A.—4a.

Clinical Division. —Attendance, Operations, etc., for the Year 1922-23. Apia Hospital. 'Tuasivi Hospital. General attendance .. .. .. 5,093 Attendance .. .. .. .. 1,509 European in-patients .. .. .. 196 Samoan in-patients .. .. .. 231 Samoan in-patients .. '.. .. 569 Samoan out-patients .. .. .. 922 Chinese in-patients— Operations .. .. .. . . 45 Apia Hospital, 385; C. E. Hospital, 184 .. .. .. ..569 Chinese out-patients— Apia Hospital, 3,379 ; C. E. Hospital, 1,125 .. .. .. .. 4,504 Operations* .. .. .. .. 144 * Under the heading of " Operations "at the Apia Hospital are included under major operations, requiring a general anaesthetic. The records of minor operations are incomplete, but would average about 25 per month.

Apia Hospital.—Classified Table of Admissions for the Year 1922-23.

Causes of Deaths occurring in the European and Samoan Hospitals during the Year 1922-23.

14

Clinical Division. —Attendance, Dpi IRATIONS, ETC., FOR THE YEAR 1922-23. Apia Hospital. General attendance .. .. .. 5,093 European in-patients .. .. .. 196 Samoan in-patients .. .. .. 569 Chinese in-patients— Apia Hospital, 385; C. E. Hospital, 184 .. .. .. ..569 Chinese out-patients— Apia Hospital, 3,379 ; C. E. Hospital, 1,125 .. .. .. .. 4,504 Operations* .. .. .. .. 144 Tuasivi Hospital. Attendance .. .. .. .. 1,509 Samoan in-patients .. .. .. 231 Samoan out-patients .. .. .. 922 Operations .. .. .. .. 45 * Under the heading of " Operations " at the Apia Hospital are ii records of minor operations ate incomplete, but would average about [eluded under major operations, requiring a general anesthetic. The 15 per month. Apia Hospital.—Classified Table o ? Admissions for the Year 1922-23. 1922. 1923. 'C I 3 ft 02 O to a a n a Is! i o H 13* Ximeniary System — Gastro-enteritis Marasmus Catarrhal jaundice .. ..Hepatitis Intussusception Intestinal obstruction Hernia, inguinal Imperforate anus Cleft palate Ascites 'espiratory System— Lobar pneumonia . . Bronchitis and Broncho - pneumonia Pleurisy Phthisis Asthma Empyema Adenoids Circulatory system .. 9 4 1 1 4 1 2 1 3 i 8 i 1 5 1 i i 3 2 1 1 i II 2 1 i 10 12 3 73 I I .. 10 2 2 I* ; 1 3t 2J 1 *§ 2 3 7 1 11 1 3 1 2 6 1 3 4 4 7 1 47 17 11 4 43 I *2 1 2 1 3 i 1 1 1 3 2 3 L 2 1 811 1 .. .. 14 1 .. .. 2 1 I ..... .. n i 1 i i 1 1 •• , * Adult, three days' dun X One case showed transposit type. H Two cases of ei ation ; r* Ion of tl Ldocarditl esection tic viscei is, two < of bowel; died, ra. $ One ioubtful; died s t One ca erated or r admissi ise strar i for T.: ion. ngulated ; three d .B ; others proba] lay's duration ; resection ; died. bly T.B. || All of the dry ease op< oon aftei Causes of Deaths ot JCURR1 :nq IN THE EUROPK :an an D SamOAN H JOSPITALS DU1 ring the Year 1922-23. Disease. Deaths. Remarks. Cancer of stomach Uraemia Placenta praevia Cardiac .. .. • • Practurcd skull Gastro-enteritis Bacillary dysentery and lobar pneumonia European. European. Half-caste Samoan ; delivered at home ; admitted in a critical condition ; died of sepsis. European : arterio-sclorosis and chronic nephritis. Half-caste male : admitted unconscious ; died same day. Half-caste child : died day of admission. European child : developed lobar pneumonia when convalescing from dysentery. Samoan Hospital. Bacillary dysentery Gastro-enteritis Marasmus Tetanus Ovarian cyst Strangulated hernia Intussusception Imperforate anus Uraemia Phthisis pulmonalis Encephalitis lethargioa Arthritis, knee 2 5 1 2 Died from post-operative shook. Three days' duration ; resection of bowel; artificial anus. Three days' duration ; resection of bowel; end-to-end anastomosis. Pemale ; admitted in comatose condition. Amputation of arm No diagnosis .. 1 6 Secondary haemorrhage ; amputation ; death from post-operative shock. Compound-fracture dislocation ; one week ; forearm gangrenous ; death from shock and sepsis. Admitted in a moribund condition. In some instances there was evidence that Native medicine had been given. In at least one case this was admitted. The drug used appears to have caused rapid heart-failure, death ensuing in about twelve hours.

