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Hospital —continued. Out-patients for the year .. ■ ■ ■■ •• Confinements . . . • • • • • • • • • • • Minor operations .. .. ■ • • • • • ■ • • ■ Local anaesthetics .. • • • • • • • • ' n General anaesthetics .. . • • • ■ ■ • • • • * N.A.B. injections .. .. • - • ■ • • • • " 09 Bicreol injections . . . . . • • ■ • • • ■ "99 Antitetanic serum injections .. ■ • • • ■ • ' 07 Asthma injections.. . - ■. • • • • ■ ■ • • Antityphoid injections (T.A.8.) .. . ■ • • • • ■ • Colloidal calcium injections .. . ■ • • • • 61 Sodium evipan anaesthesia .. .. • • • • • • • ■ £ Venereal disease .. . • ■ • ■ • ■ • • • 11a Worm treatments .. .. •• •• •• Le P ros y 1 Visits Mangaia. Mrs. McGruther, Resident Nurse, returned from furlough on the 27th May. Attendances at dispensary from April to September were as follows: April, 964; May, 409, June, 850 ; July, 1,332; August, 1,103; September, 612 ; total, 5,270. No reports have been received since September. _ . A Native medical practitioner visited Mangaia in April and remained until July. Mis work, especially amongst the men, and his scientific observations regarding filarial incidence were commendable. Filariasis Investigation. —656 cases were examined for microfilaria, and 30 per cent, of cases were found to be infected. Mass treatments were also given for the eradication of hookworm and ascaris. Influenza— A mild epidemic occurred in May and June. Schools. —Pupils were treated for hookworm and ascaris. Tuberculosis. —Three cases were reported. . Miscellaneous Figures (in addition to above).—N.A.B. injections, 602 ; minor operations, lb ; bicreol injections, 93; local anaesthetics, 16 ; adrenalin injections, 8; teeth extractions, 19 ; contramme injections, 7 ; visits, 29 ; worm treatments, 784. Atiu. A mild outbreak of influenza occurred in July, otherwise the general health of the Island has been satisfactory. Wireless services have been utilized for the purpose of obtaining medical advice. Yaws and skin-diseases remain the principal troubles. This Island is entirely under the care of the Resident Agent hence the absence of detailed statements regarding the mam diseases experienced. A Native medical practitioner visited the Island in November and remained there throughout the hurricane season. He paid particular attention to the treatment of yaws with N.A.B. injections. Matjke. This Island also falls entirely under the care of the Resident Agent, but from 23rd May to 25th August, and again from 25th September to 31st October, a Native medical practitioner was stationed there. He has reported as follows: — . . . Yaws. —Remains endemic. Sixty-one cases were treated with N.A.B. injections. Filariasis —Fevers from this have been common. In September and October abcesses of filarial nature were common. The mosquito-eating fish (gambusia) which abound in the majority of swamps and water-holes have no doubt, lessened the mosquito menace. Rheumatism. —Common among adults in August. A few cases amongst children, but with no cardiac complication. Infl/uenza. —A mild outbreak occurred in mid-July, but passed away with very few complications. Tuberculosis. —There are 11 active cases and 9 suspects. Water-supply. —-Several new tanks have been erected. Sanitation. —Regular inspections have been conducted. Child-welfare. —Every effort has been made to get the people to adopt this work. Schools.—Both schools (Government and Roman Catholic) were inspected and treated for hookworm and ascaris. . . Numerous wireless communications have been received containing medical advice. Statistics (attendances). —Adults: males, 560 ; females, 257 ; children males, 200 ; females, 210 . total, 1,227. Diseases: — Alimentary .. .. ..234 Skin .. .. •• • • 47 Respiratory .. .. ..74 Injuries .. .. • • 353 Special tropical .. • • 312 Nervous .. . ■ • ■ *8 Ear, eye, throat .. • • 38 Women's .. .. 47 Circulatory .. .. .. 80 Genito-urinary .. • • 14 Miscellaneous Figures (additional to above) : — Visits .. • • • • 238 General anaesthetics .. ■ • 1 Confinements .. .. ■ • 5 Local anaesthetics .. ■. 26 N.A.B. injections . . . . 291 Minor operations .. _ • - 54Worm treatments (mass) .. 148 Asthma injections (adrenalin) . . 7

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