H.—3l.

in Dannevirke, which has previously been, comparatively, so free from the complaint. The quality of the water-supply is excellent, and the drainage is good. Gisborne, which has a water-supply but no drainage and many sanitary shortcomings, is to the fore in diphtheria as well as enteric. The number of cases of scarlatina notified has been larger than last year, but most of the cases have been of an excessively mild type, as evidenced by the few deaths. The mild cases are the chief factors in the spread of this affection, as they are seldom notified, and it is impossible to get control of them. The number of cases of tuberculosis notified —45—is 7 less than last year. Again we have the same evidence as in former years of the spread of tuberculosis amongst the Native race. Out of 45 notifications I have received this year, 30—two-thirds —of the cases have occurred amongst the Maoris. Unless the Natives will bestir themselves, and determine to live such lives as will bid defiance to King Tubercle, it may be safely asserted that the end is not far off.

Number of Deaths from all Causes in this District during this and Previous Years.

Deaths from the More Important Diseases during this and Previous Years.

Of the 5 deaths from enteric, 2 occurred in Napier, 2 in Gisborne, and 1 in Wairoa. Both deaths from diphtheria occurred in Napier. Four out of the 8 deaths from scarlatina occured in Ormondville. Hastings accounts for 4 deaths out of 10 from septicaemia, all of them being post-partum cases. Wellington District. Notification of Infectious Disease. The following table shows the number of infectious cases notified throughout the district: —

27

Year. Napier. Hastings. Dannevirke. Woodville. Wairoa. I Gisborne. Remainder of District. Total. 1903 1904 1905 1906 1907 1908 1909 153 159 140 150 145 184 198 56 56 61 57 55 51 70 31 38 31 -II 63 53 67 17 23 15 15 II 16 18 !) * * 16 16 28 9 96 91 115 106 109 106 144 90 67 70 84 54 47 56 452 414 452 469 463 535 562 *Not lentioned.

Year. Enteric. Diphtheria. Cancer. Tuberculosis. Q , Erysipelas and iscarla- i J '. , Bloodtina. poisoning. Hydatids. Total. 903 904 905 .906 907 908 909 5 1 2 5 3 4 5 17 31 26 22 15 32 23 33 11 56 32 52 59 31 * 6 5 3 5 4 6 10 * 61 83 87 66 112 108 73 2 * * 2 5 4 2 * * * * 3 3 8 * * -1 * Not mentioned.

Scarlet Fever. Enteric Fever. Diphtheria. Tuberculosis. Bloodpoisoning. Hydatids. Totals. loroughs, — Carterton Eastbourne Eketahuna Eltham Feilding Foxton Hawera Hutt .. lnglewood Karori Levin Marton 8 1 1 5 1 2 5 5 19 1 6 1 1 1 3 2 1 3 3 1 1 2 8 4 3 10 3 8 11 8, 24 4 7 1 4 2 3 1 2 2 1 2 1