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1913. NEW ZEALAND.

PUBLIC HEALTH AND HOSPITALS AND CHARITABLE AID: REPORT THEREON BY THE INSPECTOR-GENERAL OF HOSPITALS AND CHARITABLE INSTITUTIONS AND CHIEF HEALTH OFFICER.

Presented in pursuance of Section 76 of the Hospitals and Charitable Institutions Act, 1909.

CONTENTS. Page | Page Report of Inspector-General and Chief ..Health | Appendix II (Hospitals and Charitable Aid)^-contd. Officer: I A. Reports on Individual Institutions— contd. Public Health .. .. .. ..31 „ ~ , ~ , Hospitals and Charitable Aid .. 5 Hospitals-co^W. Notes on Plumbers Registration Act .. .. 9 | Cromwell .. .. ... .. 102 The Royal Sanitary Institute.. .. .. 10 | Dannevirke .. .. .. ..94 Assistant Inspector's Report:— Denmston .. .. .. .. 100 The Nurses Registration Act .. .. ..11 Dunedm, and Infectious-diseases Hospital 87,88 Maori Nurses .. .. .. ..12 Dunstan .. .. .. ..103 District Nurses .. .. .. ..12 Gisborne .. .. .. ..93 Plunket Nurses .. .. .. ..12 Gore •• •• ■• ■■ ..105 Native Health Nurses .. .. .. 12 Greytown (see South Wairarapa). MidwivesAct 13 Greymouth 100 Private Hospitals Act .. .. .. 14 Hamilton (see Waikato). Maternity] Hospitals.. .. .. ..14 Havelock .. .. .. ..99 Te Waikato Sanatorium .. .. ..21 g a f. era •-, •• ■■ -.95 Hokitika (see Westland). Appendix I (Public Health):— Invercargill (see Southland). A. Vital Statistics, General .. .. .. 24 Kaikoura 86 B. >> Local .. .. .. 40 Kaitangata 88 C. Climate and Meteorology .. 42 Kawakawa .'.' .'.' .'.' '.'. 89 D. General Reports oi District Health Ofncers . . 4b Kumara 101 E. Appendices to Reports— Lawrence (see Tuapeka). (1.) Infectious Diseases .. .. ..48 Lyttelton .... 85 (2.) Dangerous Infectious Diseases .. 61 Masterton 97 (3.) Provision for Infectious Cases .. 63 Mano-onui 89 (4.) Sanitary Conditions .. .. ..63 Napier .. '.. 93 (5.) Sanitary Condition of Maoris .. .. 65 Naseby '.'. ' 104 (6.) Sanitary Inspections.. ..__ ....__.., 66 jfeleen--.-. 99 (7.) Offensive Trades .. .. .. 69 New Plymouth " '.'. ".'. '.'. 95 (8.) Insanitary Buildings.. .. ..69 Northern Wairoa .. .. ..90 (9.) By-laws .. .. .. ..69 Oamaru (separate institution) .. ..105 (10.) Quarantine.. .. .. .. 70 Otaki, and Sanatorium .. .. ..84 (11.) Immigration Restriction Act 70 Otira .. .. .. . 101 (12.) Medical Examinations .. ..70 Pahiatua '.'. .. .. 1' 98 (13.) Sale of Food and Drugs Act .. ..71 Palmerston North .. .. !'. 97 F. Laboratory Work .. .. .. 75 Palmerston South Sanatorium .. .. 88 Appendix II (Hospitals and Charitable Aid) :— Patea .. ~ .. .. .. 86 A. Reports on Individual Institutions, — Picton .. .. .. .. 98 Hospitals— Port Chalmers .. .. .. .. 88 Akaroa .. .. .. .. 86 Queenstown (see Wakatipu). Arrowtown .. .. .. .. 104 Rawene .. .. .. .. 89 Ashburton .. .. .. ..102 Reefton .. .. .. .. 101 Auckland .. .. . ■ . . 83 Riverton (see Wallace and Fiord), Blenheim (see Wairau). Ross .. .. .. .. .. 101 Christchurch, and Sanatorium and Infectious- Southland, and Infectious-diseases Hospital .. 104 diseases Hospital .. .. 85, 86 South Wairarapa .. .. .. 98 Coromandel .. .. .. ..91 Stratford .. .. .. ..95

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Contents — continued. Page Page Appendix II (Hospitals and Charitable Aid) — contd. Appendix II (Hospitals and Charitable Aid) — contd. A. Reports on Individual Institutions— contd. A. Reports on Individual Institutions — contd. Hospitals— continued. Charitable Institutions — continued. Taihape .. .. .. .. 96 Thames District Home .. .. .. 90 Tapanui .. .. .. .. 88 Timaru Old People's Home .. .. 103 Taumarunui .. .. .. 92 Tuarangi Home.. .. .. 86 Te Puia (see Waiapu). Waltham Orphanage .. .. 87 Totara (see Ross). Westport Old People's Home .. .. 100 Thames .. .. • .. 90 Wellington Convalescent Home .. 85 Timaru, and Infectious-diseases Hospital 102, 103 Wellington Institution for Relief of Aged Tuapeka .. .. .. .. 87 Needy .. .. .. .. 106 Waiapu .. .. .. .. 92 Whangarei Cottage Home.. .. ..90 Waihi .. .. .. .. ..91 B. Statistical,— Waikato .. .. .. 92 Table I. —Hospital and Charitable-aid ReWaimate .. .. .. .. 102 oeipts .. .. .. 107 Waipawa .. .. .. .. 94 „ Ia. —Details of Table I— Wairau .. .. .. .. 99 (a.) Voluntary Contributions .. 108 Wairoa .. .. .. .. 93 (b.) Recoveries from Persons Wakatipu .. .. .. .. 104 assisted .. .. 108 Wallace and Fiord .. .. .. 105 „ ll.—Hospital and Charitable-aid ExWanganui .. .. .. .. 96 penditure .. .. .. 110 Wellington .. .. .. .. 84 „ lla.—Details of Table II (Capital ExWestland .. .. .. ..101 penditure) .. .. ..112 Westport .. .. .. .. 100 ~ llb.—Details of Table II (Administration Whangarei .. .. .. .. 89 Expenditure) .. .. 115 Charitable Institutions— „ lll.—Hospital Statistics (General) .. 116 Alexandra Home, Auckland .. ..83 „ IV.—Hospital Expenditure .. ..118 Nelson .. .. .. 99 „ IVa.—Details of Table IV (Provisions) .. 120 Armagh Street Depot .. .. .. 86 „ IVb.— „ (Surgery) .. 122 Costley Home .. .. .. .. 83 „ IVa— „ (Domestic) .. 123 Gisborne Old Men's Home. . .. .. 93 „ IVd.— „ (Salaries) .. 127 Hamilton „ .. ..92 „ V. —Statistics of Government Hospitals 128 Jubilee Home, Aramoho .. .. 97 ~ Vl.—Expenditure of Government HosKaritane Home .. .. .. .. 106 pitals .. .. .. 128 Lome Farm .. .. .. .. 105 „ Vll.—Cost of Principal Articles conMemorial Home, Woolston .. 86 sumed .. .. .. 129 New Plymouth Old People's Home . . .. 95 „ Vlll.—Average Expenditure for Three North Otago Benevolent Institution .. 103 Years .. .. .. 134 Ohiro Home .. .. .. .. 85 „ IX.—Charitable Institutions (Statistical) 136 Otago Benevolent Institution .. 88 „ X.—Charitable Institutions ExpendiPark Island Old People's Home .. .. 94 ture .. .. .. 137 Remuera Home.. .. .. .. 106 „ XI. —Old-age Pensions .. .. 138 Renall-Solway Home .. .. .. 98 „ Xll.—Levies and Subsidies for 1912-13 139 St. Mary's Home, Wellington .. .. 106 „ Xlll..—Constitution of District Hospital Salvation Army Homes .. .. .. 106 ' . and Charitable Aid Boards .. 140

[Frontispiece.

From a photograph by G. A. Walker, Newmarket, Auckland.]

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Auckland Hospital.—General View, showing all the Buildings with the exception of the Principal Medical Wards and the Infectious Blocks.

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Auckland Hospital.— Nurses' Home.

From a photograph by G. A. Walker, Newmarket, Auckland.]

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EEPOKT. The Inspector-General oe Hospitals and Chief Health Officer to the Hon. the Minister of Public Health, Hospitals, and Charitable Aid. Department of Public Health, Hospitals, and Charitable Aid. Sir,— Wellington, N.Z., 3rd July, 1913. I have the honour to lay before you the annual report of the Department for the year ending 31st March, 1913. 'Public Health. The birth-rate was 2648, slightly higher than that of 1911 (25-97). But for the low birth-rate recorded in Victoria, the New Zealand birth-rate would have been the lowest in Australasia for 1912. The death-rate was 8-87—the lowest hitherto recorded. The infantile-mortality rate was 51 deaths per 1,000 births. This is also the lowest infantilemortality rate recorded. The following table shows the decline in the infantile-mortality rate during the last ten years in the four chief cities of the Dominion. It will be noted with interest that the infantile-mortality rate of Dunedin (38 per 1,000 births) was lower than that for the whole Dominion (51 per 1,000 births).

Further particulars with regard to the vital statistics of the Dominion are attached, through the courtesy of the Government Statistician, as an appendix to this report. It will be noted that there has been a marked decline in the death-rate from infectious diseases, and also from phthisis and other forms of tubercular disease. It is interesting to note that the mortality-rates per 10,000 of the mean population are the lowest recorded for the following diseases during the past five years : Enteric fever, 0-44 ; scarlet fever, 0-07 ; phthisis, 5-04 ; broncho-pneumonia, 1-10 ; pneumonia, 2-86 ; diarrhoea and enteritis, 2-61 ; diseases and accidents to the puerpureum, 0-96. On the other hand, there is an increase in the death-rate from cancer (7-82), though not quite so high as last year (7-97) ; and from diabetes (1'41). The increased mortality-rate in arterial diseases is well marked, viz. : Cerebral haemorrhage, 2-13 ; arterio-sclerosis, 0-71 ; embolism, 0-77. The comparatively high mortality-rate from organic heart-disease (12-23) is very noticeable. Tubercular Diseases. The deaths from phthisis numbered 524, giving a mortality-rate of 5-04 per 10,000 of the mean population—the lowest hitherto recorded. The deaths from other forms of tuberculosis numbered 192 —the mortality-rate being 1-85 —which is also the lowest rate hitherto recorded. The report of the Tuberculosis Conference was issued in February. Many of the Hospital Boards are acting on the suggestions contained in that report, and an effort is generally being made to infuse

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The Dominion Auckland and suburban boroughs Wellington and suburban boroughs Christchurch and suburban boroughs Dunedin and suburban boroughs 81-08 121-48 1903. 1904. 1905. 1906. 1907. 1908. 1909. 1910. 81-08 70-98 67-52 62-10 88-78 67-88 61-60 ! 67-73 121-48 70-12 91-52 85-80 97-19 81-87 61-85 79-02 92-76 95-33 96-21 71-88 117-80 81-67 84-21 84-59 70-98 70-12 67-52 91-52 62-10 85-80 j 1911. 56-31 63-02 1912. 51-0 57-0 92-76 95-33 96-21 71-88 73-36 61-3 100-52 100-52 102-96 88-99 I 74-37 126-16 I 67-82 : 62-78 : 69-40 102-96 88-99 74-37 62-90 60-0 62-30 l 62-30 93-02 | 67-13 72-60 95-36 l 74-54 j 48-52 j 79-08 93-02 67-13 72-60 43-42 381

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energy into the tuberculosis campaign. The North Canterbury Hospital Board has been particularly active in its efforts to give effect to the resolutions of the Conference referred to ; and the country is indebted to Dr. Blackmore, Medical Superintendent of the North Canterbury Sanatorium, for many valuable suggestions with regard to the conduct of the campaign. The Otago Hospital Board and the Medical Faculty of the Dunedin Medical School have also given most valuable assistance, and thanks are specially due to Dr. Colquhoun and the editor of the Otago Daily Times for publishing a series of articles on tuberculosis, from authorities well known to have special experience on the various problems connected with the disease. The Auckland Hospital Board has acquired land for a sanatorium at Tamaki, where it is proposed to erect a sanatorium for not less than fifty patients. When this is erected there will be 231 beds available for consumptive patients in the four sanatoria and that proposed ; and, though this does not nearly approximate the number recommended by the Conference, New Zealand will be proportionately better off as regards beds available for the special treatment of the disease than any other country. Little or nothing has been done with regard to the establishment of farm colonies. The Wellington and Otago Hospital Boards have ample land adjoining their sanatoria for the purpose, and it is to be hoped that such labour colonies will shortly be initiated in connection with these institutions. In the meantime, however, the Boards consider that the establishment of these colonies is more a matter for the Government than the Hospital Boards ; hence nothing is likely to be done until the matter is settled. Bearing in mind the increasing cost of hospital expenditure, it must be admitted that the Boards have reason to be fearful that the contributing local authorities will strongly protest at the substantial increase in the levies that the establishment of these colonies would involve. References to the hospital statistics show that 426 consumptives were treated in our chief sanatoria during the past year. It is difficult just now to estimate to what extent the establishment of tuberculosis dispensaries will increase the demands for admission to our sanatoria. Nevertheless, with the establishment of a sanatorium in the Auckland Province and a comparatively slight increase in the number of beds at our existing institutions, it may be possible to afford accommodation to those patients for whom sanatorium treatment is desirable without increasing the accommodation to the extent recommended by the Tuberculosis Conference. It is to be hoped that the amendment of the Hospitals and Public Health Acts, considered necessary to give effect to certain recommendations of the Tuberculosis Conference, will be favourably considered. Medical Inspection of School-children. In May, 1912, it was decided to initiate a system of medical inspection of school-children, and Drs. Cawkwell, Gunn, and Paterson Were appointed respectively to the Auckland, Wellington, and Otago Health Districts. In January last Dr. Kerr Hislop was appointed to the Canterbury District. Briefly, the system of inspection adopted involves— (a) A course of lectures by the Medical Inspectors to teachers at the training colleges of the four chief centres ; (b) a routine medical examination of the children in Standard II ; (c) the medical examination of children of any standard suspected by their teachers to be suffering from any illness or defect. These cases are to be referred to as " specials." With the staff available it was considered inadvisable to undertake a routine examination of all the standards, the first object being to inspect as many schools as possible, with a view to discovering defects or ailments so that they could obtain the necessary medical advice. The number of children found to be suffering from some ailment or defect will, I think, come as a surprise to the public. It is only right to point out that there is considerable disparity in the reports of the various Inspectors ; hence it has been considered inadvisable to make comparative statements as to the health of the children in the various provinces, as deductions therefrom Would be somewhat misleading. It is only fair to state that this disparity has not been so noticeable since February last, when the Inspectors undertook a joint inspection of certain schools in Wellington. By this means it has been made possible for them to adopt a more uniform standard. The percentage of children, however, actually recommended for treatment in the various provinces is a nearer approximation. The fact cannot be ignored that a greater number of children require treatment for some illness or defect than was anticipated. Hence it is necessary and only fair to those children who have not. yet been examined that the medical inspection be proceeded with at a greater rate. This will necessitate an addition of at least four medical practitioners to the permanent staff, and arrangements are being made with certain local medical practitioners to undertake the work as part-time officers of the Department. Native Medical Service. One of the most important undertakings of the past year has been an endeavour to reorganize the Native medical service. Reorganization was necessary owing to the varied terms on which Medical Officers had been appointed by the several Departments giving subsidies prior to this branch of the medical service being handed over to the administration by this Department. To Dr. Frengley the Department is indebted for much valuable information culled from old Acts and treaties relating to this important question. Under the old system there are many drawbacks to the success of the Native medical service. The Medical Officers appointed appear to have no clear idea of the duties imposed upon them by receiving the subsidy. Their duties are not confined to a definite district; they have no powers,

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and consequently few have much enthusiasm in the work. To some extent this could be accounted for by the fact that the medical men consider themselves aggrieved in having to give their services to well-to-do as Well as indigent Natives. The feelings of a medical man can be imagined who, on account of a subsidy of some £50, is called upon to attend a wealthy Maori in possession of broad acres, a well-furnished house, high-class agricultural implements, a motor-car, a billiard-table, and other luxuries of modern life. With the exception of the ever-to-be uncertain intention of the promises underlying the Ngaitahu, or Kemp's purchase in the South Island, there is nothing in Act or treaty to show that the country is under any obligation to render free medical assistance to the well-to-do Native ; but for the indigent Native there is no doubt as to our obligations, and it is to be hoped that Hospital Boards, who sometimes resent the admission of these patients to their hospitals, will bear this in mind. On the other hand, if Hospital Boards are responsible for the treatment in their institutions of Natives who pay no rates, it is only fair that they should exercise some control over the Native medical service. Under the old system Hospital Boards had no certain knowledge that medical treatment for Natives was provided. If the subsidies were handed over to Hospital Boards to administer, it is quite probable that the old grievance against admission of Natives to our institutions will disappear, and that under local control the Native medical service will become more efficient. Under terms similar to the above, district nurses have been appointed to work among the Natives, and their work has been an unqualified success. Quarantine Stations. Though the quarantine stations are occasionally used for the accommodation of infectious cases arriving from direct vessels, fortunately for the reputation of the Department a long time has elapsed since it was necessary to quarantine an entire ship's company. If such a course should be considered necessary—and the day must come —great will be the lamentations raised by, and on behalf of, the persons quarantined. Most of the quarantine buildings Were erected forty years ago, when immigrants expected somewhat rough experiences in the land of their adoption ; but times have changed, and though, despite their age, the buildings are in fair repair, they are not suitable for the reception of a ship's company.One is naturally reluctant to advise the expenditure necessary to erect suitable quarantine buildings that may not be needed for many years, when money is so urgently required for less remote contingencies ; nevertheless, it is the duty of the Department to represent that the existing quarantine buildings are neither adequate nor suitable for the accommodation of the ship's company of a modern liner. Vaccination. From the reports of the Medical Inspectors of Schools it would appear that only some 5 per cent, of the children examined have been vaccinated. Over and over again it has been pointed out in the annual and other reports of the Department that the only efficient safeguard against smallpox is vaccination and revaccination. Inseparable from the responsibilities of our increasing commerce is the danger of seaborne disease. Every year this country gets in closer touch with the Eastern and other countries where smallpox is endemic, and it is only a question of time before an epidemic of this disease will be introduced by an unrecognized case or from infected material. With a population unprotected against the ravages of the disease the developments following the introduction of an unrecognized case of smallpox in our more thickly populated centres can better be imagined than described. The present generation knows nothing of this dread disease, and though it is to be hoped that ignorance in this respect may long be maintained, the folly of refusing the only means of efficient protection is to be deeply deplored. « Sale of Food and Drugs Act. This year has seen the greatest advance in the administration of the Sale of Food and Drugs Act since its passing in 1907. On the 6th March was gazetted an extensive set of regulations providing, in general, for the proper labelling of food packages ; for a statement of weight of the contents, limiting the use of preservatives, flavouring, and artificial colouring matters, and for the protection of food from contamination. The second part of these regulations sets out the standard to which the' greater number of foodstuffs in ordinary household use shall conftrm, and also provides for securing ' the cleanliness and freedom from contamination of meat-products, milk, ice-cream, and ices. Amongst alcoholic liquors a standard has been set out for malt ale or malt beer, and for ale, porter, and beer. Considerable difficulty has been experienced —as is the case in other parts of the Empire—in assigning standards for spirits in general. Pending further consideration and more definite conclusions, for the present the regulations only deal with the strength in alcoholic content of brandy, whisky, rum, and gin. The almost limitless field of drugs has presented still more difficulties. Conferences were held with the Pharmacy Board. Pending the receipt of information as to the doings of other States in this very complex matter, the regulations decide that all drugs sold in New Zealand which are included in the British Pharmacopoeia shall conform to the descriptions and tests therein prescribed. It is only too well known that many so-called " patent medicines " have earned their popular reputation by the comforting stimulating or debauching influence—according to the reader's views on the alcohol problem —of their alcoholic contents. It is, of course, open to debate whether a definite statement on the label of such alleged remedies may tend to prompt the purchaser to buy that article

