o I I 2 2 to o Wellington Auckland Dunedin Christchurch Waikato Napier Wanganui Southland Palmerston North .. Thames .. New Plymouth Cook .. 26 (o)5 17 (a)7 20 (a)6 9 (a)6 .... 3 4 2 6 1 2 1 .. .. 1 '.'. 4 1 (a)o (a)7 (o)6 (a)6 3 2 1 1 2 4 1 3 4 2 1 1 2 1 1 1 2 2 39 21 24 22 7 11 9 7 6 6 7 9 5 4 5 5 3 4 2 4 4 3 2 4 I 63 84 63 73 31 35 21 18 15 12 23 22 22 13 12 11 6 6 7 8 5 6 6 8 5 42 25 27 37| 15 1 22 ! 10J 13; 71 8; 6 11 91 5 6 7 4 6 4 4 5 5 36 32 15 22 8 8 6 3 4 2 3 9 3 2 2 1 2 3 2 3 2 2 1 2 2 168 153 118 133 62 72 46 38 29 27 36 48 39 28 20 18 16 19 22 17 17 14 14 15 12 118 158 128 97 59 70 48 45 29 40 28 78 112 96, 110 75 28 52 25 25 33 18 19 39 1 1 75 25 32 40 8 22 18 12 5 7 6 7 < 1 69 57 24 26 15 20 12 61 20] 221 14 374 336 294 238 110 164 103 88 87 71 75 138 311-0 284-0 226-0 205-0 93-0 118-0 78-0 70-0 58-0 540 53-0 50-0 30 2,427 2-7 2,424 2-6 1.708 2-2 1,903 2-5 803 2-5; 689 2-6| 570 2-91 547 2-9! 498 3-0J 399 1-7| 402 1 -7j 431 1,856! 4,283 1,586! 4,010 1,247! 2,955 1,477 3.380 477; 1,280 437: 1,126 372: 942 360 907 421 919 289 ! 688 306: 708 222! 653 £ ! £ £ £ s. d. £ ; 278! 26j 101-8J 17-4; 84-4! 2 2 0 4,787|l8,926 338: 26; 105-3 24-7 80-6! 2 2 0 .. 242 28; 90-4 17-5 72-9 1 15 0 3,01515,706 220! 22i 104-5 24-5 80-0 2 2 0 2,891 12,379 60! 27 103-4 20-6 82-8 1 15 0 .. 105i 38 104-2 190 85-2 2 2 0 1,030 1 949 48 30! 88-9. .. ; .. 110.. 76] 28: 88-9: 19-9: 69-0 1 15 0 1,047 2,011 48! 23j 99-5! 311 68-4 14 6 .. 44! 28 78-6 49-4 1 1 0 259; 1.779 50 28 119-9 52-9! 67-0 2 2 0 .. 36 28 130-5! 251 ] 105-4! £1/10 to 25 100 \ £1/8 48 25 116-4 16-5: 99-9; 1 15 0 248 2,188 48 34 90-9 25-2! 65-7! 1 15 0 300 2.600 22 33l 107-3] 19-51 87-8! 110 .. 31 22; 117-2 : 44-31 72-9 18 0 .. 17! 52| 95-9! 19-3' 76-6 £1 to £3/3 .. 17 32 116-8 18-9! 97-9 18 0 .. 17 24 142-6] 29-8! 112-8 £1/1 to £3/3 .. 24 28) 133-2 27-5: 105-7 1 11 6 .. 19 23| 149-9 31-2 118-7 18 0 .. 14 25] 170-4 29-8 140-6 2 2 0 .. 24 28 114-4| 25-8 88-6 14 6 .. 35 31| 173-2! 60-8 112-4 1 10 0 .. 30 23i 167-1! 37-1 130-0 £1/11/6 to 12 20 £2/12/6 j 8 47 71-3! 24-9 46-4 1 15 0 .. 10 27 110-5! 40-6 69-9 I 15 0 .. 15 22 147-3: 68-8 78-5 2 2 0 4; 8 6 20 .. .... 1 11 6 6; .. 10 23 170-3 28-3: 142-0 1 15 0 .. 8 23 162-6 29-7 132-9J 1 15 0 35; 388 19 21 160-9 24-31 136-6: 2 2 0] .. 14 21 .. .. ! .. 110].. 4 35! 112-7 44-3 68-4 15 0 28: 98 13 21, 152-9 43-7 109-2 2 2 0!.. 6 16 2261 34-5 171-6 1 8 0] .. 5 26] 160-S) 29-3' 131-2 2 9 0! 1,092: 3,276 1 20 6 22 14 1 Timaru Nelson Waihi Whangarei South Wairarapa .. Dannevirke Masterton Wairau Waipawa Hawera Wallace and Fiord .. Westport Ashburton 4 1 .. .. 1 .'. il 3 .. 2 .. 3 .. 43 33 30 21 22 24 18! 22! 30 19 18 20 21 34 31 16 17 11 16 13 8 20 12 14 11 5 8 8 10 6 13 9 6 1 .. 3 .. 2 15] 2 10 2 .. 6' 6 .. ! 8 3 .. 5: 12 8 6 13 6 15 10 6 8 12 93 80 59 53 34 43 48; 42! 52] 43 40i 34 43: 490 49-0 38-0 35-C 28-0 260 26-0 240 220 210 21-0 19-3 19-2 1 -8l 405 2-9! 326 3-21 228 2-2 347 3-1 135 2-6i 198 2-0 1 240 2-4: 196 2-4 222 2-1 198 2-3 166 1-9 141 2-1 209 297 702 212 538 185 413 230 577 58J 193 99i 297 160! 400 118; 314 129: 351 114; 312 100: 266: 82 223| 98j 307; Rawene Gore Stratford .. Picton Northern Wairoa . . Waimate Otaki Tiahape Maniototo Patea Wairoa Coromandel .'. .. 1 1 .. 3 .. ji 1 lj 1 2 2! 2 3 1 4 . 2 1 2 2 2 1 3| 2 3! 21 3 2 6 3 2 1 4 4 .. 2 2 1 3 2 3 2 3 2 2 3 3! 6 2 4 *2 3 3 3 2 2 3 3 2 3 3 5 2 2 2 3 1 li 1 2 7 1 2 3 1 4 1 1 1 7 8 9 10 8 9 7 6 5 8 8 9l 91 12 10 10 13 9 6 9 13 12 15 8; 5 9 7 12 7 4 7 7 2 '.. 2 2: 2! 6] 2 14 l] .. 2 12 2] .. I .. 4 II 6 1 21 14 12 4 6 4 20 21 25 35 18 39] 18! Hi 20j 27! 18! 24! 16-2 15-3 14-4 11-9 11-61 110 10-4 10-8 101 10-1 8-3 7-6 4-Oj 60 3-1 118 2-41 130 2-4| 95 2-3j 129! 2-2 ml 3-0 128' 2-7 115 ! 2-5 57! 20 108 1-7 109 1-9| 73: 64! 124 90 208 113 243 119! 214 56 185 63 174 52] 180 72j 187 47 104 68 176 79 188 33 106 "lj "4 (a) Including dispensers. *After deducting estimated cost of out-patients.

