A.—3

6

Migration. The following returns show the migration to and from Rarotonga from the Ist April, 1929, to the 31st March, 1930 :— Arrivals.—Europeans : Adults—74 males, 62 females ; children—lo males, 8 females. Natives : Adults—47 males, 60 females ; children —13 males, 25 females. Departures.—Europeans : Adults—7B males, 65 females ; children—l 4 males, 7 females. Natives : Adults—3l males, 30 females ; children—ls males, 7 females. Cook Islands Hospital. The following table shows the number and nature of cases admitted to the hospital during the year : — Alimentary system — I Skin and subcutaneous tissues — Constipation . . . . . . .. 1 Burns .. .. . . 1 Gastro-enteritis .. . . . . 2 Ulcer .. . . .. 2 Enteritis .. . . .. .. 1 Genito-urinarv system- Supporting structuresOrchitis " 1 Abscess 23 Retention 6 Injuries (wounds) 10 Nephritis 2 Fracture 1 Cystitis .. .. .. 1 hernia .. . . . . 2 Abortion 4 Rursltls 1 Hydrocele .. .. .. 1 Special sense organs— Confinement .. . . .. .. 8 Iritis .. .. .. 2 Nervous system— Ophthalmia .. .. .. 1 Concussion . . . . . . . . 1 Insanity .. .. .. ..2 Infectious diseases— Respiratory system — Yaws .. .. . . 1 Bronchitis .. .. .. . . 2 Gonorrhoea .. .. . . .. 3 Ha:moptysis .. .. .. 1 Other causes .. . . .. 9 Phthisis . . . . .. 7 Pneumonia .. .. .. 2 Total .. .. .. 98 In addition to the cases admitted to hospital, the following are the figures for the year :— Attendances (Maori) at out-patients department . . . . 7,242 Visits paid to Maori patients in their homes .. . . .. . . 609 Maori confinements attended .. . . . . . . . . 28 Europeans—outpatient attendances and patients visited . . . . 580 European confinements attended .. . . .. . . . . 1 The cases above were due to the following causes : — Diseases of alimentary system . . . . .. . . 544 Diseases of circulatory system .. . . . . . . .. 102 Diseases of nervous system . . . . . . .. .. . . 35 Diseases of respiratory system . . . . . . . . .. 591 Special tropical diseases .. .. . . . . . . . . 29 Skin-diseases .. .. .. . . .. . . .. 276 Genito-urinary diseases .. . . .. .. .. . . 35 Women's diseases .. .. .. .. . . .. . . 109 Eye, ear, nose, and throat diseases . . .. .. .. .. 91 Other causes, including fevers . . .. .. . . .. 352 2,164 There were eleven major operations performed in hospital during the year and twenty-four minor operations ; also many minor operations with local anaesthesia at the out-patients department. One post-mortem examination was made by order of the Coroner. Special accommodation for tubercular cases is still required, particularly as it would tend to check the spread of infection which occurs at present on account of the patient living at home. In many cases special accommodation at home has been provided which is not satisfactory. Dental Clinic. The number of patients totalled 898, and the attendances were 1,503. The following operations were performed : Fillings, 1,347 ; extractions, 665 ; cleaning and scaling, 1,022 ; miscellaneous, 961 ; making a total of 3,995. Arrangements are being made for the dental nurse to visit some of the Group islands during the coming year.