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which declares the higher percentage of spirit, or that such unwonted candidness about these " secret " remedies may open the eyes of the public, to their true nature and thus reduce their sale. Be that as it may be, the present regulations require that any proprietary medicine sold for internal use by man shall bear a definite statement as to the percentage of proof spirit contained. This is in accord with the main principle underlying these regulations in regard to the foods aspect. That principle may be thus enumerated : That a housewifejnay see displayed on the label of any food package an accurate description of the contents. No longer—when buying coffee, for instance — is she to be deceived by such facetious comments as this : " This coffee has added to it a very small proportion of chicory " (which may in reality be anything from 25 per cent, to 75 per cent.), or by the absence of any attempt to be even so frank. Now, if she asks for coffee she is to get coffee ;if she prefers coffee and chicory she will know just what she obtains under those terms. " Pure malt " must really be so, and not a plausibly advertised and " faked " concoction of acetic or pyroligneous acid. Regarding old labels : A concession was made allowing of the use of stock-in-trade labels provided all-important amendments or additions were added thereto by " stick-on " labels or other suitable means. The departmental work involved in administering these food regulations is proportionate to the almost astounding extent to which the practice of inaccuracy in labelling has grown and to the skill exercised by the expert " food-faker." While framing the regulations the fullest use was made of the standards assigned by other countries, and more particularly by the nearest neighbours—the Australian States. Indeed, the basis of the New Zealand regulations may be said to be the results of the Departmental Conference on Uniform Standards for Foods and Drugs held in Sydney in 1910. One aim in the endeavour to approximate those standards was to prevent needless differences in minor details of labelling in New Zealand and Australia. The regulations are now being issued- in pamphlet form, containing an index and samples of the types required to be used in labelling statements. The available machinery of the Department for the administration of the Act and regulations consist of —{1) A departmental committee, which prepared the regulations, and to whom all matters affecting them are referred ; (2) local control by the several District Health Officers ; (3) local collection of samples throughout the Dominion, under the instructions of the District Health Officers, by Inspectors under the Public Health Act who are also officers under the Sale of Food and Drugs Act; (4) the Dominion Analyst and staff at Wellington, and Analysts at Auckland and Christchurch. Until twelve months have elapsed from the time of the gazetting of the regulations it is already evident that the greater part of the work will be concerned in matters arising out of the interpretation of the regulations, and especially those designating labelling. The end of next year will see the campaign carried, as it were, right up to the door of the consumers. Administrative. As regards the public health of the Dominion, the past year has been a most satisfactory one. The returns of the Registrar-General show the lowest general and infantile-mortality rates hitherto recorded in the Dominion. The diminution in the deaths from consumption and other diseases of an infectious nature is also satisfactory, and would go to show that the ever-increasing expenditure on hospitals and other matters affecting the public health is more or less justified. Nevertheless, the increase in expenditure on hospitals and charitable aid occasions some concern, especially to certain contributory local authorities which are feeling to the full the ever-increasing burden of the hospital levies. Though a relative reduction in the maintenance expenditure of hospitals may be hoped for with some confidence, there is little doubt that the expenditure on buildings will continue to increase, owing to the fact that many of our hospitals are wooden structures which are now falling into decay. There is no doubt that a great part of this increase in expenditure Would be met if Hospital Boards would but insist on the payment of maintenance fees by those patients who are in a position to pay the full cost of hospital maintenance, and it is hoped that Hospital Boards will look well to this sourca of revenue before increasing the levies on their contributory authorities. In July, 1912, following on previous reference to the matter, the attention of the Department was directed to the report of the District Inspector of Audit to the travelling-expenses of a late Chairman, the Secretary, and certain members of the Westland Hospital Board. The matter seemed so serious that after consultation with the Minister of the Department it was referred to the Minister of Justice, who appointed Mr. Evans, S.M., to h»ld an inquiry into the administration of the Westland Board. The inquiry lasted some ten days, and some extraordinary evidence was elicited. Owing to departmental matters necessitating the presence of the Inspector-General of Hospitals in Auckland, Dr. Finch represented the Department at the inquiry. As a result of Mr. Evans's investigation and report it was decided to demand a refund of travellingexpenses from certain members, amounting to no less a sum than £800. At the time of writing this sum has not yet been refunded, though an offer of £400 has been received on behalf of certain members of the Board implicated. Both Departments concerned considered that this offer should not be entertained, but that the payment of the full amount should be insisted on. At the instance of the Departments, the services of the Secretary have been dispensed with, and the late Chairman has tendered his resignation as a member of the Board. Mr. Evans's report has been printed and circulated among the local bodies on the West Coast. Matters stand thus at present. It remains to be seen whether prosecution will be necessary to give effect to the stipulations of the Departments concerned. For the credit of the Dominion be it said that such wholesale abuse of responsibility, to say the least of it, on the part of members of our local bodies is extremely rare.

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Hospitals and Charitable Aid. Receipts. The total amount received by Boards and separate institutions for the past year on account of hospitals, charitable aid, and public health, was £583,673, an increase of £27,565 over the previous year, the receipts for the past four years being— £ 1909-10 .. .. .. .. .. .. .. 443,522 1910-11 .. .. .. .. .. .. .. 494,985 1911-12 ... .. .. .. .. .. .. 556,108 1912-13 .. .. .. .. .. .. .. 583.673 The receipts from the principal sources of revenue were as follows : — Government contributions— £ 1909-10 .. .. .. .. .. .. .. 152,856 1910-11 .. .. .. .. .. .. .. 167,941 1911-12 .. .. .... .. .. .. 189,011 1912-13 .. .. .. .. .. .. .. 200,256 Levies on local authorities — 1909-10 .. .. .. .. .. .. .. 129,012 1910-11 .. .. .. .. .. .. .. 131,524 1911-12 .. .. .. .. .. .. .. 149,203 1912-13 .. .. .. ... .. .. .. 166,281 Voluntary contributions'— 1909-10 .. .. .. .. .. .. .. 31,061 1910-11 .. .. .. .. .. .. .. 35,433 1911-12 .. .. .. .. .. .. .. 31,656 1912-13 .. .. .. .. .. .. .. 25,930 Payments by persons relieved— 1909-10 .. .. .. .. .. .. .. 56,742 1910-11 .. .. .. .. .. .. .. 61,983 1911-12 .. .. .. .. .. .. .. 64,138 1912-13 .. .. .. .. .. .. .. 77,369 Voluntary contributions exhibit a decrease of £5,726 under the previous year, and, considered in proportion to the total expenditure, voluntary contributions have a decidedly downward trend. Prior to 1885, when the hospitals were maintained by voluntary contributions and Government subsidy, one-ninth of our total expenditure was met by voluntary contributions ; to-day this proportion has fallen to one-twentieth.

There has been a substantial increase in payments by persons relieved, viz. : —

Expenditure. The total expenditure of Hospital and Charitable Aid Boards was £469,787, and compares in detail with that of 1911-12 as follows : — 1912-13. 1911-12. £ £ :..■■:■■•: Hospital maintenance* .. .. .. ..228,337 213,318 . Charitable aid .. .. .. .. ..90,687 91,009 Public health .. .. .. .. .. 7,803 5,468 Administration .. .. .. .. .. 22,210 19,813 Capital expenditure .. .. .. .. ..100,822 98,092 Other expenditure .. .. .. .. .'. 19,928 17,421 £469,787 £445,121 * Includes expenditure on pathologioal, dental, and tuberculosis out-patients departments.

Year. Payments by Hospital , Payments by Inmates of Patients. Charitable Institutions. Total.* .909-10 910-11 .911-12 .912-13 £ 34,414 42,714 47,338 56,255 £ 13,363 14,028 16,698 20,888 I £ 47,777 56,742 64,138 77,369 *fi eludes also district nursing fees.

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1912-13. 1911-12. The total expenditure by separate institutions was, — £ £ Hospital maintenance .. .. .. .. 2,801 2.878 Charitable aid .. .. .. .. .. 6.784 7.814 Administration .. . . . . . . .. 590 779 Capital expenditure .. .. .. .. .. 2,527 3,052 Other expenditure .. .. .. .. .. 1,548 911 £14,249 £15,434 The expenditure on Government institutions (Te Waikato Sanatorium and St. Helens Hospitals was, — 1912-13. 1911-12. £ £ Maintenance .. .... .. .. 10,979 9,600 Administration .. . . .. .. .. 524 537 Capital expenditure .. .. .. ..' .. 4,813 11,702 Other expenditure .. .. . . .. .. 93 251 £16,407 £22.090 There was also expended by the Department on other means of medical and nursing assistance a sum of £5,726, made up of — £ (1.) Subsidies to medical men in the backblocks .. ... .. 1,460 (2.) Medical and nursing attendance on Maoris .. . . . . 4,266 The total expenditure by Hospital and Charitable Aid Boards, separate institutions, and the Department in the relief of the sick and needy was therefore £506,170 ; and this is apart from the expenditure of private charitable organizations.

Hospital Expenditure. The total expenditure on account of hospitals for the last four years was as follows: —

Hospital Maintenance Expenditure. The gross cost of hospital " maintenance " —for Boards, Government, and separate institutions— was last year £240,527, as against £225,796 the previous year. This is very satisfactory in that the increase in maintenance expenditure is not nearly as great as it would be if it were proportional to the increase in the number of occupied beds per diem, which is shown as follows : —

(xeneral Hospitals. —-The expenditure on maintenance on general hospitals was £212,831, and this, is equivalent to £100-3 per annum per occupied bed, against £106-3 for 1911-12. The average annual cost of maintenance per occupied bed for the last four years is set out below : —

Year. Maintenance. J Administration. Capital. Miscellaneous. Total. .909-10 .910-11 .911-12 912-13 £ 187.922 199,573 225,796 240,527 £ 10,406 11,586 13,255 12,644 £ £ 59,213 4,699 70,814 5,830 84,798 5.663 98.05] 3,598 £ 262,24] 287,803 329,513 354,818

Patients under Treatment during Year. Average j Average Number under Daily Treatment. i\umoer unaer i Treatment. Year. General Special ™ , , Hospitals. Hospitals. lotaL General Hospitals. Special Hospitals. Total. 909-10 910-11 911-12 912-13 21,108 23,584 24,68] 26,979 1,420 1,607 1,879 1,789 20,695 25,191 26.560 28,768 1.709 1.839 1,900 2,131 138 186 178 200 1,847 2.025 2,078 2,231

Year. Provisions. i Surgery and Dispensary. ; Domestic and Establishment. Salaries and Wages. Total Maintenance. .909-10 .910-11 911-12 912-13 £ 23-7 22-8 24-2 23-8 £ 98 8-7 10-3 9-9 I £ 25-9 26-7 29-5 26-3 £ 40-9 38-8 42-3 40-2 £ 107-0 97-0 106-3 100-3

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Charitable-aid Expenditure. As compared with last year there is a decrease of £1,352 in charitable-aid expenditure, the figures for the last four years being as follows : —

A Comparison of Hospital and Charitable-aid Expenditure for the past Ten Years, and Reasons of Increase.

In the above the figures for the last three years include infectious disease, hospitals and consumptive sanatoria under Boards' control, also public health, subsidies to medical associations, and district nurses. In every year separate institutions have been included. The number of persons availing themselves of treatment in the general hospitals for the last ten years was as follows : —

Year. Indoor Relief. Outdoor Relief. Total. 1909-10 1910-11 1911-12 1912-13 £ 64.335 62,848 64,651 66.378 £ 38,988 33.051 34,171 31.092 £ 103,323 95.899 98.822 97.470

Year. Hospital and Charitable-aid Expenditure. Mean Population. Cos p t P er , of ' Population. 1903-4 .. 1904-5 1905-6 1906-7 1907-8 1908-9 .. 1909-10 1910-11 .. 1911-12 .. 1912-13 £ .. ! 243,000 259,616 270,710 .. ! 288,808 .. l 315.197 .. J 359,941 375,075 416.384 482,645 500,443 s. d. 826.902 5 10 J 851.964 6 1 877.469 6 2 901.920 6 4| 925.727 6 10 945.063 7 1\ 977.906 7 8 997.974 8 4| 1.019.984 9 5| 1,046,624 9 6f

Year. 1903-4 .. 1-904-5 ■:■:■■ 1905-6 .. 1906-7 .. 1907-8 .. 1908-9 .. 1909-10 .. 1910-11 .. 1.911-12 1912-13 .. Total Number of Persons under Treatment. ] .. j 15.033 ■■■:4 • 15,278 ■-■■ L6.216 17.521 j 19.160 .. j 18,653 .. ; 21.108 23.584 24,681 .. ! 26.979 ■I Population. 826,902 851,964 877,469 901,920 925.727 945,063 977.906 997,974 1,019,984 1,046.624 anderXltment ! Av n T« e W« j Proportion per 1.000 Be l° p C e °X m ! ««4«l»to. of Population. -Beds per Diem. __ [ J_ 18-2 1,233 1-49 17-9 1,290 1-51 18-5 1,354 1-54 19-4 1,505 1-67 20-7 1,511 1-66 20-8 1.566 1-66 21-6 1.709 1-75 23-6 1,839 1-81 24-1 1,900 1-83 25-8 2,131 2-04 18-2 17-9 . 18-5 19-4 20-7 20-8 21-6 23-6 24-1 25-8 1,233 1,290 1,354 1,505 1,511 1.566 1.709 1,839 1,900 2,131 1-49 1-51 1-54 1-67 1-66 166 1-75 1-81 1-83 2-04 I : I h i

Year. General Number of Hospitals. Number of Beds. Proportion of Beds per 1,000 of Population. 1903-4 .. 1904-5 .. 1905-6 .. 1906-7 .. 1907-8 .. 1908-9 . . 1909-10 .. 1910-11 . . 1911-12 .. 1912-13 .. 47 47 52 53 53 53 56 57 60 63 1,988 2,048 2,186 2,331 2,347 2,502 2,689 2,863 3,057 3,176 2-40 2-40 2-49 2-58 2-54 2-65 2-75 2-87 3-00 3-03

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Capital expenditure on general hospitals is as follows : — £ 1902-3 ... 17,648 27,508 1904-5 .. .. .. .. .. .. .. 28,640 1905-6 .. .. .. .. .. .. .. 20,379 1906-7 31,508 1907-8 .. .. .. .. 39,499 1908-9 .. .. .. .. .. .. .. 55,837 1909-10 .. .. .. .. .. .. .. 52,341 1910-11 .. .. ~ .. .. .. 62,237 1911-12 .. .. .. .. .. .. 70,331 1912-13 87,042 General. 1. Hospital and charitable-aid expenditure has increased in the ten years ending 31st March, 1913, from ss. 10|d. per head of population to 9s. 6|d. 2. But 258 per 1,000 of the population availed themselves of hospital treatment in 1912-13, as against 18-2 in 1903-4. 3. And the average number of occupied beds per diem rose from 1,233 to 2,131, or from 1-49 to 2-04 of the population. 4. The resulting capital expenditure necessitated thereby has provided 3,176 beds, as against 1,988, or 303 per 1,000 of the population, as against 2-40. 5. Capital expenditure was £27,508 in 1903-4 and £87,042 in 1912-13. 6. In addition to the necessity for providing additional wards, many of the old wooden hospitals have had to be rebuilt. 7. The cost per occupied bed in the general hospitals during the last five years has been, — £ s. d. 1908-9 .. .. .. .. .. .. 107 0 0 1909-10 .. .. .. .. .. .. 100 7 0 1910-11 .. .. .. .. .. .. 96 19 0 1911-12 .. .. .. .. .. .. 106 6 0 1912-13 .. .. .. .. .. .. 100 6 0 8. Patients' payments have averaged, per occupied bed.— £ s. d. 1908-9 .. .. .. .. .. .. 18 2 7 1909-10 .. .. .. .. 21 10 1 1910-11 .. .. .. .. .. .. 20 17 8 1911-12 .. .. .. .. .. .. 21 12 0 1912-13 .. .. .. .. .. .. 22 8 0 The conclusions to be arrived at from the foregoing are that the increased cost of hospital and charitable-aid expenditure in the Dominion is owing to —■ (1.) Number of people who now avail themselves of hospital treatment. (2.) Erection of new buildings. (3.) Increase in cost of articles of consumption (as evidenced by our tables of prices paid each year). (4.) Increase in rates of salaries and wages. The principal cause of the increase is undoubtedly the greater number of persons who now avail themselves of hospital treatment, whereas the patients' payments only amounted last year to one-third of the cost of maintenance and treatment. Even were the fees paid in full, the amount received would not pay the maintenance cost. I have on more than one occasion drawn the attention of Boards to the necessity of raising their charges, as it is manifestly easier to reduce the fees to a necessitous person than to ask a person in good circumstances to pay more than the fee fixed. I have but recently sent a circular to Hospital Boards on the subject, as this appears to be the only means by which the evergrowing burden of hospital expenditure can be checked. Nurses Registration Act. The number of nurses being trained in our hospitals is increasing yearly. During the year 141 trained in New Zealand were admitted to registration, while 47 new arrivals in the Dominion were also granted registration. The question of having a uniform scale of salaries for hospital nurses has frequently been discussed, but, as each Board sets its own scale, and naturally desires to reward good service by some recognition, it is almost impossible to expect any success, having regard to the varying conditions and inducements offered in the services of the several hospitals.