H.c— 31

59

Taumarunui .. ! 1 Wakatipu .. .. 1 Pahiatua .. .. .. 2 ,;.;.' 1 Mangonui .. .. 1 Tapanui .. .. .. 1 .. j .. Arrow .. . . .... 1 .. Tuapeka .. . . .... 1 .. Bay of Islands .. ! 1 Waiapu .. .. 1 Dunstan .. .. .. 1 .. ( !romwell .. .. .. 1 .. Denniston .. Kaikoura .. .. Havclock .. .. Otira Cottage . . ! 1 Akaroa .. .. ] 1 Lyttelton Casualty Ward 1 Kaitangata .. .. 1 .. ! .. Port Chalmers .. .. 2 ..... Grey River .. .. 3 .. i 1 Westland .. .. j 1 Reefton .. .. .. .. .. 1 Kumara . .. .. .. .'. j 1 Ross .. .. .. .... 1 1 2 1 .. 2 2 1 2 2 1 1 .. 1 .. 2 1 2 1 1 1 l! 1 1] .. li ■- :: 1 .. l .. 1 .. 1 .. i 5 9j 2 61 2 2 li 3 l! .. 1 l! 3 2 1 2 2 1 2 1 1 2 1 1 6 7l 4] 5 2: 381 1 1 1 1 1 2 1 1 1 2] 1 1 5 9 ; 1 1 2341, 51 3 8 6 3 3 4 5 6 4 5 3 2 3 2 2 2 1 1 25 15 9 9 3 ,401 1, 4 10 9 6 4 6 19 5 3 6 6 4 6 4 4 4 4 6 460; 37 25! 30 15 ,627 1 a 91 11 3! 4 13 10 5 1,053 1 1 1 1 1 "2 "2 333 7 4 6 2 3] 4 6 1 456 3 7 23 19 17 6 17 28 17 8 10 14 10 7; 6 ! 8 1 4! lOi 4 85 50 34 41 20 3,469 2, 6-6, 6-71 6-1! 6 4-8 4-4 4-4 4.4 4-1 3-6 3-3 2-4 1-7 1-6 1-4 1-0 64 36 30 23 11 1,341-0 2-2 6-5 1-5 2-0 1-6 4-4 4-4 1-5 1-4 1-8 1-6 2-4 1-7 1-6 1-4 10 4-6 4-5 7-5 5-6 2-6J1S 114; 34 81 46 37 50 52 40 51 40 1 44, 30 27| 23; 45 17'! 23i 22! 11 378! HI 15lj 78 34; 8,584jli 29! 13 45 57 37 35 1 52 10 16 20 8 15 6 5 13 12 165 49 35 15 6 2,440: 143 3 17i 150-6; 47 6 43 1461; 126 8 18l 194-3! 103 6 211 1541! 74 3] 24 125-9 1 59 llj 271 246-8] 87 6! 18 193-2; 92 4 1 17 296-9] 61 3! 25 363-9! 56 3 23 278-1! 64 4 19 231-8 38 2 23 344-5 42 .. 15 236-4 29 .. 21 243-3 50 1 10 753-5 30! . . 12 288-0 23 34 .. 2 .. 11 .. 1 5 .. 543 65 43 85-3 160 20 82 92-6| 186: 16 59 88-8 93! 11 90 84-0] 40 3 100 100-5 31,024 2,184 28 109-4 ! 30-6i 126-01 32 1 114-0 52-2 142-1 i 561 980 71-1 54-8 36-0: 210-8 33-8! 159-4 94-5 202-4 ! 70-4 293-5 : 36-2 241-9 : 27-4 204-4 51-6 292-9 65-8 170-6 52-7 190-6 50-6 702-9 55-7 232-3 1 15 0 1 15 0 £1/1 to £3/3 1 15 0 1 15 0 1 15 0 1 15 0 2 2 0 1 10 0 1 10 0 1 110 2 2 0 i 1 11 6 1 1 10 0 ! 2 2 0 2 2 0 1 15 0 1 15 0 i 1 10 0 r 1 10 0 i 1 10 0 ! 1 10 0 ) 1 10 0; " ! •• i 2 23 •■ I " 1 327 | " 25 36 1,388 . i ! i - . 26-7 58-6 19-9 72-7 I 18-3 70-5 22-7 61-3 1 29-5 710 135 82 80 14 506 264 449 53 •- 117 40 58 Special Hospitals. Infectious-disease Hospitals — Christchurch . . .. I .. .. I 1 Dunedin .. .. j .. .. 1 Timaru .. .. .. | .. .. j 1 277] 640 2 2 1 381 2 2 1 1 1 234;l, 401 1,627! 1 1 6 1 2 5 6 1 2 5 13! 5: 12: 13 5: 12: 1,053 333 456 3,469 2,3410 22 5 6 22 5 6 9 2 4 9 2 4 25 6 25 6 ! 69 18 22| 23 11 6-1 2-6 ; 18,58412,440 5-7 2-8j 2-3; 134! 44 40 82 41 45 216 3 37 81-2 85 1 47! 63-4 85 1 26; 97-7 37 1 81-2 4-2! 47i 63-4 7-7! 26 97-7 9-5] 30 531-2 40-8 39 91-4 81 25-4 840 -- 15,442| ! i 172, 149 1 1 1 1 3 3 1 1 1 2 69' 18 22| 23 11 6-1 5-7 2-8j 2-3; ! 134! 44 40 82 41 45 77-0 55-7 88-2 2 2 0 2 2 0i £1/4/6 to £1/15 1 1 0 Invercargill .. 1 li 1 ■ 6 1 1 3 1 3' 16! 3' : 30! 33| r 15| 12! 43 12 12 12 1-1 41 1-1 11 3-4 11 22l] 3| 10 178 10 13 .. 30 531-2 ; 399: 5 39 91-4 490-4 .... 4 Consumptive Sanatoria — Christchurch .. .. .. 1 '.. Palmerston South .... 1 .. _,__ 2 1 8 : 4< ; 1 2 8! 2 5 1 6 6 19 1 25 29: 4] 2 13 20 26! 31 4 9] 15 19! 13] 12 41; 60 74 6 3 16: 30; 33 15] 43] 8 8 121 41 ] 3-4 221 1 ! 178 I 83-3! 6 4 6 2 19' 13 25; 20] 29; 26! 8 62i 46 621 46 ; 34] 51 41 51 41 26 51 5-9 51 5-9 40 52 58 52 57 58 72 57 72 109 3! 172 109-6 ! 130 3 116 94-5 172 109-6 13-7 116 94-5! 400 29 111-0 15-7 95-9 2 2 0 54-5 £1/15 to £3/3 95-9 2 2 0] : I i i 31 4 9! 16 19! l ; 34] 26 40 52 52 43 43 ! 95 .. 29 111-6 . Otaki .. .. .. lj .. 1 F}> i Hospital for Chronic Consumptives — Coronation Hospital, Christ- .. 1 1 church Maternity Hospital — Dunedm Medical Sehool .. 1 .. 1 Separate iNSTrrirrioNS. Oamaru .. .. -. 1 '-. 1 Mercury Bay .. .. .. 1 .. 12 5 .. 1 2 6 1 .. 2 1 1 1] 3 6 i 4 ! 3 16 1 • • 1 142 118 33 51 3-6] 49 I " 162J 172 33 334 157 82 IS j 148| 130 104-8; 23-3! 18 123-8 38-4 97-7 1-5 81-5! 90-2 854 2 2 0 1 10 0 I I . 2 .. I 8 . 14 . . 4 1 13 25] 11 8i 2| 1 6 5 4 1 1 : i 1 ! 8 14 52 10 14 8 18 5 8 11 11 2-2 1-6 .. 149 67 157! 105 21 254 88 1 22 26 1120 22-9 891 4 21 234-4 45-6 188-8 1 0 0 1 10 0 « I " I •-

EL—3l

60

Table IV.—Showing Hospital Expenditure for the Year ended 31st March, 1915.

