A.—4a.

Apia Hospital.—Surgical Operations performed under General Anæsthesia, 1924.

APPENDIX A. METEOROLOGICAL REPORT OF APIA OBSERVATORY. The following report has been inserted by courtesy of the Director of the Apia Observatory : —

Highest temperature, 90-1° F., on Feb. 7 ; lowest temperature, 68-9" F., on Sept. 26. Highest pressure, 30'04in., on Sept. 9 ; lowest pressure, 29-45 in., on Jan. 19. Greatest rainfall in twenty-four hours, 4-98 in., on Dee. 2,

15

Surgical Operations. j Jan. Feb. Mar. j April. May. June. July. Aug. Sept.) Oct. Nov. Dec. Total. . . j , j | -r " . 7" On skin and cellular tissues— Abscess .. .. .. j 15 6 4 10 1 8 3 10 2 7 4 70 Cellulitis and carbuncle glands .. .. .. .. 1 .. .. .. .. .. 1 .. .. 2 Excision of lymphatic glands .. .. .. 1 2 .. 3 Hare lip .. .. .. 1 .. .. .. .. . . . . . . .. .... .. 1 Plastic .. .. . . 3 1 ) 5 Sebaceous cysts .. .. .. 1 .. j .. 1 .. .. .. .. .. .. 2 Sinuses .. .. 1 1 Wounds sutured .. 2 2 On joints— Arthrotomy .. .. .. .. .. .. .. .. .. .. ..j 1 1 .. .. 2 Excision of prepatellar bursa . . . . . . .. .. .. . . 1 .. .. . . 1 Ganglion .. .. • • • • • • • • 1 1 Tendon sutures .. .. .. .. 1 1 On bones— Amputations .. .. .. .. I .. 1 .. 1 .. .. .. 4 .. 1 8 Fractures .. .. 1 1 .. .. 2 Osteomyelitis .. .. .. .. 1 1 Sequestrotomy .. .. .. 1 I .. .. .. .. .. .. 1 .. .. 1 3 On eyeEvisceration .. .. .. .. .. 1 .. .. .. .. .. 1 .. .. 1 3 Paracentesis oculi .. 1 1 On ear, nose, and throat — Submaxillary cyst .. • • 1 1 Tonsils and adenoids .. II 1 Thyroidectomy .. .. | 1 1 On the abdomen— Appendicectomy .. •' 1 * Laparotomy .. .. .. .. 1 .. | 1 1 .. 1 . . 2 .. .. 1 7 Radical cure, hernia .. .. .. .. j .. .. 1 .. .. .. .. .. .. 1 On male organs — Amputation elephantoid scrotum .. 2 7 4 4 5 1 1 1 1 26 Castration .. .. * * Circumcision .. ... .. 1 3 ... I 2 .. 1 1 ' 1 1 2 .. 1 13 Cystostomy .. .. .. .. .. i .1 1 Hydrocele, radical cure .. .. 1 .. | 1 111 1 1 .. 4 2 3 15 Prostatectomy .. .. .. .. .. j 1 1 On female organs— Curettage .. .. .. 1 .. 1 2 1 | .. | 2 7 .Dijficult labour .. .. .. .. j .. 1 .. .. ....... .. .. 1 2 .. 3 Ovarian cyst .. .. .. •. .... 1 .. ) 1 .. .. .. .. .. 2 On tumours —- Epitheliomata .. .. . • • • .. 1 .. 1 .. .. .. .. .. .. .. .. 1 General — Dental extractions .. •• •• .. .. j 1 .. 1 1 1 .. .. 4 Totals .. .. 25 21 | 17 26 8 1 9 17 6 18 17 14 17 195 Minor surgical operations, usually 34 j 19 J 39 23 19 | 10 23 16 17 11 10 17 238 under local anfcsthesia

Mean \ro»« j Temperature— Mean Humidity Month. Barometric TorY.nornt.irc I Mean Percentage Rainfall. Pressure. .temperature, j |, a j]y Range. Saturation. Inches. °F. °F. | Inches ■ January .. .. .. .. .. j 29-74 | 79-6 10-1 j 85-3 17-70 February .. .. . . .. 29-81 | 79-6 11-5 ' 85-3 14-06 March ... .. .. . • 29-84 1 80-5 11-0 83-1 10-06 April .. .. .. .. 29-84 79-4 11-3 j 83-1 8-30 May . . .. .. • • • • ! 29-87 80-5 11-2 84-0 5-82 June .. .. .. .. •• 29-91 79-7 10-6 81-9 10-05 July .. .. .. .. •• 29-91 78-7 9-7 85-8 9-61 August . . .. . • • • • • 29-92 79-2 10-3 84-3 5-39 September .. .. .. .. 29-92 78-7 11-3 81-6 3-82 October .. .. .. .. .. 29-88 78-9 12-1 81-6 8-08 November .. .. .. .. 29-81 79-2 11-7 j 84-2 10-24 December .. .. .. . • 29-78 78-9 9-9 j 83-4 15-91 Means and total for 1924 .. .. .. 29-86 79-4 10-89 | 83-6 119-04 Means and total for 1890-1923 .. .. 29-83 78-5 .. | 83-3 106-85 Excess of 1924 .. .. .. .. +0-03 + 0-9 .. j +0-3 +12-19