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In the Assistant Inspector's report will be found some remarks on the training of nurses for registration, which show the difficulties of providing satisfactory training in small hospitals. Midivives. The number of midwives added to the register during the year was 91, all of these having been trained. Of these, 61 were trained in the State maternity and other recognized training-schools in New Zealand, and 30 were admitted on certificates obtained in other parts of the Empire. The remarks of the Assistant Inspector point out the very much higher standard of training in the Dominion than at Home. Trained midwives are going out as district nurses, and subsidized nurses under the Hospital Boards to the backblocks and establishing private maternity hospitals in country towns. The number of untrained midwives registered when the Act first passed was 682, and during the first year only 52 trained women were registered. On the 31st March, 1913, the trained midwives total 504. This shows a very satisfactory increase in our properly qualified midwives. St. Helens Inquiry. After some agitation an inquiry was held into the administration of the local St. Helens Hospital. The inquiry extended over the months of December, January, February, and March. The more serious charges against the officials were withdrawn during the inquiry, and the Commissioner's report did not substantiate the other charges, though some laxity was implied. The Commissioner's report is a lengthy one, chiefly taken up with recommendations with regard to the adoption of regulations for the conduct of the institution on matters which are almost entirely provided for by existing regulations and rules. It was satisfactory to note that the Commissioner was impressed with the excellent work that was done at the Hospital, and the low mortality and morbidity rates, despite the fact that the surroundings of the Hospital were by no means ideal. The Department has constantly reported as to the impossibility of transforming houses built for private residences into buildings suitable for hospital purposes. The evidence taken during the inquiry should be read as well as the report. Plumbers Registration Act, 1912. During the last session a Bill entitled " Plumbers Registration " was introduced by the Minister of Public Health (Hon. R. H. Rhodes). In 1904 the then Minister of Public Health (the Right Hon. Sir Joseph Ward) introduced a Plumbers Registration Bill, which passed its second reading. The Christchurch Plumbers' Union submitted a draft of a Bill in 1910, and the New Zealand Federation of Gasfitters and Plumbers Association of Workers submitted an amendment thereof in 1912. There has therefore been a continuing demand by plumbers for a Bill for over eight years, the main object they had before them being a Dominion registration scheme. Many prominent local authorities in New Zealand habitually refused to recognize licenses granted to plumbers under the by-laws of other local authorities, consequently the persons affected found it necessary to pay a succession of licensing fees to the several authorities under whose jurisdiction they happened to require to work ; and, more than this, in many instances such licenses were refused, until the applicant had passed the local examination prescribed by the licensing authority concerned. While after its introduction the discussion and comments upon the Bill showed that the local authorities seemed prepared to admit the unreasonableness of the reduplications affecting licenses and examination, yet the fact remains that no mutually concessionary attempts had been made to remove an undoubted disability. The Act emphatically removes all cause for complaint in this regard. The Bill was referred to the Labour Bills Committee, by which it was reported in somewhat altered form, the principal change being in the elimination of the Plumbers' Advisory Committees of Auckland. Wellington, Christchurch, and Dunedin, which the Bill proposed to set up, in general terms, as aids to the central Plumbers' Board of New Zealand. On the 7th November, 1912, the Act was ultimately passed, with but few material amendments. It came into operation on the Ist April, 1913. Briefly, it is an Act effecting the registration of plumbers for sanitary plumbing only. The province of sanitary plumbing is defined in the Act. The administration rests with the Plumbers' Board of New Zealand, now established by the Act. The Board statutorily consists of five persons —viz., the Chief Health Officer for the Dominion, or his deputy ; the Inspector-General of Schools ; an engineer member ; a master plumber representative ; and a journeyman plumber representative. The first two members are ex officio, the third is appointed by the Governor, and the remaining two are elected by their respective federated associations as defined by the Industrial Conciliation and Arbitration Act, 1908. The members of the first Board are as follows : Joseph Patrick Frengley, M.D., F.R.C.5.1., D.P.H., Deputy Chief Health Officer (Chairman) ; George Hogben, M.A., F.G.S., Inspector-General of Schools ; William Hobbard Morton, M.1.C.E., M.R.San.lnst., City Engineer, Wellington ; Alexander Burt, jun., master plumber, National Registration of Plumbers (England), Auckland ; John Clarke, journeyman plumber, National Registration of Plumbers (England), Auckland.

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The first duty under the Act is to specify by regulations the districts in which all sanitary plumbing shall be done by registered persons only. This limitation has been imposed to avoid such an extreme as requiring that even in the backblocks such work could only be performed by registered persons. As time goes on these districts will be extended so that within reason and ultimately it may be expected that all sanitary plumbing in New Zealand will be performed by registered plumbers. No distinction is made in the Act between master and journeymen plumbers : " registered plumber "is the one and only designation sanctioned for both these classes. Registration is obtainable at the commencement of the Act on these grounds : (1) That applicant possesses a certificate of having passed an examination approved by the Board ; (2) that applicant holds a license under municipal or Drainage Board by-laws in New Zealand ; (3) that applicant is fully competent to perform the duties of a sanitary plumber. It is anticipated that the large majority of the registrations will be effected before the end of the year 1913. In the future the plumbing examinations in New Zealand—the only portal to registration—will be prescribed by regulations and be controlled and conducted by the Board. A provision of the Act is that any such examination shall be at least equivalent to the Plumbers' Examination in Grade II of the City and Guilds of London Institute. The Board is likely to hold its first examination prior to the end of this year. It had been frequently complained in the past that the local authority's inspection of sanitary plumbing was frequently placed in the hands of inspectors whose knowledge of sanitary plumbing was inferior to that of the person who had performed the work. After one year from the commencement of the Act it will no longer be lawful for a local authority to employ as an Inspector of sanitary plumbing any person who is not a registered plumber, or the holder of a certificate from the Royal Sanitary Institute, unless the occupant of the inspectorship held it prior to the Act's passing. Initially much detail work will be involved in the proceedings of the Board. Considerable interest is being taken in the outcome thereof both by master and journeyman plumbers and by local authorities. Amongst some of the latter there appears to be a misapprehension that local control under local by-laws has been removed, but beyond a requirement that no registered plumber shall be required to pass any examination or to pay any license fees under their by-laws there is no such retrograde step evidenced or contemplated by the Act. The Royal Sanitary Institute. The main object of this Institute, founded in 1876, is to promote the advancement of sanitary science in all or any of its branches, and to diffuse knowledge relating thereto. The Institute is a composite body, representative of all professions connected with sanitation and public health, and its membership includes medical men, engineers, architects, and other workers and administrators interested in the large field of hygiene. Its membership is distributed over Great Britain and Ireland, the Dominions and colonies, and foreign countries. Branches under the management of local councils and committees for the purpose of holding meetings of the members and associates for discussion, and for arranging lectures, have been established in many colonial States, and it is hoped to shortly establish such a branch in New Zealand. A Board of Examiners for New Zealand has been established by the Council of the Institute. The members of the Board are —T. H. A. Valentine, M.R.C.S., D.P.H. (Lond.), Inspector-General of Hospitals and Chief Health Officer, New Zealand. Auckland—G. W. Allsop, F.R.1.8.A. ; W. E. Bush, Assoc M.lnst.C.E., M.R. San.lnst. ;R. H. Makgill, M.D., D.P.H. (Camb.). Wellington—A. Atkins, F.R.I B A Assoc.MJnst.C.E. ; J. P. Frengley, M.D., F.R.C.5.1., D.P.H. (Lond.) ; W. H. Morton, M.1.C.E., M.R. San.lnst. Christchurch—E. Cuth'bert, M.lnst.C.E., M.R.San.lnst. ;H. E. Finch, M.D. (Edin.), D.P.H. (Camb.) ;S. Hurst Seagar, F.R.1.8.A. Dunedin—S. T. Champtaloup, M.8., B.Sc. (P.H )■ B B Conston, C.E. ; P. Y. Wabs, F.N.Z.I.A. The first examinations in New Zealand under the Institute in " Sanitary Science as applied to Buildings and Public Works," and for Inspectors of Nuisances, were held in Auckland in December, 1910. Below are set out the returns for this and subsequent examinations held up to the 31st March 1913:—

Where held. Date. Number of Candidates. Number successful. Sanitary Science. Auckland Wellington Auckland Wellington Auckland .. 16th December, 1910 2nd November, 1911 7th December, 1911 .. 27th June, 1912 .. 12th December, 1912 6 1 7 5 4 • 23 4 1 4 4 1 14 14

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It has from time to time been suggested that this Department should inaugurate and conduct examinations in sanitary science for the Dominion. Any such proposals were, however, quite outweighed by the outstanding fact that the certificates obtainable under the Royal Sanitary Institute's examinations are recognized throughout the British Empire. Consequently any New-Zealander passing such examinations secures by reciprocal recognition a wider scope for the knowledge acquired by him in sanitary science than any Dominion certificate could give him, however extensive might be the course of training and standard of the examination therefor. Should a sufficient number of candidates make application it is the intention of the Board of Examiners for New Zealand to hold examinations in future yearly at the following centres in succession : Christchurch, first week in March ; Wellington, first week in June ; Dunedin, first week in September ; Auckland, first week in December. At the end of the Public Health Appendices will be found an appendix setting out the names and public positions of candidates who have passed the Institute's examinations. T. H. A. Valintine, Inspector-General of Hospitals and Chief Health Officer. THE NURSES REGISTRATION ACT, MIDWIVES ACT, AND PART 111 OF THE HOSPITALS AND CHARITABLE INSTITUTIONS ACT (PRIVATE HOSPITALS). Report by Miss H. Maclean, Assistant Inspector. The Nurses Registration Act. During the year two examinations were held by the State. There were 141 candidates, of whom 115 passed, and their names were placed on the register of trained nurses. The receipts of fees for examination and registration amounted to £137, and the expenses in connection with the examination £162 18s. 2d. The nurses registered on certificates from overseas were forty-seven ; fees received, £47. The number of nurses coming up for examination from the various hospitals in the Dominion during the last six years has doubled. The greatest increase is from the Christchurch Hospital :in 1907 the number of candidates from this Hospital was six, whereas in 1912 the number was twentythree. This is partly owing to the fact of the large increase in hospital accommodation, and partly that many of the outside institutions, such as chronic wards, cottage hospitals, fever hospitals, and consumptive sanatoria under the Hospital Boards have been staffed from the main hospital. In this way the institutions are better served than in the past, and the probationers working for a short period in each under trained Sisters have the benefit of a varied experience. In this new country, where the lack of nurses is often so greatly felt, every woman trained and registered helps to relieve the want, and therefore every month spent in gaining knowledge of the art of nursing, even if in a small place, is a gain, and, provided the trainee spends the greater part of her three-years course under the more favourable conditions of the large hospitals, is no disadvantage to her. It is for the Matron of the large hospital to see that each one of her pupils has a fair share of these advantages and spends the minimum of her time away from the main hospital. A course of preliminary training before entering the wards of the hospital, considered so necessary in the older countries, is under the conditions of this country almost impossible of realization. The probationers from the first are needed and useful for the care of the sick, and while many nurses trained at Home and in America are not given a monetary payment as well as their professional instruction in return for their services, pupil nurses during their third year receive in New Zealand the same salary as that given to certificated

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Where held. Date. Number of Candidates. Number successful. nspector of Nuisances. mckland Wellington Luckland Ihristchurch )unedin .. Vellington Luckland Ihi'istchurch 16th December, 1910 2nd November, 1911 7th December, 1911 14th December, 1911 20th June, 1912 27th June, 1912 12th December, 1912 13th March, 1913 .. 1 5 2 16 17 11 2 7 1 5 2 9 9 9 i 3 61 39

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Sisters in English hospitals. They are housed and fed, and in some hospitals various means of recreation are provided. No doubt, if they went through their probationership without payment, it might be possible—as in a certain Toronto hospital—to provide libraries, swimming-baths, and gymnasium, with instructors. There the nurses receive no salary during training. While, however, the larger hospitals provide a good equivalent for the work expected from their nurses in the instruction given over and above the small salary, it is not unfrequently the case that in some of the smaller hospitals the course of lectures, all to be given probably by one Medical Officer, is not up to the required standard set by the regulations under the Nurses Registration Act. It is the plain duty of the Hospital Boards to see that the contract under which young women enter their hospitals for training are complied with, and to provide the proper instruction, without which they are allowing themselves to be parties to a fraud. The girls who enter and work hard for the hospital do so in good faith that they are to receive the training laid down under the Nurses Registration Act. It is almost impossible in the very small country hospitals for a nurse to obtain during three years experience fitting her for registration as a trained nurse. As a matter of fact, few candidates for examination come from these hospitals. It is to be feared that girls are encouraged to enter with the hope of being trained, but soon realize their mistake and pass on to larger hospitals or give up in disgust. It would be more honest on the part of the authorities governing these hospitals, on which unfortunately no bar is laid by the Registration Act, to frankly acknowledge their disability and take the girls only as a preliminary to sending them on elsewhere. In fact, they might affiliate with the larger hospitals for this purpose. The Medical Superintendents and Matrons often do their best to give the necessary course of lectures and practical instruction in order to fulfil the contract entered into by the Boards, but as pupils do not often remain long it is a case of beginning over and over again, and most disheartening to the teachers. It is time, now that the Act has been in operation for twelve years, to give consideration to the more satisfactory training of nurses under such conditions. Maori Nurses. One Maori probationer passed the State examination in. June, 1912, taking a very fair place. She was too young for registration until April, 1913, and remained at her training-school (Palmerston North Hospital) in the interval. She is to enter St. Helens Hospital for six months, and after that course to take up Native health work. One Maori probationer died of typhoid fever at the Gisborne Hospital, where she was. training, and was much regretted. Two others, who had completed training, have since married. There are now seven Maori girls going on with their training in various hospitals, and one of these is coming up for examination in June. District Nurses. The district nursing scheme for the backblocks is steadily progressing, but not so fast as might be desired. There are now nine nurses working under this heading, at Uruti, Seddon, Motu, Waipiro Bay, Eketahuna, Masterton, King-country, Stewart Island, and Invercargill, and one is to be established at Warkworth. There are also nurses subsidized by the Hospital Boards or County Councils at Whangaroa and Waipu. The Bay of Islands Board has four subsidized maternity nurses—at Herekino, Kaeo, Okaihau, and Houhora. In the towns there are district nurses established at Christchurch, Wellington, Dunedin, Palmerston North, and Wanganui. * Plunket Nurses. The Society for the Health of Women and Children has now nurses in the following districts : Wellington, Auckland, Christchurch, Dunedin, Invercargill, Napier, Timaru, Gore, Gisborne, Hawera, and Wanganui. These nurses are not expected to do sick-nursing except under special circumstances in some country districts, but are more regarded as health missioners to prevent sickness, especially among the infant population. They are expected to preach the laws of hygiene throughout their districts, and to watch over the feeding and bringing-up of infants in all classes. A proportion of the upkeep of the nurse is undertaken by each branch society, and contributions for the purpose subsidized by the Government. The appointment of nurses must be approved by the Department, and reports of their work sent in to the district offices. Dr. Truby King, Superintendent of Seacliff Mental Hospital, was released from his duties for several months'and attached to the Department of Public Health in order to carry on a campaign against infant mortality throughout the Dominion. He lectured and demonstrated on proper methods of feeding, and generally on the laws of hygiene and health, in almost every township, and succeeded in awakening great interest in the crusade, and in the formation of many new branches of the society. It is easily to be understood that women with exceptional qualities and great personal influence are required to accomplish very much good in this work. Nurses who are well capable of nursing a case of illness may not be successful in instilling the principles of healthful living into those who are not ill, and in carrying out work in which so much must be left to their own initiative. Native Health Nurses. It is now nearly two years since this Department took over the care of the Native health from the Native Department, and since the last annual report was written much has been done in the nursing department. Miss Bagley is still in charge of this branch of work, and Nurses Beetham, Anderson Cormack, Mataira, Lewis, and McElligott are still in their respective districts. The last-named nurse'

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unfortunately, contracted enteric fever, but is now convalescent. There are now also nurses under the Waiapu Board at Te Araroa, where the Native and European residents had established a cottage and dispensary, and where the residents are fortunate in securing the services of two fully trained nurses — one being sent by the Department, the other going to be with her friend, at a smaller salary provided by the settlers, with the Government subsidy, for an assistant. At Thames a nurse has recently been stationed. There have been many enteric cases in this district. The nurse and the Sanitary Inspector find great difficulty in dealing with the pas on the river above Thames, where the swamps have been recently drained, and where the settlers are pouring in. The insanitary conditions under which the Natives live in close proximity, and their frequent epidemics, are likely to be a serious menace to the growing European population, unless something really practical is done to remedy the state of affairs. A nurse is needed for the Bay of Islands district, where there is now an outbreak of typhoid fever, to cope with which a camp hospital was established at Te Ahuahu by Miss Bagley, with the assistance of the Sanitary Inspector. Three nurses were left in charge, one of whom unfortunately contracted the fever and is now ill. There was early in the year an outbreak at Paeroa, and a nurse was sent and a hospital tent established by Miss Bagley for those patients too ill to be moved to the district hospital. This nurse afterwards carried her equipment to Te Ahuahu. There has also been, in April, a serious outbreak in the Waiapu district. Besides the patients in the district hospital, three nurses have been managing a camp hospital there, in which were twenty-one patients. One nurse contracted fever, and another was sent up to relieve her. One great difficulty the nurses experience in the camps is getting help for cooking and washing. The value of the work of these nurses has been demonstrated in the districts where they have been at work for some time by the decrease in cases of enteric from those parts, probably owing to the better sanitation of the pas which has been secured, owing to their work, in co-operation with the Sanitary Inspectors. Muriwai, where there was so much sickness a year ago, is a good instance. The old houses have been pulled down and quite good residences built and sanitary measures adopted. Much of the work of the Native health nurses is concerned with the troubles of infancy, and it is hoped their teaching on infant diet and the value of cleanliness and fresh air may improve the coming generation. One nurse points out the difficulty she experiences in this regard owing to the habit of the Maoris of adopting infants, they being promised before birth to other members of the family and thus deprived of their natural nourishment. Thejiractice of tohungaism, which still exists in many parts, is also very prejudicial to the success of the work. Some glaring cases took place at Te Araroa, where the nurse reported that while attending a bad case of pneumonia and getting the patient past the crisis she was astonished on her next visit to find him dying, and some time afterwards learned that at night on the seventh day after her departure the tohunga had ordered him to be bathed in the river. In the Otaki district, where it was supposed there would not be much work, the nurse is kept very busy, and a deputation from Horowhenua Maoris made a special request for her to visit that part of the district. Here the usual difficulty is experienced of getting about. A nurse is requireu lor the Taranaki District, but the need of the northern part of the Island is much greater than the south and it is uncertain when one can be sent here. There is only one nurse at work in the South Island. Nurse Blackie was sent to the Kaiapoi district to a Native school where nearly all the children were suffering from tuberculosis. She also visits other parts of the South Island on the direction of the District Health Officer. The Native Councils have been circularized, pointing out the share they should take in providing means of getting about, and also in busy districts, with some assistance. In most districts the pakeha residents benefit also by the residence of the nurse amongst them, it being left to her discretion to attend Europeans when asked, provided the Native work does not suffer. A small amount of money is paid in to the Hospital Boards for the services of the nurses from any who can afford to pay —either Natives or Europeans. Dispensary Nurses. This branch of nursing, though the principle of having nurses attached to tuberculosis dispensaries was approved by the Tuberculosis Conference held during this year, has not yet made much progress. A dispensary was established in Christchurch under the Canterbury Board, and the nurse attached to the Hospital staff is the Sister in charge and visits the patients in their homes. At the Dunedin Hospital a nurse is attached to the out-patients department, who specially attends to and visits the tubercular cases. A new out-patient department is being erected at the Wellington Hospital, with a dispensary for tubercular cases, and a nurse is to be appointed for this work. The Midwives Act. During the last year there have been two examinations of midwives trained in the State maternity hospitals, the Medical School Maternity Hospital, the Linwood Refuge, the Alexandra Home, and the Townley Maternity Hospital. Sixty-one candidates came up for examination, and sixty passed and are now registered as midwives.