Hospitals controlled by Boards. tr J - H OS * b 1=18 i <3 o | < u ad * ee.2 a © >, Surgery Provisions and Dispensary. i i ■ Cost per Cost per Total Occu- Total ; OccuCost. pied Cost. ! pied Bed. . Bed. Domestic and Establishment. Salaries and Wages. Cost per Cost per Cost per Occu- Total Occu- Total Occupied Cost. pied Cost. pied Bed. Bed. Bed. Total Maintenance. Administration. Maintei an Adrnimst nance d tration. Cost per Occupied ! Bed. as . as fl © 'h o U "3-3 22 :£p-j Arz Plfl pp fl as as as aj O a 2 ft 1 !_ Total. Total Cost. Cost Occupied Bed. Total Cost. Total Cost. Wellington Auckland Dunedin Christchurch. . Napier Waikato Wanganui Southland Palmerston North Thames New Plymouth Cook Timaru Nelson Waihi Whangarei .. South Wairarapa Dannevirke . . Masterton Wairau Waipawa Hawera Wallace and Fiord Buller Ashburton Rawene Gore Stratford Picton .. - Northern Wairoa Waimate Otaki Taihape Naseby Patea Wairoa Coromandel .. Taumarunui .. Pahiatua Mangonui Wakatipu Tapanui Arrow- .. 3110 .. 284-0 .. 2260 .. 2050 .. 1180 .. i 93-0 .. i 78-0 70-0 58-0 540 530 500 490 490 380 350 28-0 260 26-0 24-0 22-0 210 210 .. i 19-3 19-2 .. j 16-2 15-3 14-4 11-9 11-6 110 .. ; 10-4 .. ! 10-8 101 101 8-3 7-6 6-6 6-1 60 5-7 4-8 44 168 153 118 133 72 62 46 38 29 27 36 48 39 28 20 18 16 19 22 17 17 14 14 15 12 7 8 9 10 8 9 7 6 5 8 8 6 5 8! 6 3 3 3 26 26 28 22 38 27 30 28 23 28 28 28 25 34 33 22 52 | 32 24 28 23 25 28 31 23 47 27 22 20 23 23 ] 21 21 35 | 21 16 26 17 18 I 21 43 24 27 £ 6,775 7,100 4,248 5,295 2,841 ; 3.248 1,990 ; 1.240 ] 1.350 1.132 ! 1.491 ! 1.132 ! 1.053 1,150 1,018 869 637 782 762 750 i 791 ] 563 641 566 496 232 373 ! 432 417 442 462 330 233 ! 199 ] 258 310 : 219 322 : 163 145 ] 156 120 ! 167 I £ £ 21-8 3,491 250 3,251 | 18-8 1,611 j 25-8 2.087 24-1 1,923 34-9 842 25-5 1,010 17-7 609 23-3 600 20-9 517 28-1 933 I 21-6 583 : 21-4 708 i 23-5 397 26-8 362 25-1 388 22-7 181 30-1 183 | 29-3 382 j 31-2 293 35-9 432 26-8 298 30-5 125 29-3 382 25-8 272 ; 14-3 84 ! 24-4 113 30-0 74 350 117 38-1 86 i 420 175 ! 31-7 47 21-6 119 ! 19-7 45 25-5 208 37-4 249 28-7 131 j 48-7 49 26-8 30 i 24-3 39 I 27-4 ! 26 24-9 i 56 380 30 I £ 11-2 11-4 71 10-2 16-3 90 12-9 8-7 10-3 9-6 17-6 11-7 14-4 8-1 9-5 110 6-5 7-0 14-7 12-2 19-6 14-2 5-9 19-8 14-2 5-2 7-4 5-1 9-8 7-4 15-9 4-5 110 4.4 20-6 29-9 17-2 7-4 5-0 0-4 4-5 11-6 6-8 £ 9,153 8.145 5,165 4.905 2.960 1,551 1.836 1,369 1,613 1,015 1.325 1.720 1.494 953 850 769 746 803 1,070 792 759 1.158 496 655 1.023 295 353 503 493 295 394 461 246 226 250 355 241 131 240 155 198 221 298 £ 29-4 28-7 22-8 23-9 251 16-7 23-5 19-5 27-8 18-8 25-0 34-4 30-5 19-4 22-4 21-9 26-6 30-9 41 1 330 34-5 55- 1 23-6 33-9 53-3 18-2 231 34-9 41-5 254 35-8 44-3 22-7 22-4 24-7 42-8 31-7 19-8 39-3 25-9 34-8 460 67-7 £ 11,640 10,534 8.433 8,694 4,361 3,504 2.983 2,846 1.858 1,529 2.287 2,481 2.340 1,915 1,576 1,798 1.038 1,158 1,412 1.250 1.136 1.270 1,016 1,474 1,112 496 764 951 1,032 1.016 678 697 608 629 778 858 685 481 698 544 379 183 501 £ £ £ 37-4 31,060 99-8 37-1 29,030 102-2 37-3 19,456 861 42-4 ! 20.982 102-3 36-9 12,086 102-4 37-7 9,145 98-3 38-2 7,819 100-2 40-7 6,064 86-6 320 ; 5,421 93-4 28-3 ■ 4,193 77-6 43-2 ] 6,037 113-9 49-6 ' 5,917 i 118-3 47-8 ■ 5,595 I 114-2 391 4,416 901 41-5 : 3,805 100-2 514 ] 3,824 109-3 37-1 ■ 2,602 92-9 44-5 2,925 112-5 54-3 3,626 139-4 52-1 '■ 3,085 128-5 51-6 3.117 ! 141-7 60-5 3.289 156-6 48-4 2,278 108-5 76-4 3,077 159-4 57-9 2,904 151-2 30-6 1.107 68-3 49-9 1,603 104-8 660 1,960 136-1 86-7 2.059 173-0 87-6 1,840 158-5 61-6 1.709 i 155-3 670 1,535 ] 147-6 56-3 1.206 111-6 62-3 1,099 108-8 77-0 1,494 147-9 103-3 1,772 213-5 90-2 I 1,276 167-8 72-8 983 148-8 114-3 1,131 1854 90-7 883 147-3 66-4 759 1331 381 579 120-6 113-8 996 226-4 £ 1,545 869 1,598 1,071 305 479 571 254 352 142 I 319 ' 614 I 217 I 171 271 I 278 85 113 84 112 182 291 125 267 304 49 88 162 82 136 99 139 90 45 115 105 108 52 54 41 74 26 90 I £ £ 5-0 32.605 3-1 29,898 7-1 21,055 5-2 22.052 2-6 12,391 5-1 9,624 7-3 8,390 3-6 6,318 61 5,773 2-6 4,334 6-0 6,355 12-2 6,531 4-4 5,812 3-5 4,587 71 4,076 7-9 4,102 30 2,687 4-3 | 3,039 3-2 3,710 4-7 3,197 8-2 3,299 13-8 3,580 5-9 2,403 13-8 3,344 15-8 3,208 30 1,156 5-7 ] 1,691 11-2 2,121 6-9 2,141 11-7 1,976 90 1,808 13-3 1.674 8-3 1,296 4-4 1,143 11-3 1,608 12-6 1.877 14-2 1.383 7-8 1,034 8-9 1,185 6-8 925 13-0 833 5-3 605 204 1,086 1 ! I £ £ £ £ 104-8 3.388 1,543 i 37.536 105-3 6,263 235 : 36,396 93-2 1,283 68 I 22,405 107-5 15,134 2,160 ! 39.346 1050 4,349 18 16.758 103-4 1,750 349 ! 11.723 107-5 1,132 .. 9.522 90-3 201 .. 6,519 99-5 7,896 218 i 13.887 80-2 1.199 .. 5,533 119-9 .. 19 6,374 130-6 10,427 289 ' 17.246 118-6 412 .. 6,223 93-6 1.547 232 ; 6,365 107-3 110 2 I 4.188 117-2 711 35 4,848 95-9 478 .. j 3.166 116-8 328 113 3,479 142-6 256 .. 3.966 133-2 11,000 .. 14.197 149-9 1,409 18 4.726 170-4 1,025 .. 4,605 114-4 55 2 2,460 173-2 33 170 3.547 1671 1.197 26 4.430 71-3 105 .. 1.261 110-5 48 .. 1.739 147-3 652 442 3.215 180-9 434 401 2,977 170-3 543 3 ! 2,522 164-3 13 23 ' 1.844 160-9 1,155 41 ; 2,871 119-9 .. .- 1.296 113-2 .. 11 : 1,155 152-9 .. 178 1.787 226-1 538 48 | 2,463 182-0 147 39 1,570 156-6 12 .. 1.046 194-3 224 .. 1.409 1541 114 .. 1.039 146-1 26 860 125-9 .. .. 605 246-8 37 .. 1,123

