H.—3l

48

Administration. —Male cooks were introduced and the female cooks dismissed. This change in personnel has so far proved of distinct advantage. The meals have been cooked much more satisfactorily both for the patients and the staff, and the cleanliness of the kitchen and appointments thereof has shown marked improvement as compared with the condition of affairs under the female cooks. Tho supervision of the kitchen-garden, consisting of 11 acres, which had previously been the care of the farm-manager, was taken over by the institution on the Ist September, 1922, and a marked increase in production has been thereby effected. X-ray Department. —The X-ray Department has been in operation during the last six months, and has assisted the professional side of the work of the institution in the matter of taking plates and screening. The return of the work done during the year is as follows : Total number of oases screened, 90 ; total number of plates taken, 132. Laboratory. —The laboratory has been in full use throughout the year. The return of the work is as follows : Average number of sputum examinations for T.B. per month, 324 ; average number of sputum examinations for albumen, 50 ; average number of urine analyses per month, 70 ; average, number of treatments by tungsten light per month, 165-5. Brief survey of work undertaken in the laboratory for the year, exclusive of above : Urine for T.B. ; microscopic examinations and preparation of sections of tissue ; cultivations for diagnosis (various pathological material) ; vomit examination, chemical and microscopic ; pus, histological and cultural ; veterinary examinations ; swabs for gonorrhoea ; sputum, histological, &c. ; swabs, microscopic and cultural; preservation of specimens ; P.M. assistance ; examinations of blood for various purposes ; preparation of culture media, &c. Dispensary.— -The dispensary has required throughout the year the full-time services of a dispenser. The return of work done is as follows : Average number of prescriptions dispensed monthly, 250 ; dispensing of stock-mixtures, &c. Vocational Training.— The vocational workshops have, been very satisfactorily attended by the patients, the number of patients attending and the hours attended in each subdivision being as follows -— Average Average Hours Number attended attending. per Month. Carpentry . . . . . . . . . . ..11 560 Leatherwork .. . . . . . . . . . . 22 554 Basketwork . . . . . . . . . . 9 164 Kaffia-work . . . . . . . . .. . . 12 345 Bed patients (knitting, &c.) .. .. .. . . 1.0 In connection with the disposal of the articles made in these workshops, it has been suggested that a change in the policy hitherto adopted should take place. Owing to the existence of a recreational fund, service patients draw a monetary bonus as a result of the sale of work performed both by service and civilian patients. This, in effect, means that in a large percentage of cases the idea of providing occupational work on account of the purely mental benefit to be, derived therefrom has been largely lost sight of hj the patients, and the idea of personal gain has displaced the therapeutic value of the workshops in a number of cases. It cannot be denied that this is an unsatisfactory factor in the treatment of tuberculous patients, and it further has the disadvantage of making a line of demarcation between service and civilian patients, to the detriment of the latter. Services. —The medical, staff has given entire satisfaction throughout the year in their professional duties. The usual custom of seeing daily all patients before their daily exercise has been continued. Examinations of patients on exercise have been made periodically, and of cot cases frequently.

SECTION 5.—STATISTICS OF PATIENTS FOR THE YEARS ENDED 31st MARCH, 1922 AND 1923.

King George V. Hospital. 1022. 1923. _ Queen Hosi l Mary ipital. Otaki H iospital. Sana t 0 Viuui. P11 Sane ikrOl'H itorium. 1922. 1923. 1922. 1923. .1922. 1923. 1922. 1923. Number of patients in hospital at com- 234 180 mencement of year Number of patients admitted during year 033 598 80 82 8 9 30 30 I 137 144 390 379 138 109 71 70 I 276 273 Total admitted .. .. 867 778 470 401 146 178 107 107 112 413 417 1 Patients discharged cured .. .. 251 177 Patients discharged relieved .. .. 273 349 Patients discharged unrelieved .. 116 73 Patients who died .. .. .. 17 29 Patients transferred to other hospitals Patients remaining in hospital at end of 210 150 102 2.1.8 07 1 136 202 14 10,3 20 14 124 23 50 16 .17 11 2 50 17 2 57 15 7 215 48 13 9 30 240 19 82 7 102 '() 38 40 130 iio 4 38 year Total patients treated .. 867 778 470 401 146 178 107 107 112 417 413 A verage daily number of patients treated 189 196 Average mean residence (d = days ; m — 95«!. 73d. months) Total number of deaths within 24 hours 2 4 of admission Rate of mortality per cent, over total 1-73 3-21 cases under treatment Total number of operations performed .. 279 309 Rate of mortality per cent, of operations Nil Nil 78 7 b/. 90 54,/. 9-3 24(i. 7-5 l5-3<i I 6m,. (>»/.. ojm, 135 l20-2</. 139 118-4<Z. Nil Nil .'> 3 Nil Nil t Nil Nil 0-21 7-5 0-1 1-8 1-8 3-14 0-04 Nil Nil Nil Nil 23 4-25 28 Nil 3-5 Nil Nil Nil Nil Nil Nil Nil ■f Number of dea ths al'tc er disch; arge, 9.