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The training of the midwifery nurses has in all the centres been very satisfactory, the examiners frequently expressing surprise that in the one year of training for women who have not undergone previous training as nurses they can learn so much. The Medical Officers and Matrons must be applauded for their conscientious work in teaching so thoroughly. It is worthy of note that two pupils of the St. Helens Hospital, Wellington, obtained full marks in both sections of the late examination. The number of lectures laid down by the Midwives Act is very much exceeded, although not carried out strictly as laid down — i.e., fortnightly—throughout the year, as it is found best to have the whole course delivered after the full term of pupils has assembled and settled to work. The number of midwives registered from overseas is thirty. The standard of training for most of these is far below that of those trained in the Dominion. In a recent nursing paper from Home we read, regarding the training recognized by the C.M.8., " The best and most conscientious midwife in the world will have no time for careful after-treatment if she is expected to take more than one hundred and fifty cases in the year. Sometimes she will have one or more pupils, and then it is not unusual for one certified woman to be responsible for four hundred or even five hundred cases annually. Her life is then one continuous drive from labour to labour, drearily dealing with all the|complications which might have been averted by careful booking, while the pupils scramble round after her as best they can, giving the least possible time and no skill to all the important matters I have just enumerated." It is time that a midwife trained at Home should produce proof that she has at least gone through a recognized institution before being registered in the colonies, which have established a course of training on so much higher standards. The number of trained midwives now on the register is rapidly overtakingljjthe number of untrained women registered on their practical experience when the Act was passed. There are now 546 trained midwives, 685 untrained, the number of the former being constantly added to and the latter diminishing. The midwives of the South Island were visited during the year, also many of those of the North Island. More of the trained midwives are going into the country towns and districts, there being either in private maternity homes, working as district nurses, subsidized nurses, or privately settled in back country places, 118. Still more are needed, but as the output from our maternity hospitals is increasing year by year, until it is now double what it was five years ago, this want should gradually be filled. The reports of the State and other maternity hospitals which, follow show a steady increase in numbers, and maintain the excellent results which have hitherto been attained. Midwives dealt with under the Act, 1912-13: Removed from the register, 2 ; warned for committing breach of Midwives Act, 8 ; prosecuted and convicted, 2. In all these instances these have been midwives registered when the Act was first passed, on their practical experience, and without having undergone the course of training which is now obligatory. Private Hospitals. There has been a considerable increase in the number of private hospitals licensed since last year. Though the tendency, on the whole, is for nurses to keep to the larger centres, there are many small country towns well supplied with accommodation for both general and midwifery cases, and by degrees the backblocks are also being provided for. In some instances a difficulty arises from the fact that some of the settlers can ill afford to pay the ordinary private-hospital fees, though willing to do what they can ; while, on the other hand, considerable expense is incurred by the licensee, especially during the first year, and this must be recovered if a living is to be made. In the case of a small maternity hospital in a country town the Hospital Board of the district, recognizing the necessity for such an establishment, and the good work done by the nurse, have agreed to subsidize it, thus securing a continuance of what has proved a great boon to the settlers' wives. By degrees, as more trained women are taking up this work, the standard is being raised, and there is a marked improvement year by year in the style of the premises and in the general conduct of the licensed private hospitals. It is noticeable also that many, recognizing that an ordinary dwellinghouse is frequently not too well adapted for sick nursing, have, when possible, built for the purpose. The number of private hospitals licensed as at 31st March, 1913, was 227 ; transferred to new premises (1912-13), 20 ; given up (1912-13) (of these, five were through death of licensee), 21; warned for committing breach of Hospitals and Charitable Institutions Act, 8 ; prosecuted and convicted, 1. State Maternity Hospitals. St. Helens Hospital, Wellington. From the Ist April, 1912, to the 31st March, 1913, 218 cases were confined —211 children born alive, and there were seven still-births. There were no maternal deaths ; four deaths of infants. There were eighty-eight outside cases, eighty-eight children born, and three deaths of infants. The new hospital in Coromandel Street was formally opened in July, 1912, but had been occupied since May. The advantages of the new building, standing as it does on a site away from the road and to which the sun has access all day, is very apparent. The conveniences provided render the work to the nursing staff very much lighter. The wide balconies are in constant use in fine weather for both mothers and babies. The Nurses' Home is comfortable, and each nurse has a room to herself. The number of pupils taken has been increased to fifteen, and a third trained midwife added to the staff. Dr. Agnes Bennett is still in charge as Medical Officer, and Miss Brown as Matron. Miss Warnock, Sub-matron, resigned in March, and Miss Wenmoth, trained at the London Hospital, was appointed. Twelve pupils were trained during the year.

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Note by Medical Officer. —The number of patients has increased by forty-nine. There have been no maternal deaths. The percentage of temperature cases is markedly smaller than in any other year of the Hospital's work, in spite of a large number of difficult deliveries. This proves conclusively the benefit of the new building. The relief from anxiety and ease of working are an inestimable benefit to the staff. Being able to accommodate country patients for some time before labour has been of undoubted benefit to the patients. In one case the wife of a backblocks beekeeper who had aborted in previous pregnancies from prolapsus uteri was kept at rest in the Hospital over the dangerous period. She is now the possessor of a full-time healthy child. The pupil-nurses in first term of 1912 suffered from the adverse conditions of the latter months in the old building, together with illness and the move to the new quarters; the latter-term pupils quite restored the reputation of the Wellington St. Helens. St. Helens Hospital, Dunedin. From the Ist April, 1912, to the 31st March, 1913, 195 cases were confined, 195 children were born alive, and there were five still-births. There was one maternal death, and three deaths of infants, two of these premature —seven months, and one a weakling at birth. Forty-one patients were attended in their homes, and forty-one children born. There has been nothing of special importance to record during the year. Under Dr. Child's medical care the excellent record of the Hospital was maintained. Dr. Siedeberg returned in January and resumed her duties. The new isolation ward was erected, but fortunately has not been in use. A third trained midwife was added to the staff. Ten pupil-nurses were trained during the year. Note by Medical Officer. —There was a large number of premature births, although only two died. Two sets of twins were premature, one at seven months and one at eight months ; these all lived. The total of premature births was twenty-one, varying in prematurity from two weeks to two months. One baby had a slight webbing of the second and third toes on both feet. The mother had the same deformity ; the child had also a slight hypospadias. One baby was born with rigidity at all the flexures ; complete extension was impossible at the axilla, elbows thigh, knee, and ankle. The maternal death had a curious history. She was a primipara of forty years, and had been treated for two weeks previously for heavy albuminuria, with oedema of limbs and body. When admitted, two days before labour, her pulse was 130. The first stage was long and difficult, and as soon as possible delivery was effected by forceps. During the first stage she suddenly complained that something had ruptured in the region of the liver. Almost immediately she became delirious ; the skin became more and more yellow ; continuous diarrhoea and involuntary micturition set in, stool and urine both being brightyellow. In three days she was mahogany-coloured. She gradually sank, and died in ten days. St. Helens Hospital, Auckland. From the Ist April, 1912, to the 31st March, 1913, 236 cases were confined and 236 children born alive. There were seven still-births, including triplets. There were two maternal deaths and four deaths of infants. In their own homes 217 patients were attended, and 216 children were born alive. There were no maternal deaths, no deaths of infants ; one still-birth. Towards the latter end of the year very serious accusations were brought against the administration of this Hospital, and especially against the doctor and Matron, even to the length of one of the complainants accusing them of deliberate murder. It was decided by the Government that it was best to thoroughly investigate the charges, and a Royal Commission, which was under Mr. Kettle, S.M., was set up, and sat in January and February. The result was that the staff was exonerated from the charges, and that, in the words of the Commissioner, " Having regard to the very unfavourable conditions under which the work has been carried on, there is no real ground for complaint. . . . The evidence satisfies me that the certificated nurses and pupil-nurses have performed their duties satisfactorily and have had a proper appreciation of their duties and responsibilities. ... It must be admitted that the results as shown by these returns are most satisfactory." A cottage adjoining the Hospital has been rented and renovated for the nursing staff, thus giving them fairly comfortable quarters and releasing a large room in the Hospital for the accommodation of four patients. The staff continues to do good work to the satisfaction of the Department. There have been thirteen pupil-nurses trained during the year, two of whom were free pupils for country districts. Note by Medical Officer. —The year has been, on the whole, a quiet and successful one. Both the Matron and the Sub-matron have worked well. The nurses have been successful, nineteen qualifying and none failing in the examinations. There were fewer admissions during the latter months, owing, no doubt, to the effect of the St. Helens inquiry. Strange to say, however, during the same months the district work increased greatly. The Hospital passed successfully through a long public inquiry held by Mr. C. C. Kettle. A striking feature of this was that, although the inquiry was spread over nearly three months, there was only one direct complaint on behalf of a patient (Mrs. Stevenson), in spite of the fact that Mr. Kettle on several occasions publicly asked for complaints. All the complaints were brought forward by Mrs. E. Nicol, and even of these all ex-patients who were examined professed themselves satisfied with their treatment. The new hospital is still urgently needed ; if the present site could be enlarged, Ido not think we could get a more central one. The hospital mua+ \e near the

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district work, most of which is in Ponsonby, Newton, City Central, and Freeman's Bay. During the year I delivered forty-one lectures to nurses, and visited the Hospital on 225 occasions. There was an epidemic of influenza during one month, and one or two cases of doubtful sepsis. There were two maternal deaths ; the one from toxaemia of pregnancy occurred during my absence on leave in Australia, the diagnosis being confirmed post mortem. The other was the central caseof the inquiry. The medical evidence bore out my opinion that she had acute tubercular broncho-pneumonia, and this was further substantiated by the fact that the infant died five months after from tubercular meningitis. Whether sepis supervened during the latter part of her illness is a matter of doubt, as there was no post-mortem. St. Helens Hospital, Christchurch. From the Ist April to the 31st March, 1913, 271 cases were confined, 265 children born alive, ten still-births. There was one maternal death, and six deaths of infants—two premature, one hydrocephalus, two prolonged and instrumental labours. 108 cases were attended in their homes : 108 children born—no deaths of mothers or infants. During the early part of the year plans were prepared and tenders were called for the erection of a new State maternity hospital for Christchurch, on the site acquired for the purpose at Addington, but again the matter was postponed. A house a short distance away was rented and furnished for some of the nursing staff and pupils, but as the cubicles previously occupied by pupils are now used for the servants instead of the old cottage it means no more accommodation for patients, which is urgently needed. During the year thirteen pupils were trained and registered, one of whom went through training especially for backblocks district work. The medical and trained nursing staff is unchanged with the exception of the addition of a third trained midwife. Note of Medical Officer. —Work has gone on smoothly and satisfactorily throughout the year. The morbidity list is very small, and there have been no serious complications of any sort. The Department has rented a cottage in the neighbourhood for the nurses, which makes them more comfortable, though not having them on the spot is, of course, a disadvantage. The new position, of Staff nurse has proved a great success. The nurses on night duty now have a trained nurse to refer to, and the Matron gets her much-needed rest at night.

Report of St. Helens Hospitals from 1st April, 1912, to 31st March, 1913, compiled from Annual Reports of Medical Officers.

No. Remarks. No. Remarks. Total deliveries ~ , Infants born — Sex .. j, 920 454 728 658 16 And 1 set triplets. Haemorrhage — Accidental Unavoidable Post partum Secondary 7 6 35 2 All placenta praevia. Twins Presentations — L.O.A. R.O.A. R.O.P. L.O.P. Breech FootlingTransverse Face Compound — Head and hand .. Unknown, outdoor Prolapse of cord.. Hydramnios sets Operations — Induction Version For transverse positions; eclampstic case; placenta praevia. 799 249 148 57 34 4 9 9 3 11 Perforation Caesarian Sect. . . •1 1 For flat pelvis ; second time, both children living. 3 80 2 40 Forceps Manual removal of placenta 156 34

Lacerated Perinseum. Primip. Multip. Instrum. First degree Second degree .. rhird degree .. 3ther lacerations i 77 24 1 5 4.1 1 22 8

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COMPLICATIONS.

MORBIDITY LIST. (With Day of Occurrences of Temperature.)

MORTALITY.

3—H. 31.

Alb. pres. No. on Discharge. Alb. abs. on Discharge. Accompanying Complications. Albuminuria before labour 112 No. 33 No. 74 In 7 oases placenta adherent; one chronic Bright's disease; 3 severe ante partum haemorrhage; 1 heematuria; 2 cystitis; 2 sub-involution; several p.p.h.; 2 placenta prsevia. 1 secondary p.p.h.; 1 acute toxaemia with uncontrollable vomiting four days after; 1 eclampsia; in one case when mother had oedema the baby Was born with oedema of the feet, which gradually spread on body. 1 admitted moribund; transfusion done, reacted Well, healthy child born, and entirely nursed by mother; 1 severe fits before admission, version performed and living child obtained, patient made uninterrupted recovery; 1 on district sent to general hospital for treatment. With toxic symptoms 11 6 19 Eclampsia Measles Puerperal mania 1 1

Central. I'Marg. with Hsem. Without Hsem. 'lacenta prsevia .. No. 2 No. 3 No. Patients all recovered, child los , in one case.

Temp, for at least Two Consecutive Days. d "5 ■s ■i 'i 3 5 •2 5 CO ■•* ; lay: 5. — Some Causes. 5 3 3 £ I! f »» o 5 i S 100 to 100-8 . . 20 5! 4 3 9 due to mastitis ; 2 mammary abscess ; 5 phlebitis ; 6 phthisis; 14 sapraemia. .. 4 .. 5 2 septicaemia ; 2 phlegmasia alba dolens ; 2 constipation and urticaria. .. I.. . . 2 Case of previous appendicitis, with adhesions. .. J 2 .. .. 1 mumps ; 1 chronic nephritis ; 1 pyosalpinx ; 3 cases of heavy albuminuria ; 1 pneumoccic septicaemia ; 1 severe diarrhoea ; 1 melancholia ; 1 hysteria; 1 macerated foetus. 100-8 to 102 .. 39 3.. .. 4 ..I 4 102 to 103 .. Over 103 15 7 .. 4 .. 1 :: - 2

No. I Remarks. Maternal nfantile 20 1 case due to acute general tuberculosis and supervening sepsis; 1 to toxaemia of pregnancy, uncontrollable vomiting, died fourth day; 1 diarrhoea and pleurisy, died from exhaustion after twin delivery; 1 cause unknown (see notes, Dunedin). 9 prematurity; 1 hydrocephalus ; 1 anencephalus; 1 congenital heart; 1 atelectasis; 1 cerebral hemorrhage ; 1 syncope; 1 convulsions; 2 weaklings; 2 prolonged instrumental labours. 1 anencephalus monster; 1 craniotomy for hydrocephalus ; 1 a difficult breech with extension of arms; 1 breech on district before nurse's arrival. Still-births, full 21 term 3 remature itacerated 2 21

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INABILITY TO NURSE.

The following figures are compiled from the annual reports of the four State maternity hospitals for the seven years 1906-7 to 1913 : — Total admissions for seven years .. .. .. •• 5,396 Total outside attendances for seven years .. .. 2, 222 7,618 Total living children born inside .. .. .. .. 5, 290 Total living children born outside .. .. .. •• 2,390 7,680 Total still-births inside and outside . . .. . . op 163 i 78 Total infantile deaths inside and outside .. .. -, . — 92 ( 24 Total maternal deaths inside and outside .. ' .. „ — 27 Other Maternity Hospitals. Forth Street Maternity Hospital, Dunedin. Visited 16th November, 1912. There were only five patients and four babies in, and three girls waiting. The alterations and additions have been completed, and are a good improvement. The nursery is now a large room, with a balcony off it on which the babies can be put. Miss Every is still in charge. She considers it will be very difficult during the next term (when there are about thirty students) to give them, as Well as the pupil-nurses, the requisite number of cases. This hospital was established for the students, and their claims should come first. The Board should provide a staff of trained midwives and servants to carry on the necessary work, and give all the cases to the students, leaving St. Helens to be the training-school for the midwives. The Board or University might also approach the Salvation Army for permission for the students to attend cases at their maternity home. There Were 148 confinements during the year—no maternal deaths ; 148 infants born ; four deaths of infants and three still-born children. Five midwives were trained. Townley Maternity Hospital. Visited 23rd July, 1912. The Matron Was away on leave—Nurse Britton was in charge. There were two patients in bed—one an eclamptic case, and three waiting. The place was in good order, and the new labour ward is a great improvement. There were 101 confinements during the year—lol infants born alive ; four infantile deaths, three being premature and living only for a few hours ; two still-births ; no maternal deaths. Alexandra Home, Wellington. Visited 2nd September, 1912. There were seventeen girls in, and eleven babies. There were two girls in the maternity ward. The Committee has now reduced to three months the time during which the girls must remain in the Home and, nurse their babies. This accounts for a large increase in the number of admissions. In nine months there have been thirty-three cases. Mrs. Masters resigned the Matronship during the year, and Miss Stewart was appointed in her place. During the year there Were thirty-eight births in the Home ; one death of an infant ; and twentyfour births outside attended by the pupil-nurses. Linwood Refuge. Visited 24th December, 1912. There were twelve girls and infants in the new building, and four in the old with their infants; also six old women from the old Samaritan Home. This is a most comfortable home for these old people. Miss Chapman is still in charge, and keeps the place in very good order. Bethany Home, Napier. Visited 26th July, 1912. No maternity cases in. This Home does not seem to be of any great service —-there had only been two confinement cases during the year.