61

_.—3l

Tuapeka Bay of Islands Waiapu Dunstan Cromwell Tauranga Denniston Opotiki Kaikoura Havelock Otira Akaroa Lyttelton Casualty Ward Port Chalmers Kaitangata Waiutu Nurses" Home .. Hospitals which are also Old People's Homes — Grey River .. Westland .. .. Inangahua.. .. Kumara. .. .. Totara .. .. .. I 4-4 4-4 41 3-6 3-3 3-3 2-4 2-1 1-7 1-6 1-4 10 640 360 300 23-0 110 4 I 10 5 | 17 6 : 25 4 I 23 5 I 19 4 ! 17 3 23 3 ] 20 2 : 15 3 i 21 2 : io 2 ! 12 2 1 2 1 i 5 190 227 230 177 78 166 206 89 51 77 118 50 43 16 52 25 I i 431 51-6 561 49-3 23-7 50-3 85-9 42-6 30-3 48-1 84-1 49-9 25 89 43 77 35 26 72 1 6 16 112 8 6 2 13 44 ] 5-8 182 20-2 263 10-4 390 21-2 217 10-5 170 7-8 77 30-0 112 06 78 3-5 105 10-2 106 79-8 147 7-6 66 69 48 36 15 41-4 | 382 59-7 I 641 95-2 ! 744 601 | 463 51-5 I 439 23-2 ! 226 46-8 : 466 370 ! 170 62-1 220 66-3 162 1050 620 66-4 150 157 79 97 104 80-8 145-7 181-4 128-3 132-9 68-5 194-3 81-1 129-2 101-5 442-7 150-3 779 1,220 1.407 933 721 495 857 339 383 362 996 274 275 144 198 188 177-0 ; 277-2 ! 343-1 259-0 218-6 149-8 3570 161-3 225-1 i 2261 711-6 274-2 71 87 85 69 44 37 39 50 19 28 59 14 14 15 22 21 16-2 19-7 20-8 191 13-2 11-2 16-4 23-6 11-3 17-2 41-9 13-8 850 193-2 1,306 I 296-9 1,492 ! 363-9 1.002 ; 278-1 765 : 231-8 532 '• 161-0 896 ; 373-4 388 184-9 402 236-4 389 243-3 1,055 753-5 288 288-0 289 160 ] 220 ! 210 I 1,060 314 601 299 752 59 10 53 1 860 2,366 1,859 1,002 765 1.132 1.196 1.140 402 448 1,055 288 289 172 223 1.338 12 3 1,129 .. 25 43 15 82 9 59 9 90 3 100 1,236 973 804 617 260 19-3 27-0 26-8 26-8 23-6 355 270 176 83 106 5-5 1,530 7-5 926 5-9 568 3-6 518 9-6 133 23-9 2,151 25-7 1.007 18-9 939 22-5 674 12-1 570 33-6 28-0 31-3 29-3 51-8 3,272 3,176 2.488 1,892 1,069 82-3 88-2 82-9 82-3 97-2 217 174 198 39 36 3-4 4-8 6-6 1-7 3-3 5,488 85-7 3.350 930 2.686 89-5 1,931 840 1,106 i 100-5 212 378 21 3 194 5.702 3,922 2,707 1.931 1.106 Totals and averages .. 2 2,346 2,346 1,408 28 158,588 25-0 5,100 10-7 ]63,440 27-0 102,081 43-5 |249,210 106-2 ]13,507 5-7 j262,717 111-9 ]80,470 6,944 350,131 Special Hospitals. Infectious-disease Hospitals — Christchurch Dunedin Timaru Invercargill 230 11-0 61 11 230 110 61 11 6 2 5 3 37 47 26 30 376 177 174 83 I 16-3 161 28-6 75-5 37 28 11 8 1-6 2-5 1-8 7-4 802 165 233 271 34-9 14-9 38-2 246-4 564 275 134 178 24-5 250 22-0 161-4 1,779 644 553 540 77-3 58-5 90-6 490-6 90 53 43 45 3-9 4-8 7-1 40-6 1,869 698 596 584 81-2 63-4 97-7 531-2 2,284 4,15: 69! 63! 5& 41 Totals and averages 41 0 41 0 16 39 810 19-7 83 2-0 i 1,471 35-9 1,151 28-1 3,516 85-7 232 5-7 3,748 91-4 2,325 6.073 Consumptive Sanatoria — Christchurch Palmerston South Otaki 510 410 260 510 410 260 19 172 13 116 9 29 1,969 1,177 948 38-6 28-7 36-5 140 54 52 2-7 1,540 1-3 1.274 20 731 30-2 31 1 28-1 1,666 1,073 941 32-6 26-1 36-2 5,314 3.578 2.673 104-2 87-2 102-8 271 300 229 5-3 7-3 8-8 5,585 3.878 2.902 109-6 94-5 111-6 905 1.057 72 5 11 6,490 4.940 2,984 I ! Totals and averages .. ] ; ii8-o i 1180 41 130 4,095 34-7 246 2-1 3,545 300 3,680 31-2 111,565 98-0 800 6-8 12,365 104-8 2.034 16 14,41 Hospital for Chronic Consumptives — Coronation, Christchurch 33 33 16 ] 148 1,145 34-7 141 4-3 722 21-9 1,061 32-1 3,069 930 156 . 4-7 3,225 97-7 3,405 6,630 Maternity Home — Dunedin Medical School 8 I 8 18 218 ] 55 I 6-9 i 350 27-3 43-8 310 38-8 933 116-6 57 7-2 990 123-8 1,007 Grand totals. Board's institutions 2 2,546 2,546 1,489 j .. ,855 25,625 169,529 108,283 !268,293 14,751 ]283.044 88,244 6,967 378,256 Separate Institutions. . Oamaru Mercury Bay 18 5 18 5 13 ! 26 ! 6 ] 21 ' 368 208 20-4 41-6 I 184 125 10-2 ! 25-1 ■ 490 60 27-2 ] 12-0 j 843 703 46-9 140-8 1,886 1,097 104-7 219-5 131 74 7-3 14-9 2.017 1,171 112-0 234-4 15 2 2,033 1,172 Totals and averages 23 23 576 25-0 310 13-5 550 23-9 1.547 67-3 2,983 129-7 I 205 8-9 3,188 138-6 15 2 3,205 I

EL—3l

62

Table VI.—Showing Expenditure of Hospitals controlled by Government for the Year ended 31st March, 1915.

Table V.—Statistics of Government Hospitals for the Year ended 31st March 1915.

Government Institutions. Medical. ! Stipen j OLljJCU' Stipendiary. oh no s Si« a 0 u 00 P © "H i ° I 1 Staff. j Nursing. Domest ic. i'i5 £■= IS © Number of Beds. <D I -H " "a ! -" ° a ! a a o? a i s o a fa -a g IH rH I -H H? o o j .a 2 fa r) | O 5 O 1 « l«< © [ © — O Oi _ c i °s a, a j „ a fl h Q : --. gj 3 Number of Patients under Treatment during Year. Sex. ■ ago S £ Eh «£ c H a © --3 Co co a ° r.£ £ jo to s rS > Sill p S i < d © © d © Outpatients. £ d d -» "o o © © a s fl 3 fl © d © - B g s 9 ■ Maternity Homes — St. Helens, Wellington ; Auckland Christchuroh .. Dunedin 1 3 15 5 1 1 3 12 4 2 1 3 11 3 1 1 2 10 3 1 .. 4 11 18 15 5 23 19 17 15 74 .. 30 .. .. fl4 .. ..18 .. .. 78 48 22 .. | ..30 11-9 0-7 .. i 14 8-8 0-6 18 9-2 0-7 16 8-3 0 5 78 I 38-2 0-6 70 i 50-0 : 7-1 " i 128 222 222 4 19 108-1 £1 to £1 10s. i 95 .. ! 210 210 | 1 15 79-6 „ 2441 .. | 224 224 J 1 14 89-1 „ 84 ! .. 191 191 I .. 16 i 128-2 „ 82| .. i 847 847 I 6 17 ' 104-3 .. 505 .. 62 190 10 96 j 598 £1 to £3 3s. j .. I .. Totals .. I .. ! Consumptive Sanatorium — Cambridge I 1 1 I .. 2 j 5 2 11 19 * Casual.

h © co O fl tc © d^ «*h o © © d Provisit ins. Surgery and Dis- Domestic and pensary. Establishment. a a DO . © £ © a a o o £• o o * HO 6- O Salaries and Total Mainteu- , .,„,„,-. .,.„,,„„ Maintenance and Wages. anee. Aimmibtiation. Administration. a a a a 8 8 3 § Capital ; Other u Orrj « I Oj : _j O , Bxpeudi- Expendi"5 o=o "a HBjs "a h>© a .» © -H> Oll'rt H 'C'a H) CO- Hi ccco C 0 & C O a O O —' H I O £H O BO HO Tctal. Government Institutions. IS & * > Oh -HH> .£ a ■an a o o (H ©X © o .jo O o a © Ord ©^H "'a o d o B Org | © CO c o Maternity Homes — St. Helens, Wei liugton „ Auckland Christchurch Dunedin 11-9 23 ; 88 19 9-2 17 8-3 15 38-0 74 50-0 19 j i 19 14 16 16 £ 769 493 493 389 64-6 . 56-0 1 ' 536 ' 46-9 £ 108 88 96 38 £ 9-1 100 104 4-5 £ 371 •269 362 375 £ 312 30-6 393 45-1 £ 176 636 643 839 £ : 65-2 | : 72-2 ! 69-9 101-1 £ 2,024 1,486 1,594 1,641 £ 170-1 168-8 173:! 197-7 £ 75 83 75 79 £ 6-3 9-4 8-1 9-5 £ 1,569 1,669 1,720 176-4 178-2 181-3 I 207-2 35 19 13 £ 78 £ 2,134 1,666 1,609 1,733 7,202 Totals and averages ... 2,144 56-4 330 r 8-7 1,877 36-2 j •2,894 I 76-2 6,745 177-5 | 312 8-2 7,057 185-7 67 78 Sanatorium for Oonsvtmptioes — Cambridge ... | i „r. ! 58 1-2 j 1,749 35-0 1,669 33-4 • 5,469 1094 3-8 1,993 j 398 ; 190 5,659 113-2 . 172 933 6,767 Totals... 4,187 I 388 | 3,126 4,563 12,214 12,716 239 1,014 13,969 !

