A.—4

12

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

Major Operations, Apia Hospital, 1929. On skin and cellular tissue— Total. On abdomen— Total. General — Total. Abscess 24 Appendicectomy .. . . 4 Extraction of teeth .. 8 Carbuncle .. . . I Hernia .. .. .. 5 Fistula in ano . . .. 1 Cyst .. .. 2 Laparotomy !! !! 2 Hemorrhoids and prolapsus Glands .. .. 5 Q n male organs— * * • • * * J* Hare-lip .. .. .. 1 Castration .. .. 1 Ischiorectal abscess .. 3 Lipoma .. .. .. 1 Elephantoid scrotum .. 2 Needle in arm and leg .. 3 Naevus 1 Sorota i cyst .. . . i Ingrowing toe-nail .. .. 3 Repair of wounds .. 14 Hydrocle .. .. 8 Bursitis, acute .. . . .1 Repair of tendons . . 1 Retained testicle . . 1 Empyema .. 6 On bones— Skin-grafting .. .. 1 Necrosis .. .. 4 On female organs— Examination under anaesthetic 8 Osteomyelitis .. .. 5 Breast, amputation of 1 Growth, removal of .. 2 Fracture .. .. 2 Breast, growth of .. .. 1 Sinus .. .. 3 On eye— Curettage .. .. 3 Circumcision .. . . 1 Evisceration .. .. 1 Dermoid cyst of ovary .. 1 Pterygium .. .. 1 Perineorrhaphy .... 1 144 On throat — j Pelvic cellulitis .. .. 2 Tonsillectomy .. .. 3 i Retroversion of uterus .. 2 Report of the Laboratory, Government Hospital, Apia, 1929. The total of routine specimens recorded is 952. The specimens comprise the following : —■ Faeces: Total specimens examined, 124. Ova (each specimen examined by direct smear and Willis method) : Hookworm (positive), 11 ; ascaris (positive), 8 ; trichuris (positive), 14. Adult worms : In many cases 3 specimens obtained after treatment were examined. Hookworm (positive), 2 ; ascaris (positive), 1 ; trichuris (positive), 1, Occult blood (positive), 10; macroscopic blood (positive), 4. Bacteriological examinations : Positive T. 8., 1. Total specimens examined, 34. B. dysenterice, " Shiga " (positive), 6 (in all specimens the organism was confirmed by fermentation reactions and agglutination tests) ; E, hystolytica (positive), 0 ; B. typhosus (positive), 4. A total of 18 specimens of fasces were examined-for typhosus, the positives being confirmed by agglutination tests. Chemical examinations, 2. Examinations for fat, tissue, and cells, 1. Urines : Total specimens examined, 402, containing—albumen, 199 ; sugar, 4 ; blood, 46 ; bile, 14 ; acetone, 2. Centrifugal deposits were examined in all but 24 of the specimens. Those containing pus cells, 115 ; casts, 15. Bacteriological reports were made from smears in non catheter specimens, and cultures in the case of catheter specimens : B. coli, 40; streptococci, 14 ; staphylococci, 18 ; gonococci, 4 ; T. 8., 1. Sputa : Number examined, 108. Cram and Ziehl Neelson smears were prepared from each specimen, while cultures were prepared from 14. Number positive for T. 8., 14 ; cultures prepared for pneumococcal typing, 15 ; types one, 3 ; types two, 8 ; types three, 0 ; types four, 4 (all were bile-soluble, with the exception of type four). Blood specimens: Total number of specimens examined, 139. Widals: Number done, 64 positive B. typhosus, 37 ; positive paratyphosus " A," 0; positive paratyphosus " B," 0. Blood cultures ; Staphylococcal, 1 ; streptococcal, 1 ; no growth, 7. Filarial examination : Bloods examined were 47. Positive, 9.

Admissions to Hospital Admissions to Hospital during 1929. during 1929. 05 I , M , S (3 a> - a a= £ o i V (3 g 03 o I | 3 §* 1 1 -1 s S 1 I 8 3 1 3 8 h « g a q h m 6 a q General. Tumours. Filariasis — (a) Benign— (а) Mumu .. . . 4 5 .. 1 Adenoma .. .. .. 1 .. . . (б) Lymphangitis .. G 4 .. .. 1 Lipoma . . . . . . .. 1 Foreign bodies — (a) Coins in stomach .. 1 (b) Malignant— (b) Needle in body . . .. 2 Carcinoma— (c) Needle in eye .. 1 • ■ • • Breast . . .. .. 1 Poisoning— Intestinal tract 3 1 . . .. i (a) Fish, food, and drugs .. 5 Uterus .. .. . . 1 (b) Insect-bites .. 1 . ■ • • P.U.O. .. .. 12 39 8 2 .. Totals .. .. 3 5 .. 1 Rheumatism, muscular .. 1 — Senility .. .. .. 1 Grand totals .. 257 645 339 50 41 Observation, for .. ..72 Alcoholism .. .. 2 1 Malingering .. .. .. 2 1 .. .. Remaining in hospital, 31st December, 1929, 30. Totals .. 39 55 11 3 1