No. Remarks. Complete Partial .. 16 139 i Due to pulmonary disease; acute tuberculosis; puerperal insanity; persistent albuminuria, ; anaemia; 2 mammary abscess; and 2 very bad nipples. Severe p.p.li., with collapse; absolutely depressed nipples; debility, toxaemia ; twins, not sufficient for both ; 7 anaemia. i

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Salvation Army Home, Christchurch. Visited 31st December, 1912. There were twenty-one girls and sixteen babies in the Home. There were five patients in bed. The place was in good order. Salvation Army Maternity Home, Dunedin. Visited 15th November, 1912. There were fifteen girls in—seven waiting confinement, and one in bed. Salvation Army Maternity Home, Wellington. Visited 20th February, 1913. There were sixteen girls in the Home, and ten babies. It is intended to build a new Home in Wellington—this is not large enough for the purpose. It was, as usual, in very good order, but rather too crowded. Salvation Army Maternity Home, Auckland. Visited 12th July, 1912. There were fourteen girls in and eleven babies—three of these without their mothers, who are in situations. A site has been procured and plans prepared for a new Home, which should shortly be ready for occupation. St. Mary's, Oiahuhu. Visited 10th July, 1912. There were thirty-one girls and eighteen babies in the maternity part, and twenty-six babies in the children's wing. The children were looking well, and the place was as usual in very good order. H. Maclean, Assistant Inspector.

ST. HELENS HOSPITALS. Morbidity and Mortality Table for the Five Years ended 31st March, 1913.

Wellington.

Deliveries. Morbidity. Infantile Deaths. Mater: ial Deaths. Hospital. Number. Number, of Deliveries. NnmW Rate per cent. JNumber. of Delivel . ies _ Number. Rale per cent. of Deliveries. Jhristchurcli Luckland.. )unedin . . Vellington 1,249 1,183 951 920 119 81 104 67 9-5 6-8 10-9 7-3 23 "II 17 12 1-8 0-9 1-8 1-3 5 7 2 5 040 0-59 0-21 0-54 4,303 371 8-6 63 1-5 19 0-44

Year. Deliveries. Rise of Temperature Infantile for Two Days Deaths, and Over. Maternal romp. Deaths. ' Causes. 908-09 163 15 .. 1 albuminuria ; 6 saprsemia ; 2 phlebitis ; 1 specific ; 1 scarlet fever; 1 influenza ; 1 metritis ; 1 obscure septicaemia ; 1 phthisis. 2 Cardiac failure, eclamptic admitted in extremis with oedema of lungs and limbs ; 1 embolism on 12th, day after family disagreement. 5 sapraemia ; 1 mastitis ; 1 excessive lactation ; 2 emotional; 1 specific ulcer ; 1 retained membranes ; 1 old pelvic cellulitis ; 1 cystitis ; 1 abscess of mouth ; 1 rheumatism and anaemia ; 1 pernicious anaemia ; 1 anaemia and lactation. Patent foramen ovale ; 1 weakling ; 1 meningitis. 2 1 eclampsia admitted moribund, died fifteen minutes after admission ; 2 syncope, an hour and a half after delivery. 1 fissured nipples ; 1 eczema and albuminuria ; 6 retained membranes and sapraemia ; 1 chronic constipation ; 1 laceration and sloughing ; 1 laceration and contusions. 2 praematurity ; 1 weakling ; 1 cardiac. 1 Eclampsia, admitted moribund, died third day. 6 sapraamia with lactations ; 2 emotional; 1 nephritis ; 1 diabetes ; 1 dead foetus ; 1 mental; 1 chronic constipation. Patent foramen ovale. 1 sepsis ; 1 coryza ; 2 saprsemia ; 1 retained chorion ; 1 pulmonary ; 1 mumps ; 1 chronic nephritis ; 1 pyosalpinx. 1 anencephalus ; 1 debility ; 2 prematurity. 17 909-10 199 3 1910-11 166 11 174 15 4 1911-12 1912-13 218 9 1 920 4 Totals 12 5 ■■"" 67

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Morbidity and Motality Table for the Five Years ended 31st March, 1913 — continued. Auckland.

Christchurch.

Year. Deliveries. Kise of Temperature for Two Days and over. Infantile Deaths. Maternal fi, llepl . Deaths. 908-09 218 14 1 adherent placenta ; 1 fissured nipples ; 1 mastitis ; 1 abscess of heart; 1 bronchitis ; 2 septicaemia ; 2 vaginal lacerations ; 2 constipation ; 1 septitis ; 1 bronchitis ; 1 nephritis, after eclampsia. 1 congenital heart-disease. 1 Advanced phthisis and septicaemia, acute lung trouble ; died 38th day. 2 general tuberculosis ; 4 influenza epidemic ; 1 saprsemia from laceration and strangling; 1 mastitis; 1 abscess; 1 macerated foetus and laceration ; 1 autoinfection from b.c.c. in colon;' 1 septicaemia duo to b.c.c, slight phlebitis ; 1 unknown cause ; 1 macerated foetus. Asphyxiated when born ; child died eleven hours later. 5 mastitis ; 1 phlebitis ; 1 colitis ; 2 adherent placenta ; 5 scarlet fever; 1 saprsemia ; 1 sepsis ; 2 constipation ; 1 autoinfection ; 1 gonorrhceal discharge ; 2 influenza and pleurisy ; 1 p.p.h. Actelectasis. .'! 1 severe antepartum hemorrhage, and albuminuria ; 1 acarlet fever endocarditis ; 1 scarlet fever. i 5 mastitis ; 1 exophthalmic goitre ; 1 oral sepsis ; 1 injury to kidney three before delivery ; 2 influenza ; 1 constipation ; 1 eclampsia ; 1 vaginitis. 1 cerebral haemorrhage, actelectasis; 1 malassimilation ; 1 failure to establish circulation. 1 Brought in moribund from concealed accidental haemorrhage ; died shortly after. 1 septicaemia and acute tuberculosis ; 1 sepsis and puerperal mania ; 2 sapramia ; 2 mammary abscess ; 2 mastitis ; 1 cystitis ; 1 acute tuberculosis ; 1 influenza ; 2 constipation ; 1 severe diarrhoea; 1 phlebitis and thrombosis ; 1 macerated foetus with toxaemia ; 1 influenza. Cerebral hemorrhage ; convulsions ; congenital heart; actelectasis. 2 Acute general tuberculosis, one supervening sepsis ; 1 toxaemia, uncontrollable vomiting. 1 909-10 238 14 23 1 1910-11 242 1 911-12 249 L3 4 912-13 236 \"i 4 2 11 7 Totals 1,183 81

Rise of Temperature Infantile for Two Days j Deaths. and over. Maternal Deaths. Causes. Year. Deliveries. .908-09 .909-10 222 249 ■Z-α 39 2 4 I 3 6 saprsemia ; 2 septicemia ; J. exophthalmic goitre ; 3 mastitis ; 1 puerperal mania ; 1 acute rheumatism ; 1 autointoxication ; 1 pneumonia; 3 influenza ; 1 cystitis; 1 pyaemia. 1 malcena neonatarum ; 1 congenital malformation. Septicaemia. 3 lactation : 10 saprsemia ; (S pueumococcic sepsis (epidemic); 1 pelvic: cellulitis ; 3 adherent placenta ; 1 retained membranes ; 2 puerperal ulcer ; 5 mastitis ; 2 digestive trouble ; 1 phlebitis ; 3 mental; 1 influenza. 2 prematurity ; 1 haematemesis ; 1 pneumococcic pyaemia. 1 placenta praevia and embolus ; 1 pneumococcic septicaemia ; 1 albuminuria, and syncope. 6 influenza ; 5 septic absorption ; 2 phlebitis ; 1 mania ; 1 septicaemia. 0 praematurity ; 1 jaundice. 1 albuminuria ; 4 saprjemia ; 3 influenza ; 1 mastitis. 4 prematurity ; I bronchitis and syncope. 1 gastric ; 10 saprasmia ; mastitis ; 1 pleurisy ; 1 influenza ; 1 constipation ; 3 phlebitis, hysteria ; 1 melancholic ; 1 phlegmasia alba dolens ; 1 phthisis ; 1 spinal neuralgia ; 1 pneumococcic sepsis. 1 hydrocephalus ; 2 prsematurity ; 1 syncope ; 2 prolonged instrumental labour and exhaustion. Parturition (twins), diarrhoea, pleurisy, and exhaustion. 1910-11 245 15 1911-12 262 9 (i 5 1912-13 271 33 6 23 1 Totals 1,249 119 5

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Morbidity and Mortality Table for the Five Years ended 31st March, 1913 — continued. Dunedin.

TE WAIKATO SANATORIUM. Consulting Medical Officer : E. E. Roberts, M.8., M.S. Medical Superintendent : L. A. Lewis, M.8., B.S. Matron: D. Gill. In addition to the data provided in the tables to the appendices, the Medical Superintendent reports : — Results of Treatment. Males. Females. Total. Improved greatly .. .. .. .. .. 12 9 21 Improved .. .. .. ■• .. ..24 10 34 Not improved .. ..' .. .. .. ..23 28 51 Died 4 1 5 Remaining under treatment at 31st March, 1913 .. .. 22 15 37 Total under treatment .. .. .. 85 63 148 Family Position. —First-born, 23 ; otherwise, 101. Parentage. —Ten were admitted whose fathers had suffered from phthisis ; 12 were admitted whose mothers had suffered from phthisis. The remainder gave no history of phthisis. Classification of Patients according to Turban's Scale. —Stage I, 33 ; Stage 11, 39 ; Stage 111, 41. In 7 cases T.B. was questionable ; in 4 cases T.B. was excluded. Details of Cases treated. Occupations. —Bootmakers, 1 ; butchers, 2; carpenters, 3 ; coachbuilder, 1 ; clerks, 6; constable, 1 ; domestic duties, 40 ; dressmakers, 2 ; drapers, 2 ; farm hands, 8 ; factory hands, 4 ; fruiterer, 1 ; engineer, 1 ; gardeners, 3 ; groom, 1 ; hairdresser, 1 ; journalist, 1 ; labourers, 13 ; musician, 1 ; nurse, 1 ; nurseryman, 1 ; porters, 3 ; postal clerks, 4 ; painters, 2 ; printer, 1 ; sawmill hand, 1 ; school-children, 5 ; storemen, 2 ; student, 1 ; plumber, 1 ; travellers, 2 ; wagoners, 2 ; no occupation, 6. Nationalities. —England, 17; Scotland, 8; Ireland, 4 ; New Zealand, 81 ; Maori and half-caste, 13 ; Anglo-Indian, 1.

Year. Rise of „ ,. . Temperature Deliveries. , Or T £ Q Days and over. Infantile Deaths. Maternal Deaths. Causes. 202 15 1 plegmasia ; 1 degenerate chorion ; 2 retained membranes ; 3 ansemia and albuminuria ; 1 albuminuria and heartdisease ; 3 severe lacerations ; 1 tuberculosis ; 2 intestinal sepsis with foul teeth. 1 spasm of glottis, inability to swallow; 1 in in five-days weakling. 3 severe laceration in small pelvis ; 1 colitis ; 7 albuminuria ; 4 adherent chorion and albuminuria ; 1 cellulitis ; 1 acute tonsilitis ; 1 bronchitis ; 1 severe constipation. 1 compression of head ; 1 born shrivelled, died in two days ; 1 haemorrhage from stomach and bowel. 4 mastitis ; 1 pyelitis ; 1 retained chorion ; 4 heavy albumen and ansemia ; 1 eclampsia and adherent placenta ; 1 hemorrhagic collapse ; 2 blockage of lochia from retroversion. 1 salpingitis, patent foramen ovale ; 1 prgemature, lived only few hours. 3 toxaemia ; 9 albuminuria ; 2 abscess in breast; 1 cellulitis ; 1 rheumatism ; 1 bronchitis ; 1 pneumonia ; 4 mastitis ; 3 retained membranes ; 2 varicose veins ; 1 eclampsia. 1 anencephalie ; 1 asphyxiated ; 1 born at six months and. three-quarters, lived thirteen days; 2 at seven months, lived 315 days ; 1 convulsions at fourth day ; 1 albuminuric mother. Primipara from eclampsia. 5 mastitis ; 3 adherent placenta ; 2 thrombosis ; ] phlebitis ; 1 phlegmasia ; 5 albuminuria ; 3 phthisis ; 1 after appendicectoring. 2 premature ; 1 weakling. Apparently rupture of liver. .008-09 2 .909-10 179 20 3 1910-11 174 19 201 ■M 2 1911-12 7 1 1912-13 195 22 3 i' 951 106 17 2 Totals

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Localities from whence Patients entered the Sanatorium. ' Auckland, 37 ; Blenheim, 1 ; Christchurch, 4 ; Carterton, 2 ; Cambridge, 2 ; Coromandel, 2 ; Devonport, 4 ; Dannevirke, 1 ; Feilding, 1 ; Gisborne, 7 ; Greymouth, 1 ; Hamilton, 6 ; Hastings, 4 ; Invercargill, 1 ; Morrinsville, 2 ; Masterton, 1 ; Matamata, 1 ; Napier, 5 ; Nelson, 1 ; Onehunga, 1 ; Otahuhu, 1 ; Otaki, 1 ; Ohakune, 1 ; Pukekohe, 2 ; Putaruru, 1 ; Papatoetoe, 2 ; Papakura, 1 ; Palmerston North, 1 ; Paeroa, 1 ; Rotorua, 1 ; Rawene, 1 ; Stratford, 1 ; Streamlands, 1 ; Te Puke, 1 ; Te Araroa, 2 ; Tokomaru Bay, 2 ; Te Aroha, 1 ; Tuparoa, 3 ; Tuakau, 1 ; Taihape, 1 ; Whangarei, 4 ; Wellington, 4 ; Wanganui, 2 ; Waiuku, 1 ; Waipiro Bay, 1 ; Woodville, 1 ; Ahuroa, 1. Treatment. A number of selected cases has been treated with tuberculin, the preparation used being Koch's new tuberculin (T.R.). Sufficient time has not elapsed to state that the results are permanent. Old tuberculin has been used for diagnostic purposes in some doubtful cases, with the result that it has been possible to exclude tuberculosis in some of these. Fourteen cases of mixed infection have been treated with autogenous vaccines, most of these being prepared by the Vaccine Department, Wellington. Of the 14 cases of mixed infection treated with autogenous vaccines, 3 were due to a streptococcus ; 2 were due to a streptococcus and micrococcus catarrhalis ; 2 were due to a pneumococcus and micrococcus catarrhalis ; 1 was due to a streptococcus and pneumococcus ; 1 was due to a streptococcus, staphylococcus, and influenza bacillus ; 1 was due to a streptococcus, pneumococcus, and diphtheroid bacillus; 1 was due to a streptococcus and staphylococcus ; 1 was due to a staphylococcus ; 1 was due to a staphylococcus and micrococcus catarrhalis ; and one was due to a gram negative bacillus (not identified). The result in some of these cases has been encouraging. Many of the patients on arrival are suffering from mixed infection, and the probability of getting good results is thereby considerably lessened. I believe the importance of preventing mixed infection is not sufficiently recognized. I believe this to be the guiding principle in the care of the phthisical patient. A considerable proportion of patients show evidence of long-standing infection before coming under observation. Interrogation in almost all cases brings out the fact that the early symptoms have been treated by one or other of the patent nostrums. A false sense of security has been given and valuable time lost in this way. At the other end of the story there is too often the unqualified adviser. The last of the specifics in vogue in Cambridge is to inhale the gases arising from sheep's internal organs which have been allowed to putrefy. As previously, patients are in a great many instances sent to the institution after having been unsuccessfully treated for some months at home. The control of cases after discharge appears to me to be insufficient. In many instances infectious cases have left the institution to look after a family of children and take up household duties. In spite of what has been said to the contrary, I believe every open case of tuberculosis is a danger to those he lives with. No consumptive, however careful, can avoid infecting his surroundings. The danger of spitting being well understood, I believe coughing to be a very important way of spreading the infection. I am of opinion also that insufficient precautions are taken to keep conveyances, hotels, and restaurants free from infection. To my personal knowledge infectious cases travel about in trains, occupy sleepingberths, live at hotels and boardinghouses without making known the fact that they are suffering from an infectious disease. I believe that ultimately the only way the disease can be controlled is by segregating all open cases of tuberculosis and providing for their maintenance in suitable surroundings, meanwhile provision being made for their dependants. During the year ex-patients have been kept in touch with as far as possible. Patients' friends and medical men have been communicated with in all cases discharged during the last three years. Inquiiies are being made about all patients who have been admitted since the institution was opened. Result of Inquiries. —-Number of inquiries sent out, 218 ; number of replies received, 85 ; number returned through the D.L.0., 25 ; number of ex-patients able to work, 32 ; number of ex-patients unable to work, 15 ; number of deaths, 32 ; number of relapses, 6. About 35 replies were received from medical men, but the majority had lost sight of their cases after discharge from the Sanatorium. Patients on discharge have been provided with forms on which to report their condition from time to time, but during the year only 27 have sent in reports. Of these, 18 are able to work, and 9 are unable to work. A sputum examination of all patients is made on admission. If positive and the case is suitable, tuberculin treatment is proceeded with. If mixed infection is suspected, the desirability of vaccine treatment is investigated and suitable autogenous vaccines are prepared by the Vaccine Department, Wellington. Of 124 cases admitted during the year, tubercle bacilli were found in 89 cases, and no tubercle bacilli were found in 35 cases. If the physical signs are indefinite and there are no contra-indications, Koch's subcutaneous test in doses of 0-0005, 0-001, 0-0025, 0-005, and 0-01 is tried. If Koch's test is positive, tuberculin treatment is proceeded with. Sputum examinations are made on admission and discharge, and in the cases of negative tests examinations are repeated weekly. Nursing Staff. The Matron has worked unsparingly to bring the nursing and domestic arrangements up to a high level of efficiency.