H—3l

63

Table VII.—Charitable Institutions: Statistical. Year ended 31st March, 1915.

:overning Hospital and Charitable Aid Boards. Institutions. !_ Medical. Non-resident. St r JO o fc> m fl OS i Stall. Domestic. taff. D a o ca )omi lestic. 4 ■T© life"" S as ~© © a — aa •a as as a fl O EP a © © a k. sr as a ft as to <l Number of Inmates during Year. BO 0C "3 ■ -H i fl d I © i c "bo d © S i in cs at as 2 fl Q as cs fl-o — ft o CO fcl © OS CD _ — ps rh ; S as A. Auckland Otago Wellington Southland North Canterbury Hawke's Bay Waitaki.. Taranaki Nelson Wanganui Whangarei South Canterbury Buller Thames Waikato Cook Wairarapa Old People's Homes — Costley Home, Auckland Otago Benevolent Institution, Dunedin Ohiro Home, Wellington Lome Farm, Invercargill Tuarangi Home, Ashburton Memorial Home, Woolston Old People's Home, Park Island Victoria Home, Oamaru Old People's Home, New Plymouth Alexandra Home, Nelson Jubilee Home, Aramoho Cottage Home, Whangarei Old Men's Home, Timaru Old People's Home, Westport District Home, Taruru Old Men's Home, Hamilton Old People's Home, Gisborne.. Renall-Solway Home, Masterton Totals and averages .. Children's Home — Waltham Orphanage Female Refuge — Linwood Refuge Home Casual Ward — Armagh Street Depot, Christchurch Convalescent Home — Alexandra Convalescent Home, Auckland 3 in l 1 l 1 ] 12 1 .. 1 2 1 2 1 3 1 5 .. ..... ..I 1 1 i .. 1 .. 1 1 j .. I 1 . 1 1 " 24 14 ! 1 .. i 1 1 \ 1 I ' 1 1* 11 I* 3 1 2 1 10 1 4 1 7 1 2 1 2 1* 3 1 4 1 3 1 1 1 3 1 2 1 3 1 1 1 1 17 62 1* 1 1 2 ] ] I 11 27 286 262 322 98 420 75 226 1 6 216 154 147 j 68 215 .. 261 3 9 147 129 266 ! 57 323 22 149 I 2 15 149 102 108 45 153 9 224 | 4 13 ; 107 90 136 I .. 136 25 240 j 3 16 99 82 6 98 104 12 288 8 12 108 79 154 13 167 .. 172 1 4 48 35 : 61 17 78 7 166 3 5 57 35 50 18 : 68 14 189 6 56 33 44 11 j 55 7 219 5 ; 38 30 51 5 | 56 ! 7 199 1 4 i 31 29 44 1 ! 45 8 234 I 4 45 28 62 8 70 8 144 i 4 i 30 28 38 2 40 3 260 3 7 38 24 32 5 ; 37 4 240 3 i 21 17 48 48 2 129 3 ] 26 16 32 2 34 j 2 170 1 15 10 26 .. 26 ! .. 148 40 ; 144 1,517 1,183 1,627 448 2,075 j 205 203 3 3 29 18 13 16 29 235 2 4 37 29 .. 66 ; 66 2 160 2 16 1 40 .. ! 40 . . 9 1 4 13 7 .. 147 147 .. j 20 I I I 11 27 : 286 262 1 6 216 154 3 9 147 129 2 15 149 102 4 13 ! 107 90 3 16 99 82 8 12 108 79 1 4 48 35 3 5 57 35 6 56 33 6 38 30 1 4 i 31 29 4 45 28 4 I 30 28 3 : 7 ! 38 24 3 i 21 17 3 I 26 16 1 ] 15 10 322 I 147 266 ! 108 ] 136 i 6 154 61 50 44 51 44 62 38 32 48 32 26 £ £ s. d. 39-2 0 15 0 23-6 0 8 0 25-9 0 15 0 317 0 10 0 44-1 47-4 37-1 0 8 3 26-7 0 8 9 47-2 0 12 0 36-6 ' 0 10 0 46-5 0 15 0 37-3 0 15 0 32-2 0 8 6 25-4 0 15 0 48-2 0 10 0 46-5 0 10 0 46-5 44-2 35-9 North Canterburyr 37-8 42-5 172-6 Auckland 730 1110 * Registered nurse.

H.—3l.

Table VIII. — Showing Expenditure of Charitable Institutions under the Control of Hospital and Charitable Aid Boards for the Year ended 31st March, 1915.

64

Governing Hospital and Charitable Aid Board. Institutions. ais SI ■ sa VMS aS OH 5* ft Provi; Total Cost. rions. as'as swi it Surf and Disi Total Cost. gery pansary. hS . +3 fl OJ <3jf_ Domesti Establisl Total Cost. r.ic and itiment. as as w Sals and V Total Cost. n-ies Yages. as"as HS rj as Auckland Otago Wellington Southland North Canterbury Old People's Homes— Costley Home, Auckland Otago Benevolent Institution, Dunedin . . Ohiro Home, Wellington Lome Farm, Invercargill Tuarangi Home, Ashburton Memorial Home, Woolston Old People's Home, Park Island Victoria Home, Oamaru Old People's Home, New Plymouth Alexandra Home, Nelson Jubilee Home, Aramoho Cottage Home, Whangarei Old Men's Home, Timaru Old People's Home, Westport District Home, Taruru Old Men's Home, Hamilton Old People's Home, Gisborne Renall-Solway Home, Masterton £ 262 0 154 0 129-0 102-0 90-0 82-0 79-0 35-0 35-0 33-0 30-0 29-0 28-0 28-0 24-0 17-0 16-0 10-6 £ 4,076 1,312 1,529 1,242 1 ,436 1,138 1,171 388 769 598 488 367 387 359 509 437 305 177 £ 15-6 8-5 11-8 12-2 15-9 13-9 14-8 III 22-0 18-1 16-3 12-7 13-8 12-8 21-2 25-7 191 16-7 £ 347 44 43 86 163 137 42 5 43 £ 1-3 0-3 0-3 0-5 1-8 1-7 0-5 0-1 1-2 £ 3.688 1,537 815 I ,074 1 ,261 1,427 806 228 292 175 408 256 204 139 198 135 274 175 £ 141 10-0 6-3 10-5 14-0 17-4 10-2 6-5 8-3 5-3 13-6 8-8 7-3 4-9 8-2 7-9 17-1 16-5 £ 1,944 448 744 753 919 996 752 244 355 309 390 358 225 212 361 188 156 84 £ 7-4 2-9 5-8 7-4 10-2 12-1 9-5 7-0 101 9-3 13-2 12-3 8-0 7-6 150 II-! 9-7 7-9 Hawke's Bay Waitaki Taranaki Nelson Wanganui Whangarei South Canterbury Buller Thames Waikato Cook Wairarapa 7 21 0-2 0-7 3 14 0-1 0-6 Totals 0-8 13,091 111 9.4 11 8-0 118-3 1.6,691 14-2 926 Nth. Canterbury <j Children's Home— Waltham Orphanage .. Female Refuge— Linwood Refuge Home Casual Ward— Armagh Street Depot, Christchurch Convalescent Home— Alexandra Home, Auckland 18-7 29-0 194 521 10-4 17-9 2 8 01 0-3 240 279 12-8 9-6 237 367 12-7 12-6 1-0 64 64-4 1 1-5 46 45-5 53 52-9 Auckland 7-9 193 24-4 2 0-2 216 27-4 143 181 Totals 973 13 781 800 Governing Hospital and Charitable Aid Board. Institutions. as * Total Pi'St) Total Cost. "S gpj Cost. ,9o H Total Maintenance. Adminii 4. ration. Si? Main ten Admini Total ftft-g Cost. <£ 2 CD 8$ lauco and istration. 2 fl n a rr OS S M 3§ Si a s f| Total. Auckland Otago Wellington Southland North Canterbury Hawke's Bay Waitaki Taranaki Nelson.. » .. Wanganui Whangarei South Canterbury Buller Thames Waikato Cook Wairarapa Old People's Homes— Costley Home, Auckland Otago Benevolent Institution, Dunedin .. Ohiro Home, Wellington Lome Farm, Invercargill Tuarangi Home, Ashburton Memorial Home, Woolston Old People's Homo, Park Island Victoria Home, Oamaru Old People's Home, New Plymouth Alexandra Home, Nelson Jubilee Home, Aromoho Cottage Home, Whangarei Old Men's Home, Timaru Old People's Home, Westport District Home, Taruru Old Men's Home, Hamilton Old People's Home, Gisborne Renall-Solway Home, Masterton £ 10,055 3,341 3,131 3,125 3,779 3,698 2,772 865 1,459 1,082 1,299 1.002 816 713 I .083 761 735 436 £ 38-4 21-7 24-2 30-6 41-1 45-1 351 24-7 41-6 32-7 43-3 34-6 29-1 25-4 45-1 44-7 45-9 41 1 £ 216 293 218 112 193 189 157 69 I 95 127 95 79 87 25 74 30 10 32 £ 0-8 1-9 1-7 l-l 2-1 2-3 2-0 2-0 - 5-6 3-8 3-2 2-7 3-1 0-9 3-1 1-8 0-6 31 £ 10,272 3,635 3,349 3,237 3,972 3,887 2,929 934 1,654 1,208 1,394 1.082 902 738 1,156 791 744 469 £ 39-2 23-6 25-9 31-7 441 47-4 37-1 26-7 47-2 36-6 46-5 37-3 32-2 26-3 48-2 46-5 46-5 44-2 ' £ 1,105 66 1,091 488 224 28 62 £ 67 65 5 255 8 £ 11,376 3,767 3,414 4,328 4,460 3,887 3,157 962 1,910 1.278 1,394 1 ,098 937 1,005 1,335 791 932 469 14 34 268 143 3 35 157 31 Totals tO, 152 34-0 2,201 L-9 42,353 35-9 3,679 469 46,501 Nth. Canterbury < Children's Homes— Waltham Orphanage Female Refuge— Linwood Refuge Home Casual Ward— Armagh Street Depot, Christchurch Convalescent Home— Alexandra Home, Auckland 673 1,175 360 34 1-8 707 37-8 1,282 1,989 40-4 60 2-1 1,235 43-5 1,235 164 164-3 8 8-3 173 172-6 173 Auckland . 554 70 1 23 2-9 576 73-0 16 593 Totals .. 2,566 125 2,691 1,298 3,989

