H.—3l

2

Part V. —School Hygiene. page Section I.—Administration and Medical Inspection : Staff ; Work performed ; Medical Inspection ; Nutrition ; Skin-diseases ; Heart Abnormality ; Lung-disease ; Deformities ; Malformation of Jaws ; Dental Decay ; Nose and Throat; Goitre ; Tuberculosis ; Infectious Diseases ; General Health .. .. .. 34 Section 2.—Treatment of Defects : Goitre ; lodine ; Health Camp ; Heliotherapy ; Methods, Treatment outlined ; Notifying Parents .. .. .. .. .. .. .. .. .. .. 37 Section 3. —Education and Prevention : Instruction Addresses ; Health Talks ; Rules of the Game of Health ; Responsibilities of School-teachers ; Health Week Propaganda ; Health Leaflets .. .. .. .. 37 Section 4. —Work of School Nurses. .. . . .. .. . . .. .. .. .. 39 Section s.—Co-operation with University Medical School and Teachers Training Colleges .. .. 39 Section 6.—Physical Education and Child Welfare ; Instructions ; School Lunch ; Tooth-brush Drill .. .. 39 Section 7. —School Buildings and School Sanitation .. .. .. .. .. .. 40 Section 8. —Relation to Education Boards, School Committees, and Teachers .. .. .. 40 Section 9.—Mental Deficiency, Sex Education : Feeble-minded Children ; Sox Education ; Venereal Diseases Report .. .. .. .. .. .. .. .. .. .. • • ..41 Section 10.—Medical Examination of Candidates for Teaching Profession: Results; Wastage of Health; Art of Living, and Educational System .. .. .. .. .. .. .. .. 41 Part Vl.—Dental Hygiene. Section I.—Staff, Accommodation, and Equipment: Personnel; Operations performed ; Clinics ; Equipment .. 41 Section 2. —Dental Nurses : Training ; Report of Supervisor ; Propaganda ; Health Week .. .. 42 Part Vll.—Maori Hygiene. Section I.—Native Health : Maori Health Councils, Work of ; Water-supplies ; Native Health ; Inoculation ; Ante-typhoid ; Tangis and Huis ; Maori Health Nurses ; Native Health Inspectors .. .. .. 43 Section 2.—Medical Attendance and Supplies : Subsidized Medical Officers ; Medical Supplies ; Propaganda .. 44 Section 3.—Dcmographical: Population ; Sex Distribution ; Race Dilution ; Miscegenation ; Maori Land-titles .. 44 Part VIII. —Hospitals and Sanatoria. Section I.—Queen Mary Hospital, Hanmer : Hospital for Women ; Heating ; Staff ; Farm ; Bathhouses ; Teakiosk ; Grounds ; Electrical Services ; Y.M.C.A. .. .. .. .. . . .. .. 45 Section 2. —King George V Hospital, Rotorua : Staff ; Surgical Division ; Operations ; Sub-astragaloid Arthrodesis ; Spastic Paralysis ; Reconstruction of Shoulder-joint; Anaesthetics ; Tuberculosis ; Bones and Joints ; Physiotherapy ; Plaster Department; X-Ray Department; Laboratory and Dispensary ; Splint-making ; Surgical Boots ; Infectious-diseases Hospital; Scrvioes rendered .. .. .. .. 46 Section 3. —Otaki Sanatorium and Hospital: Results of Treatment; Administration .. .. .. 47 Section 4.—Pukoora Sanatorium : Morale of Patients ; Treatment; Administration ; X-Ray Department; Laboratory ; Dispensary ; Vocational Training Services _ .. .. .. .. .. .. 47 Section s.—Medical Statistics .. .. . . .. .. .. .. .. . . .. 4S Appendix B. —Aspects of Child-Welfare Work in Britain and America, by Dr. Ada Paterson .. ..49

The Director-General or. Health to the Hon. the Minister oi? Health, Wellington. I have the honour to submit my annual report for the year 1922—23. PART I.—GENERAL SURVEY. SECTION L—GENERAL ADMINISTRATION. Public Health. The public health, as shown by the death-rate, may be generally regarded as satisfactory, especially so when viewed in relation to certain of the more serious notifiable diseases. The report of Dr. Watt, Director of the Division of Public Hygiene, shows that the standardized death-rate has fallen from 10:93 per thousand to 1070. These rates are markedly low, as is the infantile-mortality rate of 41-9 per thousand births. The death-rate of infants in the first month shows little change, and is still a matter for much concern. It may be said here that the population of New Zealand has the greatest expectation of life of any of the leading countries of the world ; and, apart from social and economic factors, it is not unreasonable to assume that this is in some measure due to the many activities of this Department. Notifiable Diseases. —During the past year the Dominion was practically free from any of the outstanding outbreaks of disease. An outbreak of enteric fever at Mount Albert, Auckland, however, occasioned the Department much concern. A full report of this outbreak, by Dr. Makgill, is duly reported in an appendix. This unfortunate outbreak led to the death of some thirty persons, and should bring home to all local-governing bodies the grave responsibility which rests with them in providing and maintaining a supply of pure water and an efficient sewerage system. However, such outbreaks should be rare indeed when it is taken into consideration that at present there are few towns of over a thousand inhabitants that are not provided with an adequate, supply of pure water and modern systems of drainage.