H.—3l.

King George V Hospital, Rotorua (Medical Superintendent, Dr. Lewis). " A review of the work of this institution for the past year shows a marked increase in the number of in-patients and out-patients treated ; 882 in-patients received treatment, with an average daily bed-state of 49 ; 74 infants were born in hospital during the year. There were 1,535 consultations in the out patient department, and 2,928 treatments given ; 296 operations were performed. " A rapidlv increasing demand has been made upon the accommodation provided in the maternity department. " The incidence of infectious disease in the district has remained very low, twenty-three cases having been admitted. " Further concentration in the use of accommodation has been carried out. Two general wards are now in occupation. The female ward has as annexes the maternity department and an infants' ward. " The I.D. Block functions as an annexe to the male ward." Otaki Sanatorium (Medical Superintendent, Dr. R. S. R. Francis). " Patients :— " Patients in Sanatorium at beginning of year .. .. .. ..51 " Patients admitted during year .. . . . . .. 66 " Total treated during year .. .. . ■■ •• •• 117 " Discharged or died (2 deaths) . . . . . . . . 62 Remaining in Sanatorium at end of year .. .. .. ..55 "The great majority of patients left with the disease definitely quiescent. Some few had the disease bo well arrested that I hev could be considered recovered. There were unfortunately a few, as there must lie in any sanatorium, who went out unrelieved. There were two deaths, one dying suddenly and most unexpectedly from a severe haemorrhage, the other dying from an acute bronchopneumonia when her transfer to hospital was under consideration. " Treatment: I have continued to use gold-treatment extensively, employing repeated small doses which appeals to me as being quite logical if the newer work on the action of gold salts is correct —viz., stimulation of the reticuloendothelial system. The gold salt used is Solganal B, now available in oil, a preparation lam trying out. Of the benefits of this treatment there is no doubt, but, unfortunately, as time goes on, one grows dubious as to its permanency. Nevertheless, the gold salts do seem to control infectious sputum, and are of great value if for this alone. "Entertainments: In so far as these relieve the tedium of sanatorium life they are a side of treatment not to be neglected. Happily we have been well provided for in this respect during the year. A talkie plant was installed during the year, the requisite funds being derived from the Brown-McWilliam Fund. Films are provided free by the Film Exchange (to which and to the various film companies concerned our best thanks are due) and an excellent programme is given once a week. " Numerous concert parties have paid the Sanatorium a visit, and we wish to thank them all for their efforts to cheer up the patients during their long stay here. " The wireless plant was completely remodelled, and is now giving every satisfaction. It is hoped in the near future to have pillow-phones installed for the bed-patients. "Nursing Staff: I am greatly indebted to the Matron and nursing staff for their loyal and cheerful co-operation during the past year. " General Staff : I wish to thank these also for the work they have done during the past year. " Mr. Melrose, farm-manager, was taken ill last August and died on the 3rd of September. He has been here many years and had much to do with the planning of the grounds. Many of the beautiful trees which every visitor admires were planted by him twenty years or so ago, and are now very fine specimens. The trees and grounds remain as a memorial to his work." R. A Shore, Director, Division of Hospitals.

PART V.—DENTAL HYGIENE.

I have the honour to submit the following report on the work of my Division for the year ending the 31st March, 1933 :— SECTION I.—TREATMENT CENTRES, STAFF, ETC. Treatment Centres. —At the end of the period under review (31st March, 1933) the School Dental Service was in operation at 213 centres. Of these, 139 were main treatment centres and 74 were sub-bases. New clinics have been established during the year at Gisborne (additional), Hastings (additional), Havelock (Marlborough), Middlemarch, New Plymouth (additional), Otaki, Rai Valley, Rotorua, Tawera, Te Araroa, Tinwald, Turua, and Wellsford. With the exception of Otaki and Rotorua, these new centres have been established for the purpose of extending the service in districts where it was already in operation. The following sub-centres have been made main-treatment centre's : Carter-ton, Kaitangata, Manaia, Ngatea, Te Kopuru, Waipawa. Warkworth. The following centres, formerly regarded as main-treatment centres, are now operated as sub-bases : Kurow, Woodville.

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