65

H.—3l

Table IX. — Showing Estimated Expenditure of Hospital and Charitable Aid Boards for 1915-16, and the Amount of such Expenditure to be raised by Levies on Local Authorities and by Government Subsidy.

9—H. 81.

Net Amount per Head of i Estimated the Popula- — Hospital and Charitable Population Rateable tion required Aid Board. 31st March, Capital Value, for Expendi1915. ture other than Capital Expenditure. Estimated Expenditure. Ex] Estimated Receipts. Expenditure other than Capital Expenditure. -peiiditure other than Net Estimated Expenditure. lC: Capital Expenditure. Amount tn he ] Eate o£ Sub3 «iy ifSS 1 „ t „ 1 Amount to be in Accordance -k° claimed as Subsidy. with Fourth Authorities. Schedule of Act. Estimated Expenditure. * Capital ] Estimated Receipts. Capital Expenditure. Expenditure. i Approximate Amount to be Rate per Pouni levied on Local on Rateable jMet Estimated Authorities and Capital Value, Expenditure. on which Subsidy! 1914-15. is to be claimed _\ at £1 for £1. i £ s. d. £ s. d. £ s. d. 2,010,049 : 4 0 5,730 0 0 1.904 19 6 2,530,788 : 5 7| 6,534 0 0 3,135 18 3 2,333,393 4 10| j 3,912 0 0 1,246 2 2 41,734,887 : 6 7f 79.890 14 0 27,387 13 8 363,969 4 0J 1,827 8 1 1,124 11 10 2,192,935 • 5 10J 8,233 9 8 3,378 0 0 392,670 12 9J 4,700 0 0 1,200 0 0 3,794,799 2 11 > 3,810 0 0 1,629 2 8 17,740,165 3 7J I 22,375 0 0 12,486 0 0 1,907,919 7 OJ I 3,092 11 6 812 0 0 2,495,268 8 OJ 2,800 0 0 800 0 0 10.133.222 j 8 li ; 13,089 0 0 ' 3,516 0 0 3,150.103 : 9 8J 3,546 9 2 654 15 1 12.176,842 6 3J 17,750 0 0 I 8,057 19 3 11,256,051 : 4 10| 8.018 0 0 j 2,723 0 0 7,412,983 5 5J 13.350 0 0 j 5,983 6 8 3,017,249 3 4j 2,950 0 0 1,052 9 4 6,938,700 3 4| 5,280 12 0 2.377 0 0 3,034,356 5 1J 2,055 0 0 676 12 6 15,343,651 , 5 9 i 16,234 12 2 j 3,560 0 0 14,264,074 3 U 9,500 13 3 I 3,030 13 9 31,207.989 i 8 5" 58.346 0 0 ! 14,200 0 0 15,786,315 ; 5 6J 11,535 0 0 3,339 0 0 ■5.166,657 6 3f 4,509 5 0 715 0 0 1,329,663 8 3 2,600 0 0 ! 1,000 0 0 4.772,857 4 7{ 8,792 10 0 2,650 0 0 1.647,056 5 4j 5,276 8 1 16,776 8 1 380,907 5 l| 3,540 18 11 2,197 18 11 1,331,349 9 2 7,960 0 0 1.580 0 0 829,646 16 OJ 10,740 0 0 4,774 0 0 43,104,538 \ 5 llj 58,700 0 0 17.040 0 0 9,127,674 i 4 U ' o.lll 19 I 1,571 19 I 15.977,108 5 5j 12.966 0 0 2,164 0 0 4.649,452 1 6 2,830 17 1 1,582 17 1 911,816 6 Of 1,971 1 2 987 11 5 1,002,204 5 1TJ 1.922 0.0 i 342 0 0 21,878.960 5 2| 49,634 18 6 19,634 18 6 14,936,268 : 3 9| 17,566 1 2 6,930 15 4 3,561,907 ! 4 7£- 4,030 0 0 1,225 0 0 ' £ s. d. 3,825 0 6 3,398 1 9 2,665 17 iO 52,503 0 4 702 16 3 4,855 9 8 3,500 0 0 2,180 17 4 9,889 0 0 2,280 11 6 2,000 0 0 9,573 0 0 2.891 14 I 9.692 0 9 5,295 0 0 j 7,366 13 4 I 1.897 10 8 2,903 12 6 1,378 7 6 12,674 12 2 6,469 19 6 44,146 0 0 8,196 0 0 3,794 5 0 1,600 0 0 6,142 10 0 3,600 0 0 1,343 0 0 6,380 0 0 5,966 0 0 41,660 0 0 3,540 0 0 10,802 0 0 1,248 0 0 983 9 9 1,580 0 0 30,000 0 0 10,635 5 10 2,805 0 0 £ s. d. £ s. d. 1,768 16 0 2,056 4 6 1,667 15 5 1,730 6 4 1.300 8 8 1.365 9 2 26,753 2 7 25.749 17 9 325 0 0 377 16 3 2,271 11 5 2,583 18 3 1,739 2 7 1,760 17 5 1,083 12 8 1,097 4 8 5,038 19 4 4,850 0 8 1.192 9 1 1.088 2 5 1,240 6 3 759 13 9 5,936 14 11 3,636 5 1 1,793 6 2 1,098 7 11 5,203 15 6 4.488 5 3 2,962 4 10 2,332 15 2 3.706 10 0 3.660 3 4 942 17 6 954 13 2 1,558 19 11 1,344 12 7 771 2 3 607 5 3 6,541 14 8 6.132 17 6 3,382 19 10 3.086 19 8 24,356 8 3 19,789 11 9 4,650 2 6 3,545 17 6 2,152 15 6 1.641 9 6 907 16 0 692 4 0 2,925 0 0 3,217 10 0 1,684 4 3 1.915 15 9 610 9 2 732 10. 10 3.170 3 7 3,209 16 5 3,040 0 0 2,926 0 0 21,783 0 0 19.877 0 0 1,966 13 7 I 1.573 6 5 5,878 12 9 | 4,923 7 3 620 2 6 627 17 6 501 2 9 ! 482 7 0 756 I! 9 823 2 3 14,371 5 2 15,628 14 10 5,284 12 4 j 5,350 13 6 1,402 10 0 1,402 10 0 £ s. d. 1 3 3 i 0 9 1 1 0 0 19 3 1 3 3 1 2 9 1 0 3 1 0 3 0 19 3 0 18 3 0 12 3 0 12 3 0 12 3 0 17 3 0 15 9 0 19 9 1 0 3 0 17 3 0 15 9 0 18 9 0 18 3 0 16 3 0 15 3 0 15 3 0 15 3 1 2 0 1 2 9 1 4 0 1 0 3 0 19 3 0 18 3 0 16 0 0 16 9 1 0 3 0 19 3 1 I 9 1 1 9 1 0 3 1 0 0 £ s. d. £ s. d. £ s. d. £ s. d. 650 0 0 .. 650 0 0 325 0 3,186 0 0 2,498 14 8 687 5 4 343 12 8 2,200 0 0 1,765 17 10 434 2 2 217 1 1 103 0 0 53 0 0 50 0 0 25 0 0 9,619 0 8 5,024 18 10 4,594 I 10 2,297 0 11 1,000 0 0 .. 1,000 0 0 500 0 0 4.500 0 0 .. 4,500 0 0 2,250 0 0 8,000 0 0 .. 8,000 0 0 4,000 0 0 9,444 17 8 220 0 0 9,224 17 8 4,612 8 10 2,600 0 0 .. 2,600 0 0 1,300 0 0 15.630 0 0 .. 15,630 0 0 7.815 0 0 505 0 0 127 17 0 377 3 0 188 11 6 2,000 0 0 .. 2,000 0 0 1,000 0 0 1,493 0 0 .-■■; 1,493 0 0 746 10 0 4,697 19 3 3.965 6 0 732 13 3 366 6 8 6,016 0 0 5,100 0 0 916 0 0 458 0 0 1,090 0 0 88 0 0 1,002 0 0 501 0 0 1,000 0 0 .. 1,000 0 0 500 0 0 800 0 0 .. 800 0 0 400 0 0 300 0 0 .. 300 0 0 150 0 0 - 3,850 0 0: 21 0 0 3,829 0 0 1,914 10 0 1.000 0 0 .. 1,000 0 0 500 0 0 1,544 0 0 .. 1,544 0 0 772 0 0 8,000 "0 0 .. 8,000 0 0 4.000 0 0 3,234 18 I 734 18 1 -2,500 0 0 1.250 0 0 150 0 0 .: 150 0 0 75 0 0 (1. 1 4 4 1 4 2 T3 1 4 1. 9 1 5 10 A _2_ ft 1 4 1 A A Tl J, 6 1 5 A 1 4 1 4 x 3 1 6 A A A i 1 1 Bay of Islands Whangarei Kaipara .. Auckland .. .. 1 Coromandel Thames .. .. J Waihi Bay of Plenty Waikato Taumarunui Waiapu Cook Wairoa Hawke's Bay Waipawa Taranaki Stratford Hawera Patea Wanganui Palmerston North . , Wellington Wairarapa Wairau Picton Nelson Buller Inangahua Grey Westland North Canterbury .. AsKBurton .. South Canterbury Waitaki -Vlaniototo Vincent ... Otago Southland Wallace and Fiord .. 19,139 12,091 10,892 158,191 3,493 16,489 5,475 14,620 54,540 6,769 4.862 22,324 5.955 30.847 21,671 27,101 11,173 17.208 5,401 44.339 36,460 104,836 29,604 12,034 3,884 26,214 13.373 5.263 13,927 7,432 139,277 16,181 39,630 16,711 3,250 . 5,360 114,500 56,538 12,078 Total 170,347 13 1 8 '159,121 10 _? 0 18 4* 92,603 15 8 19,599 12 5 36,507 1 8 1,149,142 ! 331,826,439 5 94 :502,712 9 4 332-364 16 3 73,014 3 3