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Farm. Mr. Home has been in charge of the farm since June, 1912. Results have been of a highly satisfactory character. The value of pigs reared on the farm and sold amounted to £96 19s. 3d: Cattle to the value of £254 13s. 3d. were sold during the year. 50 acres cleared during the previous year has been prepared and sown in grass this year. The 60 acres mentioned in my last report as having been put down in grass turned out very well, and has been used for fattening off the cattle and running sheep. Since the middle of October we have run our own sheep on the farm. The money-saving is not great, but the quality of the mutton is much better. A number of heifers have been bought, and arrangements are in hand to have a dairy herd in operation by the time the present milk tender runs out. A more economical use of water and light has resulted since Mr. Home has been in charge of these departments. Garden. Mr. Miller, an old employee, returned to the institution on the 2nd October, and keeps the institution supplied with a good variety of vegetables. Buildings. The new stables have been completed except the concreting and drainage, which is to be carried out shortly. The new site, chosen at some distance from the institution, has proved an advantage from a sanitary standpoint. A veranda extension has been made on to the Mason Ward, and proves a great convenience, as well as providing more and better accommodation for acute cases. A great deal of work has been done in renovating the institution during the past year, and a great deal remains still to be done in that direction. L. A. Lewis, M.B.

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APPENDICES. APPENDIX I.—PUBLIC HEALTH. General Statistics for the Year 1912. A. VITAL STATISTICS. GENERAL. For the following statistics relating to births, death-rates, infant mortality, and causes of death the Department is indebted to the Government Statistician. They relate to the year 1912. Births. The number of births registered during 1912 was 27,508, or 26-48 in every 1,000 persons living. The number is 1,154 more than that for the year 1911, an increase of 4-38 per cent., the rate being higher by 0-51 per thousand. The births registered in the year numbered 19,846 in 1884, and, after falling to 17,876 in 1892, have risen to the number first stated above. The number of male children born during 1912 was 13,996, and of female children 13,512. The following table shows the number registered, the birth-rate calculated on the total population, and comparison with the average rate for 1882-86 taken as 100. Indications of a gradual increase are apparent, the improvement since 1899 being 5-41 per cent, on the rate per 1,000 in that year.

Births, Number and Rate.

The average number of children to a marriage may be ascertained by comparing the number of legitimate births for a series of years with the marriages, but commencing with the marriages in the year preceding that for which the first number of births is taken. Calculating in this way the figures for the twenty-year period 1893-1912 show a decline from 4-37 to 2-98 as follows : — Proportion of Births Marriaees Legitimate to every Year. ' Births. Marriage solemnized in the Preceding Year. 1892 4,002 1893 ... 4,115 17,514 4-37 1894 ... ... ... ... 4,178 17,824 4-33 1895 . ... ... ... ... 4,110 17,711 4-24 1896 ... ... ... ... 4,843 17,778 4-32 1897 ... ... . ... ... 4,928 17,911 3-70 1898 ... 5,091 18,154 3-68 1899 ... ... ... ... 5,461 18,066 3-54 1900 ... ... ... ... 5,860 18,640 3-41 1901 ... ... ... ... 6,095 19,554 3-34 1902 ... ... ... ... 6,394 19,734 3-23 1903 ... . ... ... 6,748 20,835 3-26

Year. Total Number of Births registered. Birtl i-rate. Birth-rate. Per 1,000 of Population. Compared with Rate in 1882-86 taken as 100. Year. Total Number of Births registered. Per 1,000 Comp ared J with Kate m Population. J^V 1882-86 19,410 35-40 100 1899 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 J 18,835 19,546 20,491 20,655 21,829 22,766 23,682 24,252 25,094 25,940 26,524 25,984 26,354 27.508 25-12 25-60 26-34 25-89 26-61 26-94 27-22 27-08 27-30 27-45 27-29 26-17 25-97 26-48 71 72 74 73 75 76 77 76 77 77 77 74 73 75 1887 1888 1889 1890 1891 1892 1893 1894 1895 1896 1897 1898 19,135 18,902 18,457 18,278 18,273 17,876 18,187 18,528 18,546 18,612 18,737 18,955 32-09 31-22 I 30-07 29-44 ! 29-01 27-83 27-50 27-28 26-78 26-33 25-96 25-74 91 88 85 83 82 79 78 77 76 74 73 73

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Cashmere Sanatorium. —Women's Shelters. The two single ones in the foreground are revolving.

Cashmere Sanatorium .—Patients at Work.

From photographs by T. P, Sewell, Christchuroh.]

[To face p. 24.

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Cashmere Sanatorium. —Patients at Rest.

From a photograph by T. P. Stwel], Christchurcli.]

Dunedin Hospital.—Open-air Balconies erected by the Hospital Saturday Association.

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Proportion of Births Marriages Legitimate to every Year. marriages. Births. Marriage solemnized in the Preceding Year. 1904 ... ... ... ... 6,983 21,737 3-22 1905 ... ... ... ... 7,200 22,600 3-24 1906 ... ... ... ... 7,592 23,120 3-21 1907 ... ... ... ... 8,192 28,937 3-15 1908 ... ... ... ... 8,339 24,835 3-03 1909 ... ... ... .... 8,094 25,301 3-03 1910 ... ... ... ... 8,236 24,822 3-07 1911 ... ... ... ... 8,825 25,276 3-07 1912 ... ... ... ... ... 26,331 2-98

If the average result be taken out for the ten years 1893-1902, it will be found to represent 3-76 births to a marriage. Dealing similarly with the figures for 1903-1912, the result is an average of 3-12, so that regarded annually or decennially there is a decided fall to be observed. New Zealand had in 1880 the highest birth-rate in Australasia (40-78) ; in 1900 the case was reversed ; but in 1912 the New Zealand rate was higher than that of Victoria. The movement over ten years is calculated as under ; —-

Birth-rates per 1,000 of Population.

Sexes of Children born. The figures show that during each year there has been a preponderance of births of male children. It would appear, however, that this excess of male births is not sufficient to compensate for the heavier mortality which occurs among that sex. Of the total population of New Zealand in 1871 there were 70-52 females to every 100 males, but at the census of 1911 the proportion of the females to 100 males had risen to 89-59.

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Country. 1903. 1904. 1905. 1906. 1907. j 1908. j 1909. ! 1910. 1911. 1912. I _ I I i Queensland New South Wales Victoria South Australia Western Australia Tasmania New Zealand ... 24-53 25-44 24-53 23-65 30-15 28-16 26-61 26-99 26-85 24-74 25-29 30-67 28-92 26-94 25-76 26-85 24-96 24-36 30-74 28-50 27-22 26-15 27-21 25-41 24-37 30-66 28-94 27-08 26-79 27-34 25-59 24-86 30-18 28-63 27-30 26-79 26-99 25-07 25-65 3008 29-95 27-45 27-29 27-40 25-01 25-74 28-87 28-91 27-29 27-33 27-65 27-83 28-75 24-51 ! 24-84 26-38 I 26-89 27-99 ; 28-21 29-25 I 28-57 26-17 I 25-97 29-67 29-86 26-39 28-65 28-83 30-53 26-48

Number o: Births of Proportion of Births of Males to every .100 Females. Year. Males. Females. 1893 1894 1895 1896 1897 1898 1899 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 9,310 9,472 9,493 9,511 9,600 9,615 9,724 10,107 10,471 10,653 11,217 11,762 12,109 12,397 12,835 13,369 13,502 13,442 13,532 13,996 8,877 9,056 9,053 9,101 9,137 9,340 9,111 9,439 10,020 10,002 10,612 11,004 11,573 11,855 12,259 12,571 13,022 12,542 12,822 13,512 104-9 104-6 104-9 104-5 105-1 102-9 106-7 •107-1 104-5 106-5 105-7 106-9 104-6 104-6 104-7 106-3 103-7 107-2 105-5 103-6

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Plural Births. There Were 329 cases of twin births (658 children) and 3 cases of triplets registered in 1912. The number of children born was 27,508 ; the number of mothers was 27,173 : thus, on an average, one mother in every 82 gave birth to twins, against 86 in 1911, 89 in 1910, 99 in 1909, and 90 in 1908. The proportion of plural births per 1,000 of all births during the past five years was, — Cases Cases Plural Births Year. All Births. of of per 1,000 of Twins. Triplets. all Births. 1908 .. .. .. .. .. 25,940 284 2 11-03 1909 .. .. .. .. .. 26,524 265 1 10-03 1910 .. .. .. .. .. 25,984 288 2 11-16 1911 .. .. .. .. .. 26,354 300 2 11-46 1912 .. .. .. .. .. 27,508 329 3 1207 Illegitimacy. The births of 1,177 children were illegitimate; thus 43 in every 1,000 children were born out of wedlock, against 41 in 1911 and 45 in 1910.

Proportion of Illegitimate Births in every 100 Births.

These figures show the proportion of illegitimate births to every 100 births for New Zealand to be fairly steady during the period 1901-11. Births and Birth-rates in the Four Chief Cities and their Suburbs. The total number of births registered as occurring in the four chief centres and their suburban boroughs in 1912 was 8,084, as against 7,473 for the previous year. The birth-rates for last year were, —■ Birth-rates per 1,000 of Mean Population. Auckland City ... ... ... ... ... 30-63 „ and eight suburban boroughs ... ... 2966 Wellington City ... ... ... ... 28-20 „ and four suburban boroughs ... ... 27-49 Christchurch City ... ... ... ... ... 29-52 „ and four suburban boroughs ... ... 2829 Dunedin City ... ... ... ... ... 29-10 „ and six suburban boroughs ... ... 27-13 By the inclusion of the suburbs the rate is lowered in the case of all four centres. Excluding the suburbs, it will be observed that Auckland has the highest rate, Christchurch next highest, Dunedin and Wellington following. The birth-rate for the Dominion last year was 25-97 per thousand, so that each of the four centres is above the average. The birth-rates for the four central boroughs last year are higher than those of 1910. In Auckland the rate rose from 27-75 to 30-03 ; in Wellington from 24-13 to 26-67 ; in Christchurch from 27-10 to 28-45 ; in Dunedin from 27-22 to 29-45. The rates for five years, 1907 to 1911, are,— , Births per 1,000 of Population. , 1907. 1908. 1909. 1910. 1911. Auckland (without suburbs) ... 29-63 30-56 29-73 27-75 30-03 Wellington „ ... 27-53 27-60 26-62 24-13 26-67 Christchurch „ ... 30-47 28-43 28-55 27-10 28-45 Dunedin „ ... .25-69 25-48 28-34 27-22 2945

Year. Queensland. New South Wales. Victoria. South Australia. Western Australia. Tasmania. New Zealand. 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 5-93 6-04 6-79 6-90 6-97 7'68 7-68 7-54 7-05 6-39 7-16 6' 60 6-71 7-12 7-37 704 6-92 6-80 6-44 6-28 5'58 5-51 5-73 5-74 5'61 5-58 5-62 5-76 5-92 559 3'96 4'35 416 4'02 4'35 4-00 4-09 4-47 4'22 4-38 3'88 S-96 4'70 4-36 419 4'78 3-86 4-35 3-95 413 5-94 612 5-61 5-82 5-52 5-78 5-78 5-24 5-45 5-33 4'57 4-46 4'55 4'52 4-57 4'67 4-61 4-26 4'61 4-47 409

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Marriages. The marriages for 1911 show an increase on the number for the previous year. The number was 8,825, or 589 more than in 1910. The rate per 1,000 of the population was 8-70, as against 8-30 in 1910. It is shown by the table following that there has been considerable increase in the marriagerate, which has been above the standard during each of the last sixteen years : —

Marriages, Number and Rate.

The marriage-rate, measured by the total population, does not show the true position when, as in the case of New Zealand, the age-constitution of the people fluctuates considerably. A more satisfactory standard is found in the number of persons of marriageable age, defined as meaning the unmarried and widowed of males aged 20 years and upwards and of females aged 15 years and upwards. The rates are given for six census years : —■

The total number of marriages solemnized does not include marriages where both parties are of the aboriginal Native race, such persons being exempted from the necessity of complying with the provisions of the Marriage Act, although at liberty to take advantage thereof. Forty-five marriages in which both parties were Maoris were contracted in 1911 in terms of the Act, the greater number (27) being solemnized before Registrars. In addition, the returns were received of 221 marriages solemnized under the provisions of section 191 (1) (b) of the Native Land Act, 1909. Ages of Persons Married. Of the persons married in 1912, 172 bridegrooms and 1,326 brides were under 21 years of age. Of the bridegrooms, two Were between 17 and 18, and sixteen betweeen 18 and 19. Of the brides, ten were between 15 and 16, and forty-nine between 16 and 17 years of age. The proportion of men married is greatest at the ages of 25 to 30, and of women at from 21 to 25 years. Deaths. The deaths in 1912 numbered 9,214, a rate of 8-87 in every 1,000 persons living, as against 9-39 in 1911. The rate for 1912 is the lowest ever recorded in New Zealand since compulsory registration was first instituted, in 1855.

Marrif ige-rate. Marrii ige-rate. Year. Total Number of Marriages registered. Compared with Rate in 1882-86 taken as 100. Year. Total Number of Marriages registered. Per 1,000 of Population. Compared with Rate in 1882-86 taken as 100. Per 1,000 of Population. 1882-56 1887 1888 1889 1890 1891 1892 1893 1894 1895 1896 1897 1898 3,663 3,563 3,617 3,632 3,797 3,805 4,002 4,115 4,178 4,110 4,843 4,928 5,091 6-68 5-97 5-97 5-93 6-12 6-04 6-23 6-22 6-15 5-94 6-85 6-83 6-91 100 89 89 89 92 90 93 93 92 89 103 102 103 1899 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 5,461 5,860 6,095 6,934 6,748 6,983 7,200 7,59.2 8,192 8,339 8,094 8,236 8,825 7-28 7-67 7-83 8-01 8-23 8-26 8-28 8-48 8-91 8-82 8-33 8'30 8-70 109 115 117 120 123 124 124 127 133 132 125 124 130

Proportion of Unmarried per 1,000 of Total. Proportion of Marrii iges per 1,000 of the Year of Census. Males. Females. Marriageable Marriageable Men. Women. Marriageable Persons. Total Population. 1886 1891 1896 1901 1906 1911 235-0 238-2 258-8 275-5 291-3 286-5 238-2 268-5 308-9 331-8 328-2 314-9 47-32 47-78 50-14 54-11 54-36 57-60 54-56 47-97 47-00 49-78 54-93 58-38 25-36 23-94 24-26 25-93 27-72 28-99 5-99 6-04 6-85 7-83 8-48 8-70

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The following table shows the number of deaths, and the death-rate per 1,000 of the living population ; also a comparison with the average rate for 1882-86 : —

The death-rates of males and females for the last ten years are shown separately in the next table, and also the number of male deaths to every 100 female deaths : —

Males of tender years are more delicate than females, and, later in life, males are the more liable to accident. These disadvantages are partly compensated by the preponderance of male births, but were it not for the fact that excess of immigration over emigration gives the country many more males than females the tendency would be for the female population to exceed the male. For the purpose of considering the mortality in New Zealand more closely than can be done by means of crude death-rates, it is desirable to ascertain the rates at different age-periods of the population.

Death-rates per 1,000 living at Various Age-periods.

Death-rate. Death Year. Total Number of p , „ . „ Compared Deaths. «r i.uuu w jthRatein „ , .. 1882-86 Population. taken as 100 Year. Total Number of Deaths. i-rate. Per ],000 of Population. Compared with Rate in 1882-86 taken as 100. I 10-84 10-29 9-43 944 9-66 10-35 10-06 10-23 10-19 9-91 9-10 9-14 9-84 100 95 87 87 89 95 93 94 94 91 84 84 91 1882-86 5,944* ■ 10-84 100 1899 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 7,680 7,200 7,634 8,375 8,528 8,087 8,061 8,339 10,066 9,043 8,959 9,639 9,534 9,214 I 10-24 9-43 9-81 10-50 10-40 9-57 9-27 9-31 10-95 9-57 9-22 9-71 9-39 8-87 94 87 90 97 96 88 86 86 101 88 85 89 87 82 1887 1888 1889 1890 1891 1892 1893 1894 1895 1896 1897 1898 6,137 10-29 95 5,708 9-43 87 5,772 9-44 87 5,994 9-66 89 6,518 10-35 95 6,459 10-06 93 6,767 10-23 94 6,918 10-19 94 6,863 9-91 91 6,432 9-10 84 6,595 9-14 84 7,244 9-84 91 * Average for five years.

Deaths per 1,000 of the Total Population. Year. Deaths of Males to every 100 Females. Males. Females. Total. 1903 .. 1904 .. 1905 .. 1906 .. 1907 .. 1908 .. 1909 .. 1910 .. 1911 ,. 1912 .. 1143 10-64 10-18 1040 11-81 10-62 10-18 10-67 10-46 9-83 9-24 8-37 8-24 8-08 9-98 8-38 8-14 8-63 8-21 7-79 10-40 9-57 9-27 9-31 10-95 9-57 9-22 9-71 9-39 8-87 138 143 139 145 133 143 141 139 142 140

Ages in Years.. Average 1903-7. 1908. 1909. 1910. 1911. 1912. Decrease per Cent. in 1912 compared with 1903-7. Under 5 5 and under 10 10 „ 15 15 „ 20 20 „ 25 25 „ 35 35 „ 45 45 „ 55 55 „ 65 65 „ 75 75 and upwards All ages 21 ] A 6 1C 2C 4£ .. 122 £ 21-95 2-06 1-71 2-69 3-70 4-37 6-01 10-09 20-83 45-87 122-26 9-90 1-95 20-38 2-06 1-76 1-71 1-64 2-69 2-03 3-70 3-42 4-37 4-37 6-01 6-24 0-09 10-47 0-83 18-06 5-87 44-75 2-26 132-36 9-90 9-57 20-38 1-76 1-64 2-03 3-42 4-37 6-24 10-47 18-06 44-75 132-36 9-57 18-77 1-96 1-35 2-23 3-08 4-43 6-71 9-73 17-97 42-62 125-91 9-22 19-48 1-85 1-21 2-06 2-82 4-54 6-06 9-54 19-53 45-60 162-03 9-71 16-67 1-89 1-48 2-19 2-95 4-09 5-64 9-82 19-54 47-76 126-53 9-39 14-39 1-62 1-33 2-11 2-77 3-48 5-76 9-13 18-96 46-09 130-02 8-87 34-44 21-36 22-22 21-56 25-14 20-37 4-16 9-51 810 + 0-48* + 6-35* 10-40 * Inoreasi

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Besides advantages of climate, New Zealand possesses a population younger in age-constitution than that of most other countries —conditions favourable to a low rate of mortality. Another table is given comparing death-rates at twelve age-periods for 1909 with those of England and Wales. Here the extremely low rate of mortality among children under five years of age is remarkable, and the difference at some of the groups at the more advanced ages is considerable. The New Zealand rate for males is higher than that for females at all groups excepting 5-10, 10-15, 35-45 ; while for England and Wales the female rate is greater than that for males at 5-10 and 10-15 years, and is lower in every other instance.