Clinical Division.—Attendance, Dpi IRATIONS, ETC., FOR THE YEAR 1922-23. Apia Hospital. General attendance .. .. .. 5,093 European in-patients .. .. .. 196 Samoan in-patients .. .. .. 569 Chinese in-patients— Apia Hospital, 385; C. E. Hospital, 184 .. .. .. ..569 Chinese out-patients— Apia Hospital, 3,379 ; C. E. Hospital, 1,125 .. .. .. .. 4,504 Operations* .. .. .. .. 144 Tuasivi Hospital. Attendance .. .. .. .. 1,509 Samoan in-patients .. .. .. 231 Samoan out-patients .. .. .. 922 Operations .. .. .. .. 45 * Under the heading of " Operations " at the Apia Hospital are ii records of minor operations ate incomplete, but would average about [eluded under major operations, requiring a general anesthetic. The 15 per month. Apia Hospital.—Classified Table o ? Admissions for the Year 1922-23. 1922. 1923. 'C I 3 ft 02 O to a a n a Is! i o H 13* Ximeniary System — Gastro-enteritis Marasmus Catarrhal jaundice .. ..Hepatitis Intussusception Intestinal obstruction Hernia, inguinal Imperforate anus Cleft palate Ascites 'espiratory System— Lobar pneumonia . . Bronchitis and Broncho - pneumonia Pleurisy Phthisis Asthma Empyema Adenoids Circulatory system .. 9 4 1 1 4 1 2 1 3 i 8 i 1 5 1 i i 3 2 1 1 i II 2 1 i 10 12 3 73 I I .. 10 2 2 I* ; 1 3t 2J 1 *§ 2 3 7 1 11 1 3 1 2 6 1 3 4 4 7 1 47 17 11 4 43 I *2 1 2 1 3 i 1 1 1 3 2 3 L 2 1 811 1 .. .. 14 1 .. .. 2 1 I ..... .. n i 1 i i 1 1 •• , * Adult, three days' dun X One case showed transposit type. H Two cases of ei ation ; r* Ion of tl Ldocarditl esection tic viscei is, two < of bowel; died, ra. $ One ioubtful; died s t One ca erated or r admissi ise strar i for T.: ion. ngulated ; three d .B ; others proba] lay's duration ; resection ; died. bly T.B. || All of the dry ease op< oon aftei Causes of Deaths ot JCURR1 :nq IN THE EUROPK :an an D SamOAN H JOSPITALS DU1 ring the Year 1922-23. Disease. Deaths. Remarks. Cancer of stomach Uraemia Placenta praevia Cardiac .. .. • • Practurcd skull Gastro-enteritis Bacillary dysentery and lobar pneumonia European. European. Half-caste Samoan ; delivered at home ; admitted in a critical condition ; died of sepsis. European : arterio-sclorosis and chronic nephritis. Half-caste male : admitted unconscious ; died same day. Half-caste child : died day of admission. European child : developed lobar pneumonia when convalescing from dysentery. Samoan Hospital. Bacillary dysentery Gastro-enteritis Marasmus Tetanus Ovarian cyst Strangulated hernia Intussusception Imperforate anus Uraemia Phthisis pulmonalis Encephalitis lethargioa Arthritis, knee 2 5 1 2 Died from post-operative shook. Three days' duration ; resection of bowel; artificial anus. Three days' duration ; resection of bowel; end-to-end anastomosis. Pemale ; admitted in comatose condition. Amputation of arm No diagnosis .. 1 6 Secondary haemorrhage ; amputation ; death from post-operative shock. Compound-fracture dislocation ; one week ; forearm gangrenous ; death from shock and sepsis. Admitted in a moribund condition. In some instances there was evidence that Native medicine had been given. In at least one case this was admitted. The drug used appears to have caused rapid heart-failure, death ensuing in about twelve hours.