A.—4.

XVII.—HEALTH. The European staff consists of three medical officers, one dental officer, one bacteriologist, one dispenser, and a nursing staff of one matron and nine nursing sisters. The Native staff consists of sixteen Native medical practitioners, four medical cadets (who will later proceed to the Central Medical School, Suva), five dispensary and laboratory assistants, and seventy-eight nurses and trainees. There are also a grounds staff and ward attendants. For the past two years a locally-born European has been in training at Auckland Hospital, New Zealand, as a bacteriologist. It is hoped that by the end of 1941 his training will be sufficiently advanced to enable him to return to Apia and assume control of bacteriological and X-ray work. A senior Samoan nurse also underwent a course of training in New Zealand during the year. Two more Samoan medical students- completed their four-year course of training at the Central Medical School and returned to take up full-time duties as Native medical practitioners. The Administration is building a strong Native medical service with sixteen Native medical practitioners now in operation and a further nine students in training at Suva. Two new out-stations have been opened, one at Satupait-ea, in Savai'i, and the other at Fagaloa Bay, in Upolu. With the opening of new schools in the out-districts, the resident Native medical practitioners, with the assistance of the Administration-trained teachers, are making satisfactory headway with the improvement of sanitary conditions in the villages. Practically every school now has a pit latrine in place of the old-type sea latrine. Hospitals and Dispensaries. , Admissions to hospitals — Apia Hospital — 1® 39 - 1940 - Europeans .. .. ■ • • • • • 491 407 Samoans .. .. •• •• 1,072 810 Chinese .. .. ■ • • • • • 93 93 Melanesians .. .. .. • • • • 33 5 1,689 1,315 Tuasivi Hospital .. .. .. .. •• 167 105 Aleipata Hospital .. .. .. • • • • '47 134 2,003 1,554 Fagamalo .. .. ■ • • • • • • • 91 76 Sataua .. .. •• • • •• • • 64 68 Poutasi .. .. .. ■ ■ • • • • 283 248 Leulumoega .. .. .. • • • • • • 13 29 Sa'anapu .. . . • ■ • • ■ • • • 21 67 Fagaloa .. .. • ■ • • • • • • • • Total in-patients ... .. • • •• 2,475 2,060 Out-patients, hospitals and dispensaries.. .. 30,735 60,941 33,210 63,001 Deaths in hospitals .. .. .. • • • • 98 107 Main Diseases. Yaws. —There has been a marked improvement in the condition of children suffering from yaws in the out-districts, and few bad oases are now seen. Leprosy. —During the year twelve cases were transferred to Makogai • Leper Station, Fiji. The majority of these cases were in their early stages. All returned lepers, and the relations of any leper who has been transferred to Makogai, are examined regularly. Pulmonary Tuberculosis^—lncreased notifications of this disease are being made, some 118 cases being reported during the year. The necessity for strict segregation of infected persons is stressed to the Women's Committees, and in some cases separate fales have been built. Malignant Jaundice. —The investigations conducted by Sir Raphael Cilento, Director-General of Health' for Queensland, proved the blood of recovered cases reacted to various cultures of lepto-spira. Consequent upon this, a rat-extermination campaign has been undertaken, and it is known that a large number of rats have been destroyed. The number of cases for the January -March, 1941, quarter shows a decrease from the total reported in the corresponding period of 1940. Dental Clinic. During the year six dental cadets completed their training and qualified as Native dental officers, but are being retained in the clinic for a further period of two years. Two trainees have been accepted from the Niue Island Administration and two more Samoan boys are in training.

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