Death-rate per 1,000 Persons living, according to Sex, for the Year 1909, compared with England and Wales.

Index of Mortality in New Zealand for 1912.

A similar calculation for the States of the Australian Commonwealth has been made for 1910. The results, when compared with the actual rates, exhibit to what degree the age-constitution of the population affects the death-rate. The figures for New Zealand are also given. Year 1911. Index. Actual. New South Wales ... ... ... ... ... 1236 9-89 Victoria ... ... ... ... ... ... 14-11 11-49 Queensland... ... ... ... ... ... 12-44 9-71 South Australia ... ... ... ... ... 12-39 10-21 Western Australia ... ... ... ... ... 13-31 10-11 Tasmania ... ... ... ... ... ... 1359 11-10 New Zealand ... ... ... ... ... 11-83 9-39

Comparative Death-rate for the Period 1903 to 1912.

Deaths per 1,00 Persons living. Ages. Now Zealand. England and Walee. Males. Females. Males. Females. Under 5 years 5 years and under 10 years 10 " „ 15 ' „ 15 „ 20 „ 20 „ 25 „ 25 „ 35 „ 35 „ 45 „ 45 „ 55 „ 55 ,. 65 „ 65 „ 75 „ 75 „ 85 „ 85 and upwards All ages 20-7 1-9 1-3 2-6 3-2 44 6-6 10-3 19-5 43-2 127-2 236-2 10-2 16-7 2-02 1-4 1-8 2-9 4-4 6-9 8-9 15-9 41-7 92-2 202-5 8-1 40-3 3-2 1-9 2-8 3-7 5-3 9-1 16-4 32-8 73-5 141-8 3214 154 33-2 3-3 2-0 2-6 3-1 44 7-4 13-0 25-7 614 129-9 300-0 13-7

Ages. Estimated Mean Population, 1912. Number of Deaths, 1912. I Death- Percentage of Index of rate Population Mortality in per 1,000, ! of Sweden, 1890 NewZealand 1912. (Standard). per 1,000. Under 1 year 1 and under 20 years ... 20 and under 40 years 40 and under 60 years 60 years and upware s ... 25,144 391,397 374,669 174,867 72,939 1,409 836 1,394 1,625 3,950 56'04 2-14 3-72 9-29 54-15 2-55 39-80 26-96 19-23 11-46 1-43 0-85 100 1-79 620 Totals 1,039,016 9,214 8-87 100-CO 11-27

Country. 1903. 1904. 1905. 1906. 1907. 1908. 1909. 1910. 1911. 1912. New Zealand ... Queensland New South Wales Victoria South Australia* Western Australia 10-40 9-57 12-33 10-06 11-67 1067 12-94 11-97 10-98 10-46 12-69 1204 9-27 10-40 10-18 12-17 10-45 10-98 9-31 9-50 9-95 12-55 10-71 12-12 10-95 10-31 10-63 11-86 10-30 11-47 9-57 9-22 9-71 1026 9-70! 9-71 10-20 9-89! 9-89 ]2-71 11-45 11-49 10-26 9-82i 10 21 11-17 10-27 1011 9-39 10-65 10-37 11-45 982 10-19 8'87 10-96 10-86 12-23 10-28 11-06 ' Excluding the Northern Territory.

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Comparative Death-rate for the Period 1903 to 1912 —continued.

Considering the range of this statement New Zealand is conspicuous as showing the lowest deathrate. The rates for the principal Australian States are a little higher, but, generally speaking, far below those for the United Kingdom or the European Continental States mentioned in the table.

Ages at Death. The deaths occurring during 1912 are tabulated below in single years up to five years, and from thence in groups, showing males and females separately :-—

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Country. 1903. 1904. 1905. 1906. 1907. 1908. 1909. J910. 1911. 1912. Tasmania England and Wales Scotland Ireland 11-73 15-5 16-8 17-5 14-6 14-8 151 23-9 26-1 17-4 19-9 15-6 17-0 19-3 22-4 250 10-79 16-3 17-0 18-0 13-9 14-3 15-3 23-8 24-8 17-5 19-5 15-9 16-9 19-4 21-1 25-7 10-00 15-3 16-2 17-1 14-9 14-8 15-6 25-1 27-8 17-6 19-8 15-3 16-5 19-6 21-9 25-8 10-91 15-5 16-4 16-9 13-5 13-6 14-4 22-6 24-8 16-6 18-2 14-8 16-4 19-9 20-8 26-1 10-81 15-1 16-6 17-6 14-1 14-2 14-6 22-7 25-2 16-4 18-0 14-6 15-8 20-2 20-8 24-5 11-36 14-8 16-6 17-6 14-6 14-3 14-9 22-4 24-8 16-2 18-0 15-0 16-5 18-9 22-6 23-8 9-68 14-6 15-9 17-1 13-3 13-4 13-7 23-0 254 16-1 17-1 13-7 15-8 19-1 21-4 24-0 11-10 13-5 15-3 17-1 12-9 135 140 21-2 23-5 15-1 16-2 13-6 15-2 17-8 19-6 23-3 10-13 10-73 Denmark Norway Sweden Austria 13-4 13-2 13-8 21-9 24-9 HungarySwitzerland German Empire Netherlands ... Belgium France Italy Spain 14 : 5 19-6 21-4 23-7

Ages. Males. Females. Total. Under 1 month 1 month and under 3 months . . 3 months ,, 6 ,, 6 „ „ 12 „ 469 105 116 115 358 83 76 87 827 188 192 202 Total under 1 year 805 604 1,409 1 year and under 2 years 2 years ,, 3 „ 3 „ „ 4 „ 4 „ „ 5 „ 79 53 21 23 78 40 24 23 157 93 45 46 Total under 5 years 981 769 1,750 5 years and under 10 years 10 „ 15 „ 15 „ 20 „ 20 „ 25 „ 25 „ 30 „ 30 „ 35 „ 35 „ 40 „ 40 „ 45 „ 45 „ 50 „ 50 „ 55 „ 55 „ 60 „ 60 „ 65 „ 65 „ 70 „ 70 „ 75 „ 75 „ 80 „ 80 „ 85 „ 85 „ 90 „ 90 „ 95 „ 95 „ 100 „ 100 years 103 „ 110 „ 91 71 106 147 190 185 230 214 231 252 313 323 440 538 493 379 147 34 6 1 1 1 86 54 87 127 149 174 192 144 136 151 184 204 292 364 340 208 128 46 4 1 177 125 193 274 339 359 422 358 367 403 497 527 732 902 833 587 275 80 10 2 1 1 Totals 5,374 3,840 9,214

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The average age at death of persons of either sex, in each of the ten years 1903-12, was as follows : — Males. Females. Males. Females. 1903 ... 39-56 years 35-43 years. 1908 ... 42-50 years 39-14 years. 1904 ... 41-47 „ 38-44 „ 1909 ... 42-76 „ 38-78 „ 1905 ... 43-03 „ 39-13 „ 1910 ... 44-47 ■„ 42-25 „ 1906 ... 44-39 „ 39-35 „ 1911 ... 46-17 „ 42-37 „ 1907 ... 40-43 „ 36-66 „ 1912 ... 47-19 ~ 44-91 „ Deaths and Death-rates in the Four Chief Cities and their Suburbs. The total number of deaths registered for the four centres in 1912 was 2,827 —viz., 2,175 in the cities, and 652 in the suburbs. By including the suburbs the death-rate for last year is lowered at all of the four centres. The rates for the year are, —• Death-rates per 1,000 of Mean Population. Auckland City ~. ~. ... ~. ~. 11-65 „ and seven suburban boroughs ... ... 9-73 Wellington City ... ... ... ... ... 943 „ and three suburban boroughs ... ... 9-13 Christchurch City .., ... ... '.','. ~, 10-63 „ and three suburban boroughs ... ... IQ'34 Dunedin City ... ... ... ~, ... 11-57 „ and five suburban boroughs ~, ... 10-43 The death-rates for the cities, including suburban boroughs, for five years are as below :— ._■-■■ Deaths per 1,000 of „ 1908. 1909. 1910. 1911. 1912, Auckland (including suburbs) 10-41 9-30 9-73 10-93 9-73 Wellington „ 9-10 9-11 8-95 10-08 9-13 Christchurch „ 9-52 933 10-41 10-36 10-34 Dunedin „ 10-50 9 ; 95 10-24 10-43 10-43 If the number of deaths of infants under one year be excluded, the mortality among the rest of the population is found to have been for 1911 and 1912 in the following ratio to the 1,000 living : — 1911. 1912. Auckland (including suburbs) ... ... ... ... 9-21 8-04 Wellington „ ... ... ... ... 8-17 7-44 Christchurch „ ... ... ... ... 8-67 8-65 Dunedin „ ... ... ... ... 9-28 9-40 Infantile Mortality. Subjoined is a classified statement of the deaths of infants under one year during 1912, with the ratio of the deaths in each class to the 1,000 births during the year : —

Fifty-eight out of every thousand of male children born, and forty-five of every thousand females, are found to have died before attaining the age of one year. The mortality was thus one in seventeen of male children and one in twenty-two of females in New Zealand. It will also be seen from the figures that the chances of living during the first year of age are greater for female than for male infants. Thus during the year 1912 there were, — 100 deaths of males to 79 deaths of females under 1 month of age ; 100 ~ 82 ~ from 1 to 3 months of age ; 100 ~ 68 ~ from 3 to 6 months of age ; 100 ~ 78 ~ ■ from 6to 12 months of age; 100 „ 78 ~ under 12 months of age. Dealing with the result for ten years, the deaths of infants under one year are in the large proportion of three-fourths of the total deaths under five; as might be expected, the first year being the tenderest period. (See notes to tables.)

Year. Sex. Under 1 Month. 1 and under 3 Months. 3 and under 6 Months. 6 and under 12 Months. Total under ' 12 Months. .912 j Male ( Female Number of Deaths. 469 105 358 83 116 76 115 87 805 604 Deaths to the 1,000 Births. .912 ... ( Male I Female 33-51 7-50 26-50 6-14 8-29 562 8-22 6-44 57-52 44-70

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Deaths of Infants under One Year, and Proportion to Births.

Rate of Infantile Mortality.

The principal causes of mortality in children under one year for New Zealand are given, with the numbers of deaths for five years from such causes. Premature birth stands first in order of

32

De; iths of Infa: its under 1 Year of Agi Total Births registered in each Year, and Mean of 10 Years. Proportion of Deaths of Infants under 1 Year to every 1,000 Birthe Year. Under 1 Month. 1 Month and under 3 Months. 3 Months and under 6 Months. 6 Mouths and under 12 Months. Total under 12 Months. 903 .904 905 .906 .907 .908 .909 .910 911 .912 692 669 714 717 763 810 794 786 751 827 346 260 285 247 446 242 285 298 217 188 367 356 290 244 500 347 258 333 234 192 365 331 310 298 519 362 297 343 282 202 1,770 1,616 1,599 1,506 2,228 1,761 1,634 1,760 1,484 1,409 21,829 22,766 23,682 24,252 25,094 25,940 26,524 25,984 26,354 27,508 81-08 70-98 67-52 62-10 88-79 67-89 61-60 67-73 56-31 51-22 Means of ten years ... 752 282 312 331 1,677 24,993 67-09 Note.—The total numi ler of death: of infants mder 1 yei .r for the pi iriod includ' id in the table ii 16,767.

Countiy or City. Year. Bate of infantile Mortality per l,00C Births. ; Birth- ! rate. Country or City. Year. Bate of Infantile Mortality perl.OOU Births. Birthrate. New Zealand Auckland Wellington Christchurch Dunedin Australian Commonwealth Sydney Melbourne Adelaide Brisbane Perth Hobart United Kingdom England and Wales London Scotland Edinburgh Glasgow Ireland Dublin Belfast 1912 j> )) >? 1910 )J !) )) ) J 55 51 57 61 60 38 75 84 93 78 84 79 119 118 109 103 121 118 139 92 142 143 135 118 147 99 93 78 94 123 118 26-5 29-7 27-5 28-3 27-1 26-7 26-5 23-3 25-8 28-3 28-9 28-9 26-3 25-6 23-6 27-2 21-3 27-7 23-5 28-3 27-8 19-7 18'0 24-9 29-1 25-4 23-6 29-6 28-3 26-1 Norway Christiania Sweden Stockholm Finland Russia (European) St. Petersburg Moscow German Empire Berlin Hamburg Dresden Breslau Munich Switzerland Spain Italy Milan Austria Vienna Prague Trieste Hungary Budapest Servia Bulgaria Ceylon Japan Ontario (Canada) Jamaica Chile .. 1908 1910 1908 1910 1909 1903 1910 1907 1910 j) 76 83 85 92 111 256 262 297 176 157 149 129 188 166 108 173 153 113 204 176 164 190 212 148 158 170 202 157 124 174 320 26-2 23-5 25-7 23-2 31-3 48-1 27-8 35-9 32-3 21-5 23-2 21-6 27-5 23-4 27-1 334 33-4 23-3 33-8 19-9 19-2 32-9 37-0 26-5 36-8 40-4 36-7 33-9 24-9 37-8 39-3 1908 1909 1910 1908 1911 j> )) 1908 1906 1908 1910 1907 1910 1909 1910 France Paris Belgium The Netherlands The Hague Amsterdam Rotterdam Denmark Copenhagen .. 1907 1910 1908 1909 1910 )! 1909 1910 1908 ?) 1909 1908 1908 1910 1909 1908

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importance, diarrhoea and enteritis next, followed by congenital debility. Here it is seen how much mortality is attributed to these causes according to the medical certificates.

Causes of Deaths of Children under One Year, 1908-12.

The proportions of deaths of children under one year of age to every 100 births for 1911 and 1912 at the chief centres are, — 1911. 1912. Auckland (including suburbs) .. .. .. .. 6-30 5-70 Wellington „ .. .. .. .. 7-33 6-13 Christchurch „ .. .. .. .. 6-29 6-00 Dunedin „ .. .... .. 4-34 3-81 The percentage of deaths of children under 5 to the total number of deaths is—in Dunedin, 13-51 in Christchurch, 19-53 ; in Auckland, 20-72 ; in Wellington, 21-69.

Causes of Death. A. comparison of the causes of deaths in 1911 and 1912 arranged according to an abridged classification, the percentage of each group to the total deaths, and the proportion per 10,000 persons living is given in the following table : —

5—H. 31,

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Number of Deaths from each Cause. Perce rtago of Total. Causes. 1908. 1909. 1910. 1911. 1912. 1908. 1909. 1910. 1911. 1912. Whooping-cough Convulsions ... Bronchitis and pneumonia Diarrhoea and enteritis.. Malformations Premature birth Congenital debility Other causes 31 76 148 418 41 388 264 436 28 107 I 168 249 57 347 256 479 101 80 157 343 58 407 281 391 12 89 161 244 51 337 263 378 6 51 126 178 117 398 254 279 1-76 4-32 8-40 23-74 2-33 22-03 14-99 24-76 1-71 6-55 10-28 15-24 3-49 21-24 15-67 29-31 5-74 4-54 8-92 19-49 3-30 23-12 15-97 22-22 0-81 6-00 10-85 16-44 3-43 22-71 17-72 25-47 0-43 3-62 8-94 12-63 8-30 28-25 18-03 19-80 Totals .. 1,634 i 1,760 1,484 100-00 1,761 1,409 100-00 100-00 100-00 100-00

Number of Deaths. Proportion to Total Deaths. Proportion per 10,000 living. Class. 1912. 1911. 1912. 1911. 1912. 1911. I. General diseases II. Diseases of the nervous system and of the organs of special sense III. Diseases of the circulatory system IV. Diseases of the respiratory system V. Diseases of the digestive system VI. Diseases of the genito-urinary system and adnexa VII. Puerperal condition VIII. Diseases of the skin and of the cellular tissue Total. 2,202 937 Total. 2,288 940 Per Cent. 23-90 10-17 Per Cent. 24-00 9-86 21-19 9-02 21-19 9-02 22-54 9-26 1,580 844 718 422 1,444 988 918 461 17-15 9-16 7-79 4-58 15-15 10-36 9-63 4-83 15-21 8-13 6-91 4-06 15-21 8-13 6-91 4-06 14-23 9-74 9-05 4-54 100 42 114 41 1-09 0-46 1-20 0-43 0-96 0-41 0-96 0-41 1-12 0-40 IX. Diseases of the organs of locomotion .. X. Malformations .. XI. Infancy XII. Old Age .. XIII. Violence XIV. Ill-defined causes 28 130 740 706 638 127 23 56 674 661 714 212 0-30 141 8-03 7-66 6-92 1-38 0-24 0-59 7-07 6-93 7-49 2-22 0-27 1-25 7-12 6-79 6-14 1-22 0-27 1-25 7-12 6-79 6-14 1-22 0-23 (J -55 6-64 6-51 7-04 2-09 Totals 9,214 9,534 100-00 100-00 88-68 93-94

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The next table shows the number of deaths from each principal cause for the five years 1908-12, and the proportion per 10,000 of the population.

typhoid fever. Deaths from this cause numbered only 46 in 1912, against 67 in 1911 and 90 in 1908. The rate fell from 0-95 to 0-44 per 10,000 during the quinquennium. MEASLES. Very few deaths occurred from this cause in 1912, the number being 15, as against 41 in 1911. In 1910 only 1 death was attributed to measles. SCARLET FEVER. The rate has fallen from 0-64 to 0-07 per 10,000 during the quinquennium, the number of deaths being last year 7. WHOOPING-COUGH. Only 10 deaths were recorded in 1912, as against 148 in 1910. The average for the last five years was 52,