H.—3l.

Table X.— Hospital and Charitable Aid Boards.

66

Institutions controlled. ■ Hospital and Charitable Aid Boards. Chairman. Secretary. Location of Board's Office. Usual Date of Meeting. Hospitals. Medical Superintendent and Stipendiary Medical Staff. Charitable Institutions. Name. Matron. i i Bay of Islands Kaipara . . .. W. Stewart .. H. C. Blundell J. Stallworthy .. E. Fenton Kawakawa Dargaville Whangarei Fourth week, Jan., April, Baj' of Islands July, Oct. Rawene Mangonui Quarterly; fourth Thursday Northern Wairoa .. in month Second Monday in month Whangarei H. D. Eccles, M.R.C.S.. L.R.C.P. .. A. S. Hawken S. M. Smith, M.B. .. .. N. L. Bennett. P.W. Menzies, L.R.C.P., L.R.C.S.(Eng.) E. M. Clark J. R. Closs, M.B., Ch.B. ; W. H. M. G. Atkinson Horton, M.B. J. L. Frazer-Hurst, M.D. . . .. D. E. Gifiney C. E. Maguire, M.D. ; A. McG. Grant, J. M. OnM.B., Bach. Surg.; L. A. Spedding, M.B., Ch.B.; F. Maeky, M.B., Bach. Surg. : A. S. Addison, M.B.. Bach. Surg. ; J. V. Pearse, M.B., B.S. ; J. MeOhie, M.B.. Ch.B. H. Douglas. M.B., CM. ; S. Maeky, E. M. Rothwell M.B., Bach.Surg. W. C. McKnight, M.B.. CM., F.R.C.S. A. B. Smith (Edin.) D. B. Walshe, M.B., Ch.B. .. M. Wilson Whangarei Old People's Home. .. Costley Old People's Home: Alexandra Convalescent Home. Waikato Old Men's Home. District Home, Taruru. Whangarei .. IN. McKenzie .. j'C. McKinnon Auckland . . M. J. Coyle .. H. N. Garland Auckland Third Tuesday in month .. Auckland Waikato . . .. j J. P. Bailey ' .. ] W. I. Conradi Hamilton Every fourth Thursday from ', Waikato 22nd Oct., 1914 - Taumarunui Thames .. | W. J. McCormick .. R. R. Lloyd Thames .. First Wednesday in month Thames . . Waihi Coromandel Bay of Plenty Cook Waiapu Wairoa .. D. Donaldson . . F. Bishop .. I S.James.. .. R. Sirnmonds .. j A. Peebles .. H. 0. Garaway .. H. Kenway .. H. M. Porter .. K. S. Williams .. A. L. Temple .. Rev. W. J. Simkin. . W. Taylor Waihi .. .. ; Last Friday in month .. Waihi J. M. Hvde, M.B.. Ch.B.; T. C Fraser. A. Tavlor M.C, Ch.B. J. Craig. L.R.C.S.. L.R.C.P. . . M. Anderson I _ Coromandel Whakatane Gisborne Third Monday in month .. Coromandel Quarterly .. .. Tauranga Opotiki Third Friday in month .. Cook " " F. Kahlenberg. F.R.C.S., L.R.C.P.. E. F. Godfray (Lond.) C S. Davis. M.R.C.S.. L.R.C.P. .. A. B. Allan J. Miller. L.R.C.P., L.R.C.S. -• M.Grace.. Old People's Home, Gisborne. Waipiro Bay Wairoa .. Napier .. : Fourth Monday in month.. Waiapu Saturday following second Wairoa Friday in each month Second Monday in month.. Napier Hawke's Bay Waipawa . . Taranaki .. W. Shrimpton .. J. Scheelo .. G. J. E. Bickford .. G. B. Ashley F. C. J. Bellringer .. C. M. Lepper Waipukurau Tarana ki.. Second Thursday in month Waipawa.. Dannevirke Third Wednesday in month New Plymouth T. Gilrav, F.R.C.S. (Edin.) ; E. Faris, R. Macdonald M.B.,* Ch.B. ; I. Blaubaum. M.B., Ch.B. J. L. Reed, M.B., CM. (Edin) ; .. M. E. Carston T. Macallan, M.B. (Aberdeen) ; W. H. Miss G. Hooper Dawson. M.B.. D.P.H.. M.R.C.S. (Edin.) E. A. Walker. M.D.. CM.; D. S. Wvlie, E. Browne F.R.C.S. ; G. Home. M.D.. Mast. Surg. ; H. B. Leatham, M.R.C.S., L.R.C.P. D. Steven, M.B.. Ch.B. .. .. M. O'Brien Old People's Home, Park Island. Old People's Home New Plymouth. Stratford . . .. i J. McAlister .. I T. H. Penh Stratford.. Second Thursday in month ' Stratford.. .. I

