A.—4

10

Hospital and Dispensary Statistics for the Year ending 31st December, 1929.

Revenue and Expenditure of the Department of Health for the Five Years ended 31st March, 1930.

Apia Hospital. There has been a drop in the number of admissions in every department of the hospital, which has been accounted for above as regards Samoans. The Samoan maternity fale still keeps up its yearly average, and has accommodated 177 patients to date since its opening in July, 1926. There are no structural alterations to report. Statistics. The admissions to hospital are for the calendar year 1929. Treatment: Medical and Surgical. On the medical side 149 cases of lobar pneumonia (Samoans) were treated, all due to the pneumococcus. The disease was more prevalent among adults (fifteen years and over) than children (under fifteen years), the proportion being 116 of the former to 33 of the latter. A series of cases were typed out, and yielded pneumococci of types 1, 2, and 4, those in the first two types being bile-soluble. The number of major surgical operations has fallen off considerably, doubtless due to the imposition of fees except in cases of emergency. Only three cases of malignant disease were met with during the year. Chinese Coolies and Melanesian Labourers. The admissions of Chinese are less than last year, but there is a decided increase among the Melanesians.

Hospitals. |1| Dispensaries. i 5 i t —i —~T —i I'll 1 M i S 1 • ■ i 3 . g Sf I § , a | m > a a .3 «§.> Out-stations. — p, ! a § M J 3 \ .» o ■§ • •aS'S 3 S 2 a 3 2 •£ « i S --5 +;« h hr a P n es ft 3 j —< e3 OQu i r *~is3^r" H H I «; m Ph H -aj I SI I so n I I (а) In hospital, 1/1/29 .. 59 17 5 6 .. 87 Fagaloa .. 2,364 (a) 15 57 15 .. Fagamalo .. 1,369 (б) Admitted during year 1,291 65 185 36 .. j 1,577 Faia'ai* .. 760 (b) 257 1 931 339 50 Gagaemalae* 228 (c) Discharged during year 1,279 47 160 37 .. 1,523 Lotofaga* .. 175 (c) 255 881 340 47 Manono .. 907 (d) Died during year .. 41 7 7 2 .. 57 Mulifanua* 3,018 (d) 12 38 6 1 Safotuf •. 4 (e) Remaining, 31/12/29 .. 30 28 23 3 .. 84 Sataua .. 654 (e) 6 68 8 2 Satalo .. 2,850 Falelima .. 48 Out-patients attendances, 17,4903,558 4,206 1,598 3,311 42,544 Lefaga \ including dressings Matautu J Treatment for hookworm .. 1 320 147 16 88 572 Treatment for yaws (N.A.B.) 4,9841,285 728 773 797 8,567 Operations— Major .. .. 144 9 25 24 .. 202 Minor .. .. 374 40 241 53 24 732 I * Closed during the year. Gagaemalae was moved to Faia'ai and the latter closed subsequently owing to a shortage of nurses and its proximity to Falelima. t Dispensary conducted at Safotu while hospital temporarily closed.

Gross Revenue (Cost of Collection not deducted). Total Percentage Expendi . Financial Year tZTof Total °sll I 8 Revenue (1st April to 31st March). Depart- Revenue p la . J | g "I of Dement of ot ,. ® d , , tt u.i. * m -a tion. o'm r a, 8 c$ <» partment Health.* Territory. £ .£ S & G f O 3 © O J H -HlHr® OT | Health. £ £ s. d. £ £ £ £ £ 1925-26 .. .. 25,761 17-2 12 11 i 14,000 9,186 1,705 1,603 26,494 1926-27 .. .. 25,912 19-4 12 5 3 14,000 7,292 1,273 2,167 24,732 1927-28 .. .. 25,597 20-3 11 11 3 14,000 962 1,375 2,002 18,339 1928-29 .. .. 24,367 17-2 11 1 6 14,000 2,474 2,568 1,896 20,938 1929-30 .. .. 17,502 10-2 7 10 2 14,000f 878{ 2,547 1,803 19,228 * Expenditure shown does not include interest and sinking fund on capital expenditure, cost of repairs to buildings, and miscellaneous expenditure under head XV of general estimates, such as travelling-expenses of officers on leave, &c. Expenditure under these heads does not come under the control of the Department of Health. f This amount is hypothetical. The subsidy from the New Zealand Government is not specifically allocated to special services but is granted for general purposes. The proportion of the subsidy utilized for medical services was estimated to be £14,000 per annum when the expenditure on the Department was greater than at present. J Fees.