A.- 4

Apia Hospital: Attendance, Operations, &c. —continued.

Remaining in hospital, 31st December, 1930, 46 ; Note. —" Admissions "in the classified statistics include cases in hospital on Ist January, 1930. Major Operations: Apia Hospital, 1930. • On skin and cellular tissues — On abdomen — General— Abscess .. .. .. 58 Appendicectomy .. .. 6 Dental extractions .. 13 Carbuncle .. .. 1 Hernia .. .. .. 4 Haemorrhoids .. .. 3 Cyst .. .. .. 4 Laparotomy .. .. 6 Ingrowing toe-nail .. .. 1 Glands .. .. .. 4 Examination under anaesthetic 1 Repair of tendons .. .. 4 On male organs— Circumcision .. .. 5 Repair of wounds .. .. 7 Castration .. .. 1 Sinus .. .. .. 3 On bone— Elephantoid scrotum .. 2 Empyema .. .. 3 Amputations .. .. 7 Hydrocele .. .. 8 Synovitis .. .. 1 Necrosis .. .. .. 1 Cystoscopy .. .. 3 On eye — On female organs— Evisceration .. .. 2 Curettage.. .. .. 4 Total .. .. 158 On nose— Hsematoma of vulva .. 1 Polypi .. .. .. 3 Suspension of uterus .. 1 Tonsillectomy .. .. 1 Apia Hospital: Report of the Laboratory, 1930. The total of routine specimens recorded is 883. The specimens comprise the following : — Faeces : Total specimens examined, 106. Ova (each specimen examined by direct smear and Willis method) : Hookworm (positive), 13 ; trichuris (positive), 3 ; ascaris (positive), 3. Adult worms : In many cases three specimens obtained after treatment were examined. Hookworm (positive), 2 ; ascaris (positive), 1 ; trichuris (positive), 1. Occult blood (positive), 6 ; macroscopic blood (positive), 1. Bacteriological examinations: Positive T. 8., 1. Total specimens examined, 29. B. dysenteries, " shiga " (positive), 2 (in all specimens the organism was confirmed by fermentation reactions and agglutination tests) ;E. hystolytica (positive), 0; B. typhosus (positive), 1. A total of 24 specimens of faeces were examined for typhosus, the positives being confirmed by agglutination tests. Chemical examinations, 1. Examinations for fat, tissue, and cells, 1. Urines : Total specimens examined, 422, containing—albumen, 185 ; sugar, 4 ; blood, 51 ; bile, 4 ; acetone, 1 ; occult blood, 6. Centrifugal deposits were examined in all but 20 of the specimens. Those containing cells, 103 ; red cells, 45 ; casts, 25. Bacteriological reports were made from smears in non-catheter specimens, and cultures in the case of catheter specimens : B. coli, 23 ; streptococci, 2 ; staphylococci, 9 ; gonococci, 1 ; enterococci, 2 ; yeast cells, 6 ; B. pyocyaneus, 1 ; T. 8., 1. Sputa : Number examined, 92. Gram and Ziehl-Neelsen smears were prepared from each specimen, while cultures were prepared from 21. Number positive for T. 8., 14. Vaccines were prepared from 3. Blood specimens: Total number of specimens examined, 114. Widals: Number done, 44. Positive B. typhosus, 21 ; positive paratyphosus " A," 0 ; positive paratyphosus " B," 0. Blood cultures : Staphylococcal, 1 ; streptococcal, 0 ; no growth, 2. Filarial examinations : Bloods examined were 17. Positive, 6. Total cell-counts : Red cells, 8 ; white cells, 45 ; haemoglobin estimations, 6 ; differential counts, 9 ; malaria, 1 ; sugar-tolerance tests, 5. Miscellaneous swabs, including specimens of pus : Total examined, 32. Reports issued from smears and cultural findings : Staphylococcal, 19 ; streptococcal, 2 ; B. coli, 4 ; B. pyocyaneus, 1. Nose and throat swabs for K.L.B. carriers, 3 ; positive, 0. Venereal examinations: Total examined, 28. Urethral (positive), 12; vaginal (positive), 0; cervical (positive), 0; eye (positive), 1 ; urines (positive), 1. Cultural examinations were made in two cases with negative results. Puncture fluids: Total examined, 4. C.S.F., 2 (streptococcal) ; pleural fluid, 1 ; fluid from abdomen, 1.

12

Admissions to Hospital Admissions to Hospital during 1930. during 1930. 2 I • g I i i, i m' a 3 » * i $ ® 9 3 §■ I S "1 3 §• S ; § £ W on O H I Q W m I 5 E 0 General. ! Tumours. Filariasis —Mumu .. .. 8 14 1 .. .. Malignant .. .. .... 1 3 2+ Foreign bodies—Nose .. .. 1 (1) CarcinomaPoisoning—Fish, food, drugs .. 2* Breast .. .. .. 1 P.U.O. .. .. .. 8 17 5 Intestinal tract .. .. 2 .. .. 1 Observation, for .. .. 1 2 1 Liver .. .. .. 1 Stiff neck .. .. 1 (2) Sarcoma .. .. .. 1 Tuberculosis —Joints, &c 3 Malingering .. 3 .. .. Totals .. .... 6 3 3 Senility .. .. .. 2 1 Grand totals .. 262 537 333 46 35 Totals .. .. 19 39 10 1 1 —- Deaths, 1930 .. 5 23 5 2 35 I I j__ ♦ Fish; kerosene. t Epithelioma. 1 readmitted.