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1925. NEW ZEALAND.

MANDATED TERRITORY OF WESTERN SAMOA. ANNUAL REPORT OF THE DEPARTMENT OF HEALTH FOR THE YEAR ENDED 31st MARCH, 1925.

Presented to both Houses of the General Assembly by Command of His Excellency

CONTENTS. General Survey :— page Infectious Diseases . . . . . . . . . . . . . , . . 2 Ankylostomiasis .. . . . . . . . . .. .. . . 2 Yaws .. .. . . .. . . . . . . . . .. 3 Filariasis . . . . . . . . . . . . . . . . 3 Leprosy.. .. . . : . . .. . . .. .. 3 Quarantine .. . . . . .. . . . . . . . . 3 Food and Drugs .. .. .. .. . . .. .. . . 3 Native Sanitation . . . . . . . . . . . . . . 3 European Sanitation .. .. . . . . . . . . . 4 Child Welfare .. . . .. . . . . . . . . . . 4 Vital Statistics .. .. . . . . . . . . . . .. 4 Financial Statement .. . . . . .. . . . . .. 8 General Hospital and Dispensary Statistics .. .. . . . . . . 9 Laboratory Report .. . . .. . . . . . . .. 9 Apia Hospital :— Report of Resident Medical Officer .. . . .. . . . . . . 9 Apia Hospital Statistics .. .. . . . . . . . . . . 10 Appendix •— A. Meteorological Report .. .. . . . . . . . . 15 B. The Treatment of Yaws in Western Samoa . . . . . . . . 16 C. Leprosy in Western Samoa .. . . . . . . . . . . . 20 D. The Control of Mosquitoes in Apia . . .. . . .. .. 22 E. The Clayton Lane Technique used in the Field to control Hookworm Treatment .. 23 F. Health Survey of Western Samoa . . . . . . .. . . 25

REPORT. The Chief Medical Officer to His Excellency the Administrator of Western Samoa. I have the honour to submit the annual report of the Department of Health for the year ended 31st March, 1925. The policy pursued last year of submitting a more detailed report of the activities of the medical department, with the purpose of exchanging with other tropical countries, has been followed this year, and papers dealing with the control of yaws and ankylostomiasis, and the control of mosquitoes in Apia, have been included as appendices. As appendices will also be found a short summary of meteorological conditions ; a questionnaire on leprosy, issued by the British Empire Leprosy Relief Association ; and a Health Survey of Western Samoa, by Dr. S. M. Lambert, of the International Health Board (Rockefeller Foundation), who visited these islands in August, 1924. With the permission of the Government of Fiji, illustrations of the Makogai Leper Asylum, Fiji, have been inserted, to show the conditions under which the lepers sent there from Samoa live. T. Russell Ritchie, Chief Medical Officer.

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