67

PL—3l

Hawera Patea Wanganui Palmerston North .. Wellington Wairarapa Wairau Picton Nelson Westland Buller Inangahua Grey .. North Canterbury .. Ashburton South Canterbury .. Waitaki G.W.Taylor .. C E. Parrington .. Hawera .. .. Every third Monday .. Hawera .. .. W. M. Thomson, M.B.. Ch.B. G. Broad.. H. 0. Clarke .. E. C. Horner .. Patea .. .. First Monday in month .. Patea .. .. W. T. Simmons, M.B., Ch.B. .. L. Soolon L. H. Bassle . . R. N. Finlayson . . Wanganui .. Third Wednesdav in month Wanganui .. H. Hutson, M.D., F.R.C.S. .. C. MoKenny Taihape .. . . E. C Barnett, M.R.C.S., L.R.C.P. .. E. A. Southall Sir J. G. Wilson .. W. Stubbs .. Palmerston North.. Second Thursdav in month Palmerston North.. A. A. Martin, M.D., F.R.C.S. (Eng.); M. McLagan P. T. Putnam, M.D., Ch.B. ; C. W. Peach, M.B., CM. Rev. W.A.Evans.. J. Coyle .. .. Wellington .. Third Thursday in month.. Wellington .. H. Hardwick-Smith, F.R.C.S. (Eng.) ; N. K. Payne D. F. Meyers, M.B., Ch.B.; H. B. Ewan, M.B., Ch.B. ; J. A. Marshall, M.B., Ch.B.; S. S. Haslett, M.B., Ch.B. Otaki .. .. W. H. Huthwaite, M.R.C.S., L.R.C.P. E. M. Sealey Otaki Sanatorium W. H. Huthwaite, M.R.C.S., L.R.C.P. E. M. Sealey E. G. Eton ., H. F. Green .. j Masterton .. , Second Wednesday, alter- Masterton . . A. Hosking, M.B., CM. .. .. I. M. Wilkinson nate months South Wairarapa .. W. Be}-, M.B.. CM. .. .. M. Baglev Pahiatua.. .. H. T. Dawson, M.B., CM. .. E.M.Davis J. J. Corrv .. A. J. Maclaine .. Blenheim .. First Monday in month .. Wairau .. .. J. F. Bennett, M.B., F.R.C.S. .. W. S. Fulton Havelock .. S. F. Beard, M.R.C.S. (Eng.) .. 0. Peake.. S. Fell .. .. J. Blizzard .. Picton .. .. First Thursday in month .. Picton .. .. S. W. Hill, M.R.C.S., L.R.C.P. (Edin.) A. A. Hamann H. Baigent .. S. Blornfiekl .. Nelson .. .. First Wednesday in month Nelson .. .. H. E. A. Washbourn, M.B., Ch.B. .. J. S. Murray A. Clifton .. T. Kenned v .. Hokitika . . Second Tuesdav in month.. Westland Kumara .. .. G. Phillips. M.R.C.S. (Ens.), L.R.C.P. K. Isdell (Lond.) Totara .. . . J. A. Doctor. M.B., Ch.B... .. I A. 0. Phillips Otira .. .. W. Cairns, M.B., Mast.Surg. .. LB, Floyd J.H.Greenwood .. A.Taylor .. Westport.. .. Second Tuesday, alternate Westport.. .. R. E. Monson. M.B., Ch.B.; P. L. E. M. Dunsford months Foote, F.R.C.S. (Eng.) Denniston .. T. G. Short, M.B., Ch.B. .. .. L. E. SmithE. J. Scantlebury C Nevin .. Reefton .. .. Fourth Thursdav in month Reefton .. .. W. A. Conlon, M.B. .. J. Barrv M. Hannan .. M. Phillips .. Greymouth .. Third Thursdav in month.. Grev .. .. C G. Morice .F.R.C.S. (Ed.) .. S. Kitto .. F. Horrell .. W.S.Wharton .. Christchurch .. Fourth Wednesdav in Christchurch .. F. L. Scott, L.R.C.P., L.R.C.S. (Eng.); M. Thurston month D. Sinclair, M.B.. Ch.B. ; G. N. McDiarmid, M.B., Ch.B. ; W. S. WaUis, M.B., Ch.B. Akaroa . . .. CS. Cantrell, M.B., CM. (Edin.) .. N. M. Jensen Kaikoura ... A. C Thompson, M.B.,, F.R.C.S. F. Ivev .. (Edin.) Lyttelton Casualty J. A. Newell, M.B., Ch.B... .. E. M. Gooding Ward Bottle Lake .. J. F. Duncan, F.R.C.S. (Edin.) .. A. Veitch Consumptive Sana- G. J. Blackmore, M.D., CM. .. K. Benjamin torium , Coronation Memorial H. Friedlander .. A. Clarke .. Ashburton .'. First Monday in month .. Ashburton .. H. Hunter, M.B., Ch.B.; 0. E. R. S. E. Morley Rendle F. R. Gillingham .. H.S.Russell .. Timaru .. .. Third Tuesday in month .. Timaru .. .. B. H. Gilmour, M.B., Ch.B. .. J.Todd .. Waimate.. .. H. C. Barclay, F.R.C.S. (Edin.) .. M. Mander Talbot . . .. B. H. Gilmour, M.B., Ch.B. H. A. Dovey .. W. Gibb .. ... Oamaru .. .. First Tuesday in month .. .. .. ... 1 I Jubilee Home, Ara- .. ; moho. Awapuni Old People's Home. Ohiro Home. Renall-Solway Home. Alexandra Home. Old People's Home. Westport. Memorial H o m e. Woolston; Waltham Orphanage: Linwood Refuge: Depot: Tuarangi Home. Ashburton. Old Men's Home, Timaru. Victoria Home, Ashburton South Canterbury .. Waitaki . .

H.—3l

68

Table X.—Hospital and Charitable Aid Boards— continued.

Approximate Coit of Paper. — Preparation, not given ; printing (1,200 copies), £60.

By Authority : John Mackay, Government Printer, Wellington.— 1915.

Price Is. 6d.J

Hospital and Charitable Aid Boards, Chairman. Secretary. Location of Board's Office. Usual Date of Meeting. Institutions controlled. Hospitals. Medical Superintendent and Stipendiary Medical Staff. Charitable Institutions. Name. Matron. Otago .. .. J. H. Walker I J. Jacobs Dunedin .. Alternate Thursdays Dunedin Kaitangata Tapanui A. R. Falconer, M.B., Ch.B. ; J. T. M. Myles.. .. Otago Benevolent In Bowie, M.B., CM., D.T.M.; P. D. stitution. Cameron, M.D.; W. Fleming.'M.B., CM. J. E. K. Brown, M.R.C.S., L.R.C.P. .. F. Clements W. Robertson, M.R.C.S., L.R.C.P. J. Naismith (Lond.) W. H. Borrie, M.B., CM. .. .. A. Veitch W. Sutherland, M.R.C.S. .. .. J. Drew .. C E. W. Lyth, M.R.C.S., L.R.C.P... j M. Valentine Vincent .. J. Smart .. J. S. Dickie .. Clyde .. Arranged each meeting . . Port Chalmers Tuapeka Pleasant Valley Sanatorium Dunedin Medical School Dunedm I.D. Hospital Dunstan Cromwell Maniototo Southland Arrow Gore Wakatipu Kew I.D. Hospital.. Wallace and Fiord.. R. Ritchie, M.B., M.R.C.S. (Eng.) .. R. M. Every E. R. Jack W. H. Thomas, M.B., Ch.B. .. M. Burnett R. A. Shore, M.B., Bach.Surg. .. — McShane C 0. Lillie, M.B., M.R.C.S. .. I. R. Cruiekshank S. E. V. Brown, M.B., F.R.GS.(Eng.) J. Ewart.. .. Lome Farm Home. E. E. Brown, M.B., Bach. Surg. .. E. Spring J. E. Rogers. M.D., CM. .. .. M. F. Loonev A. Stewart, M.B., CM. .. .. H. M. R. Blakie S. E. Y. Brown, M.B., F.R.C.S. (Lond.) M. Cowan N. G. Trotter, M.D., Mast.Surg. (Edin.) J. McGregor Maniototo.. .. C J. Inder Southland.. .. A. T. Hawke .. H. Wilson .. T. Pryde Naseby .. .. ] Invercargill First Wednesday in month Thursday before second Friday in month Wallace and Fiord .. T. A Buckingham i G. Cassels Riverton Thursday before third Friday in month