A.—4,

XIX—HEALTH. The staff comprises four European Medical Officers, and seven Native medical practitioners, one Health Inspector, and bacteriological and nursing staffs, the total strength of the Health service being eighteen Europeans and fifty-five Native Samoans. One of the Native medical practitioners returned from Suva in January, 1933, having qualified at the Central Medical School. HOSPITALS AND DISPENSARIES. Alterations have been made to Tuasivi Hospital, where a new dispensary has been erected. Admissions to hospitals : — Apia Hospital— . 1931. 1932. Europeans . . .. . . .. .. .. 246 237 Samoans . . . . .. .. .. .. 724 458 Chinese . . . . .. .. .. .. 368 248 Melanesians . . .. .. .. .. 18 26 1,356 969 Tuasivi Hospital .. . . .. .. .. 180 94 Aleipata Hospital . . . . .. . . .. 106 175 Safotu Hospital .. . . . . .. . . 45 5 Total in-patients .. . . .. . . .. 1,687 1,243 Out-patients: Hospitals and dispensaries- .. .. .. 18,680 12,240 Grand totals .. .. .. .. .. 20,367 13,483 Deaths in hospitals .. .. .. .. .. 67 48 Owing to the falling-off in attendance at Safotu Hospital, it was closed in March, 1932. Main Diseases. (a) Yaws. —A village-to-village campaign was conducted during the year in the course of which 74,088 injections of neoarsphenamine were given ; first injections numbered 38,166, or 86-5 per cent, of the Native population. Included in this number were a large proportion not actively infected, who presented themselves voluntarily for prophylactic reasons. The number found infected by yaws in its first, second, or third stages was 26,106, or 59-16 per cent, of the population. The campaign, which will be continued this year, is being conducted in conjunction with the Rockefeller Foundation of New York under the direction of Dr. S. M. Lambert, Medical Director of the Foundation in the Western Pacific. By the time the campaign is completed it is anticipated that yaws will have decreased considerably in the Territory. In addition, 3,259 injections have been given at the hospitals and dispensaries. (b) Leprosy. —There were twenty-two lepers undergoing treatment at the Central Leper Asylum in Makogai at the end of 1932, and there are seven awaiting transfer at the Apia Hospital. (c) Bacittary Dysentery is endemic, only eight cases reported in the Territory. (d) Dengue is also endemic, but no cases were reported during the year. (e) Respiratory Diseases. —Bronchitis lobar and broncho-pneumonia : Fifty-three cases reported. (/) Venereal Diseases. —A few cases of gonorrhoea seen in the year. (g) Helminthic Diseases. —Ascaris very common. Hookworm : Ova frequently met with, but adult worms are very rarely seen. (h) Enteric Fever Group (including Para-typhoid A and B). —Sixty-one cases were notified. (i) Chicken Pox. —Fourteen cases notified. (j) Tuberculosis. —Both pulmonary and abdominal cases are seen ; fifteen of the former were notified. (k) Influenza. —No cases reported ; there has not been an epidemic of any kind during the year. (I) Filariasis is very common ; twenty-four hydroceles and one elephantoid scrotum operated upon. Other Diseases. —Beriberi, three cases ; abscesses, fifty-one ; some caused by filarise and some due to Myositis Tropica. Skin-diseases. —Ringworm, scabies, and dermatities are common. Mental Defectives, of whom there were only nine at the 31st March, 1933, are quartered for convenience within the precincts of Vaimea Prison, but in a private annexe ; patients and attendants being under the control of the Chief Medical Officer. Ten mental patients were admitted, and eight discharged during the year. Sanitation and Hygiene. A complete sanitary survey of both islands is being made, but is not yet completed. It aims at preventing soil-pollution, and it is hoped to increase considerably the number of drop latrines. Bore latrines are not practicable in Samoa, owing to the rocky nature of the soil.

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