A.—4

Hospital and Dispensary Statistics for the Year ending December, 1930.

A further dispensary was opened at Mulifanua, February, 1931.

Revenue and Expenditure of the Department of Health for the Five Years ended 31st March, 1931.

* 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. t Fees. § Includes sales of stores, £388. Apia Hospital. There is a slight decrease in the number of admissions in each hospital, except Tuasivi, which shows a marked increase. The Samoan maternity fale accommodated 57 patients during the year, making a total of 234 since it was opened in July, 1926. There are no structural alterations to report. Statistics. The admissions to hospital are calculated for the calendar year 1930. Treatment: Medical and Surgical. On the medical side 199 cases of dengue were admitted, Europeans, Samoans, and Chinese all being affected. Lobar pneumonia accounts for 40 cases, whilst the admissions in the enteric-fever group number 32. As compared with last year, there is a small increase in major surgical operations. Six cases of malignant disease were met with, and 17 cases of tuberculosis. Chinese Coolies and Melanesian Labourers. The admissions under this heading are only a few short of the numbers recorded last year. Note. During the year two most interesting cases of larva migrans were met with in the personnel of H.M.S. " Dunedin," and a third case was noted on board the ship. These cases were all contracted whilst on duty in the native bush behind Leauva'a, and, although the larva was not identified, were probably due to the Ancylostoma caninum, though to date no similar cases have been seen in Samoans. This may be due to the fact that the thicker cuticle of the foot and ankle in Samoans mitigates the intense irritation felt by the European patients who suffered from this disorder, and consequently the Samoans who may have been affected similarly would probably not seek treatment.

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Hospitals. ||| Dispensaries. , N l£p5ffits° f i i 1 ~r j ' T" (j .2 SB I 81 s M tc S « c _____ ct ® H o • « s i S3 J S ! I 1 a I i - 3. ' * JS&S . Stations. — o. § n a a So 5- «g'3 § g 2 | S I •a § i ! s oqfl & s S I 6 I <3 W CO 55 (а) In hospital, 1/1/30 .. 30 28; 3 23 84 Falelima .. 103 (a) 6 68 8 2 (б) Admitted during year .. 1,148 226 27 139 1,540 Fagamalo .. 771 (6) 256 915 325 44 (c) Discharged during year .. 1,097 238 23 155 1,513 Sataua .. 41 (c) 251 913 309 40 (d) Died during year .. .. 35 13 2 5 55 Matautu Le- 67 (d) 5 43 5 2 faga (e) Remaining, 31/12/30 .. 46 3 5 2 56 Fagaloa Bay 666 (e) 6 27 19 4 Out-patients attendances, includ- 8,963 1.334 552 1,461 14,444 Satalo .. 197 ing dressings j Manono ., 170 Treatment for hookworm .. 13 43i 9 86] 151 Lotofaga .. 119 Treatment for yaws (N.A.B. and 3,972 613] 195 780' 5,560 bicreol) Visits paid dnring vear by V.M.O. 360 87 10 17! 474 and N.M.P.s Operations— Major .. .. .. 158 21 3; 10 192 ! Minor .. .. .. 261 8 21 330 I I I

Gross Revenue (Cost of Collection not deducted). Total Percentage Expendi- i Expendi- of ture per a -o j S i -a Total Financial Year ture of Total Head of o§ c c Rovmnift (1st April to 31st March). Depart- Revenue Native § T 5 a s "8 rt mentof of Popula- r|>N £ S g g g. °V£Health.* tion. §,.2 Et > > £ % 1-S 8 f o 3 ® o 1 *3 JJ 8 .§5 « of gccZO _ I 1 " 1 3 gSh j Health. £ s. d. £ £ £ £ ! £ 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 .. .. 18,016 11-9 8 10-2 14,000f 878J 2,547 1,803 19,228 1930-31 .. .. 18,224 12-0 8 9*0 14,000f 1,476J 2,169 2,045 20,078§