Number of Deaths. Proportion of 10,000 of Mean Population. Cause. 1908. 1909. 1910. 1911. 1912. 1908. J 1909. 1910. 1911. 1912. Typhoid Measles Scarlet fever Whooping-cough Influenza Phthisis Other forms of tuberculosis Cancer Diabetes Exophthalmic goitre Anaemia, chlorosis Simple meningitis Apoplexy Cerebral haemorrhage Epilepsy Convulsions of children under five years of age Organic heart-disease Arterio-sclerosis Embolism, thrombosis Bronchitis Broncho-pneumonia Pneumonia Gastritis.. Diarrhoea and enteritis Appendicitis and typhlitis .. Intestinal obstruction Cirrhosis of liver Simple peritonitis. . Acute nephritis Bright's disease Uraemia Cystitis Diseases and accidents of puerperal condition Congenital debility Premature birth Senility Violence —(1) Suicide ,, (2) Accident, &c. Other causes 90 19 60 42 64 607 232 657 100 21 44 136 186 155 42 96 55 26 26 41 47 588 212 711 104 24 53 131 145 161 44 131 62 1 13 148 141 550 181 742 123 22 76 142 172 200 66 107 67 41 9 17 63 536 202 809 129 26 56 138 141 207 54 109 46 15 7 10 65 524 192 812 147 40 53 136 168 221 69 57 0-95 0-20 0-64 044 0-68 6-42 2-45 6-95 1-06 0-22 0-47 1-44 1-97 1-64 044 1-02 0-95 0-57 0-62 0-20 0-27 0-01 0-64 0-27 0-13 044 042 149 0-68 048 1-42 6-42 6-05 5-54 245 2-18 1-82 6-95 7-32 7-47 1-06 1-07 1-24 0-22 0-25 0-22 0-47 0-55 0-77 1-44 1-35 1-43 1-97 149 1-73 1-64 1-66 2-02 0-44 0-45 0-67 1-02 1-35 1-08 0-57 0-27 0-27 042 0-48 6-05 2-18 7-32 1-07 0-25 0-55 1-35 149 1-66 0-45 1-35 0-66 0-41 0-09 0-17 0-62 5-28 1-99 7-97 1-27 0-26 0-55 1-36 1-39 2-04 0-53 1-08 0-44 0-14 0-07 0-10 0-63 5-04 1-85 7-82 141 0-39 0-51 1-31 1-62 2-13 0-66 0-55 1,065 19 56 242 125 300 54 555 81 58 52 59 59 172 37 23 119 1,170 27 45 206 134 293 65 351 66 45 47 54 52 190 30 29 135 1,154 44 67 297 135 300 53 500 98 58 38 66 50 195 26 38 117 1,205 54 56 295 153 349 53 404 103 63 44 62 68 193 32 50 114 1,271 74 80 238 114 297 48 271 72 55 48 65 35 195 40 40 100 11-27 0-20 0-59 2-56 1-32 3-18 0-57 5-87 0-86 0-61 0-55 0-63 0-63 1-82 0-39 0-24 1-26 11-27 12-04 11-62 0-20 0-28 0-44 0-59 0-46 0-68 2-56 2-12 2-99 1-32 1-38 1-36 3-18 3-01 3-02 0-57 0-67 0-53 5-87 3-61 5-04 0-86 0-68 0-99 0-61 046 0-58 0-55 0-48 0-38 0-63 0-56 0-67 0-63 0-53 0-50 1-82 1-95 1-97 0-39 0-31 0-26 0-24 0-30 0-38 1-26 1-39 1-18 12-04 0-28 0-46 2-12 1-38 3-01 0-67 3-61 0-68 046 0-48 0-56 0-53 1-95 0-31 0-30 1-39 11-87 0-53 0-55 2-91 1-51 3-44 0-52 3-98 1-02 0-62 0-43 0-61 0-67 1-90 0-32 0-49 1-12 1223 0-71 0-77 2-29 1-10 2-86 046 2-61 0-69 0-53 0-46 0-62 0 34 1-88 0-38 0-38 0-96 269 388 586 103 570 1,500 264 347 556 118 660 1,576 283 407 660 100 567 1,640 268 337 661 124 590 1,652 256 398 706 124 514 1,611 2-85 4-11 6-20 1-09 6-03 15-87 2-85 2-72 2-85 4-11 3-57 4-10 6-20 5-72 6-65 1-09 1-21 1-01 6-03 6-79 5-71 15-87 16-22 16-52 2-72 3-57 5-72 1-21 6-79 16-22 2-64 3-32 6-51 1-22 5-81 16-28, 2-46 3-83 6-80 1-19 4-95 15-51 Totals 9,043 8,959 9,639 9,534 9,214 95-69 92-19 97-09 93-94 88-68

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INFLUENZA. As in the case of whooping-cough, the number of deaths in 1910 (141) was much above the average. Sixty-five deaths from influenza were registered in 1912, and the average for the five years 1908-12 was 76. TUBERCULOSIS. Deaths from phthisis numbered 524 or 5-04 per 10,000 of the population, against 536 or 5-28 per 10,000 in 1911, and 607 deaths or 6-42 per 10,000 in 1908. The average for the past ten years was 564, or 6-09 per 10,000. V Deaths from Rate per „ Deaths from Rate pel Phthisis. 10,000. Lear - Phthisis. 10,000. 1903 .. ..570 6-95 1908 .. ..607 6-42 1904 .. ..598 7-08 1909 .. ..588 6-05 1905 .. ..496 5-70 1910 .. ..550 5-54 1906 .. ..556 6-21 1911 .. ..536 5-28 1907 .. ..612 6-66 1912 .. ..524 504 Reference to the following table will show that 309 persons known to have been born in the Dominion died during 1912 from phthisis, a proportion of 4-26 per 10,000 of the estimated nativeborn white population, and 121 persons born elsewhere, but resident in New Zealand for fifteen years or over, succumbed to the disease.

Deaths from Phthisis, 1912.

The mortality from all forms of tuberculosis has decreased from 9-38 per 10,000 of population in 1903 to 689 in 1912, and the percentage of total deaths from all causes has decreased during the same period from 9-02 to 7-77.

Age at Death. Length of Residence in New Zealand. d c »o T-H c 43 o »o o IO CO o *O o in m c CO 3 IO IO to IO to p< Is* 5 o Under 1 month 1 month and under 6 months 6 months and under 12 „ 1 year and under 2 years... 2 years and under 3 „ ... 3 „ 4 4 „ 5 „ ... 5 „ 10 „ ... 10 „ 15 „ ... 15 „ 20 „ ... 20 „ 25 „ ... 25 years and upwards Not known Born in Dominion ... "i 1 - "i 1 2 1 1 1 2 1 1 3 9 2 1 3 2 1 52 1 1 2 2 1 1 4 4 3 1 7 5 33 2 2 3 2 5 16 4 5 1 3 3 5 4 2 4 17 10 8 10 59 19 138 i 1 39 19 3 4 1 12 3 1 2 i 3 Totals... 2 3 47 78 65 39 27 17 5 283 Females. Under 1 month 1 month and under 6 months 6 months and under 12 „ .1 year and under 2 years ... 2 years and under 3 „ 3 „ 4 „ ... 4 „ 5 5 „ 10 10 „ 15 15 „ 20 „ ... 20 „ 25 „ ... 25 years and upwards Not known Born in Dominion ... 1 1 1 1 1 1 1 1 2 1 4 1 2 2 1 1 1 1 3 2 8 3 1 5 38 6 171 1 1 1 1 1 75 1 14 2 31 2 6 2 9 9 1 8 2 1 4 49 Totals... 3 2 4 53 89 53 19 10 8 241 Totals of both sexes 5 2 7 100 167 118 58 37 25 5 524

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Deaths and Death-rates from Tuberculosis, and Percentage of Total Deaths, 1908-12. Number „ . , v Mean of Deaths from Rate miT-nti? Year. -o i .- m v i ,n ™ Total Deaths Population. Tubercular per 10,000. , „ n tp,. from ail causes. ill ae^ses 1903 ... ... 820,217 769 ' 9-38 9-02 1904 ... ... 845,022 799 9-46 9-88 1905 ... ... 870,000 678 7-79 8-41 1906 ... ... 895,594 720 8-04 8-63 1907 ... .. 919,105 856 9-31 8-50 1908 ... ... 945,063 839 8-87 9-28 1909 .., ... 971,784 800' 8-23 8-93 1910 ... ... 992,802 731 7-36 7-58 1911 ... ... 1,014,896 738 7-27 7-74 1912 ... ... 1,039,016 716 6-89

Ages of Persons who died from Tubercular Diseases, 1912.

In comparison with England and Wales and the States of the Australian Commonwealth the deaths from tuberculosis per 1,000 of the population was lower in Queensland than in New Zealand. Death-rates from Tuberculosis, and Percentage of Total Deaths, 1910. Death-rates „ (per 1,000) Percentage Tuberculosis. Total Deaths - England and Wales (1909) .. .. .. .. 1-52 10-50 New South Wales .. .. .. .. .. 0-75 7-62 Victoria .. .. .. .. .. .. 0-97 8-49 Queensland .. .. .. .. .. .. 0-59 6-06 South Australia . . .. .. .. .. .. 0-99 9-72 Western Australia .. .. .. .. .. 0-86 8-50 Tasmania .. .. .. .. .. . . 0-81 7-31 New Zealand .. .. .. .. .. .. 0-73 7-58 CANCER. There were 812 deaths assigned to this cause in 1912, a proportion of 7-82 per 10,000 persons, the average number and rate for the five years 1908-12 being 746 and 7-51 respectively. Deaths of males numbered 418, and of females 394. The death-rate from cancer is greater than that from tubercular diseases, and its increasing tendency is a matter of grave concern.

Number of Persons who died from Cancer, the Proportion per 10,000 Persons living, and the Percentage of all Deaths, 1903-12.

Ages. Males. Females. Total. Ages. ] Males. Females. Total. I Under 5 years 5 years and under 10 .. 10 „ 15 .. 15 „ 20 .. 20 „ 25 .. 25 „ 30 .. 30 „ 35 .. 35 „ 40 .. 40 „ 45 .. 22 9 13 17 47 50 45 42 32 26 10 11 33 42 48 57 39 27 48 19 24 50 89 98 102 81 59 45 years and under 50 50 „ 55 55 „ 60 60 „ 65 65 „ 70 70 „ 75 75 „ 80 14 21 9 14 7 4 2 15 7 5 5 4 29 28 14 19 11 4 2 Total deaths 381 335 716

Year. Deaths from Cancer. Total Deaths, all Causes. Deaths from Cancer per 10,000 of Living Persons, j Percentage of Total Deaths due to Cancer. I 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 582 571 566 623 674 657 711 742 809 812 8,528 8,087 8,061 8,339 10,066 9,043 8,959 9,639 9,534 9,214 7-10 6-76 6-51 6-96 7-33 695 7-32 7-47 7-97 7-82 6-82 7-06 7'0iJ 7'47 6-70 7-27 7-94 7-70 8-49 8-81 i

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The part of the body mostly affected is the stomach, and among females the generative and mammary organs. , Cancer : Seat of Disease. Seat of Disease. Males. Females. Total. Mouth, lip, tongue, throat, neck .. .. 117 28 145 Stomach .. .. .. .. ..136 52 188 Intestines, rectum .. .. .. 62 72 134 Kidneys, bladder, urethra, &c. .. .. 47 57 104 Liver .. .. .. .. ..19 9 28 Female genital organs .. .. .. .... 56 56 Breast .. .. .. .. .... 55 55 Other organs .. .. .. .. 37 65 102 418 394 812 Ninety-four per cent, of the deaths were at the ages 35 years and upwards, and 57 per cent, at the ages 60 years and upwards.

Ages of Persons who died from Cancer, 1912.

The proportion of deaths from cancer to the 1,000 persons living in some of the principal European countries as shown below leads to the conclusion that there is a general tendency to increase.

Cancer Death-rates per 1,000 living in some Principal Countries.

DIABETES. There were 147 deaths in 1912, a rate of 1-41 per 10,000, the average for the five years being 121 and 1-21 respectively. Deaths from this cause appear to be on the increase. EXOPHTHALMIC GOITRE. Forty deaths from this cause were registered in 1912, as against 26 in 1911 and 21 in 1908. Deaths from exophthalmic goitre also appear to be increasing.

Ages. Males. Females, Total. Ages. Males. Females. Total. Under 5 years 5 years and under 10 .. 10 „ 15 .. 15 „ 20 .. 20 „ 25 .. 25 „ 30 .. 30 „ 35 .. 35 „ 40 .. 40 „ 45 .. 5 1 1 2 6 9 6 17 3 2 3 6 8 10 29 8 1 3 45 years and under 50 50 „ 55 55 „ 60 60 „ 65 65 „ 70 70 „ 75 75 „ 80 80 years and upwards 14 37 59 61 66 67 42 25 39 41 49 48 45 53 35 23 53 78 108 109 111 120 77 48 812 5 12 17 16 46 Totals 418 394

Years. Averai ;e, 1008. 1909. Country. 1901-5. 1906. 1907. Switzerland The Netherlands England and Wales .. Scotland Austria Victoria Ireland New Zealand South Australia Prussia New South Wales Belgium Queensland Tasmania Italy .. .. Western Australia Spain Hungary 1-10 0-85 0-86 0-83 0-69 0-76 0-56 0-75 0-76 0-64 0-80 049 0-79 0-68 045 0-74 0-38 0-38 1-12 0-88 0-92 0-94 0-73 0-77 0-64 0-79 0-84 0-69 0-85 049 0-76 0-63 0-51 0-98 041 0-39 1-06 0-89 0-91 0-94 0-72 0-82 0-62 1-82 0-80 0-72 0-87 0-51 0-90 0-77 0-50 0-83 0-41 041 1-11 0-90 0-92 0-94 0-72 0-81 0-62 0-79 0-77 0-73 0-84 0-54 0-71 0-82 0-53 0-86 0-44 0-42 0-90 0-95 0-82 0-65 0-82 0-86 0-74 0-90 0-83 0-82 0-53 1-09 044 0-43

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ANAEMIA AND CHLOROSIS. Seventy-six deaths were recorded in 1910, but in 1912 the number was only 53, the average for the five years 1908-12 being 56, and the average rate per 10,000 being 0-57. . SIMPLE MENINGITIS. Very little fluctuation is shown as regards deaths from this cause during the past five years. The number for 1912 was 136, while the rate per 10.000 was P3l. APOPLEXY. The number of deaths in 1912 (168) was an increase of 27 on that for 1911, but a decrease of 18 when compared with 1908. The rate fell from 1-97 per 10,000 in 1908 to 1-62 per 10,000 in 1912. CEREBRAL HEMORRHAGE. Each of the four years 1909 to 1912 inclusive shows an increase in number and rate on the preceding year. The averages for the years 1908-12 work out at 189 and 1-90. EPILEPSY. The number of deaths from this cause (69) was higher in 1912 than in any of the four preceding years. CONVULSIONS OF CHILDREN. As regards both number and rate 1912 shows a great decrease on the years preceding. The rate fell from 1-35 per 10,000 to 0-55 per 10,000 in 1912. .'- ORGANIC HEART-DISEASE. More deaths occur from this cause than from any other. Under the Bertillon classification deaths occurring from heart-disease combined with bronchitis, pneumonia, rheumatic fever, or Bright's disease must.be allocated to heart-disease, this being the reverse of the system, formerly followed. Number and rate of deaths from heart-disease show a tendency to increase, the number in 1912 being 1,271, as against 1,205 in 1911 and 1,065 in 1908. ". i ARTERIO-SCLEROSIS. • A rapid increase of deaths from this cause is apparent, the number in 1912 being 74, as against only 19 in 1908. EMBOLISM AND THROMBOSIS. In common with other diseases of the circulatory system, numbers and rates show an increase over the five years. The number of deaths in 1912 was 80, while the rate per 10,000 was 0-77. BRONCHITIS. The number (238) and rate (2-29 per 10,000) of deaths from this cause in 1912 were slightly below the averages of the five years. The year 1910 shows the highest number as well as the highest rate. BRONCHO-PNEUMONIA. In 1911 153 deaths from this cause were recorded, but in 1912 the number had fallen to 114, while the rate/fell from 1-51 to 1-10 per 10,000. ; y : "".'■ i- PNEUMONIA. i. In this case also 1912 shows a considerable decrease on 1911. The deaths registered fell from 349 to 297, and the rate per 10,000 from 3-44 to. 2-86. /-.,;- GASTRITIS. ~.() There were 48 deaths from this cause in 1912, as compared with 53 in 1911 and 65 in 1909. DIARRHOEA AND ENTERITIS. Considerable fluctuation is shown as regards deaths from diarrhoea and enteritis. The number fell from 555 in 1908 to 351 in 1909, rose to 500 in 1910, and fell to 404 in 1911, while in 1912 the number was only 271, the rate per 10,000 being 2-61. APPENDICITIS AND TYPHLITIS. Seventy-two deaths were registered in 1912, a decrease of 31 on the figures for 1911. The average for the five years 1908-12 was 84, while the average rate per 10»000 was 0-85. INTESTINAL OBSTRUCTION. Fifty-five deaths (a rate of 0-53 per 10,000) were registered in 1912. Little movement is shown as regards deaths from this cause. -. ;■.•>.'. CIRRHOSIS OF LIVER. The number of deaths in 1912 (48) was slightly above the average of the five years 1908-12 (46). SIMPLE PERITONITIS. Very little fluctuation is shown here, 65 deaths being registered in 1912, as against 62 in 1911 and 66 in 1910. - -

39

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ACUTE NEPHRITIS. Only 35 deaths in 1912 were attributed to this cause, as against 68 in 1911 and 59 in 1908. The average rate for the five years 1908-12 was 0-53 per 10,000. BRIGHT'S DISEASE. In four years, 1909 to 1912, the number of deaths from this cause has remained practically stationary, between 190 and 195. The rate for the five years 1908-12 averages 1-90 per 10,000, .. UREMIA. Forty deaths from this cause were registered in 1912, as against 32 in 1911 and 26 in 1910. CYSTITIS. The number of deaths registered in 1912 (40) was 10 less than in 1911, but 17 more than in 1908. PUERPERAL DISEASES AND ACCIDENTS. In 1912 the deaths certified to these causes numbered 100. Included in the number were: Accidents of pregnancy, 22; puerperal septicaemia, 19; puerperal albuminaria and convulsions, 16 ; puerperal haemorrhage, 13 ; other accidents of childbirth, 28. The number of deaths to every 1,000 confinements for each of ten years is shown. , Deaths of Mothers ; Deaths of Mothers Year. to every 1,000 Year. , to every 1,000 Confinements. Confinements. •1903 ' ... ... ' 5-86 1908 ... ... ... ' 4-64 1904 ... .:.'' ... 4-66 1909 .'.; ... 5-14 ' 1905 .'.: ... '".:. 4-22 1910 ... ... ... 455 1906 ... ... ... 3-91 1911 ... ... ... 4-38 1907 ... ... ... 4-62 1912 ... ... ... 3-73 CONGENITAL DEBILITY. The number and rate in 1912 were both lower than in the four preceding years, the number being 256, and the rate per 10,000 being 2- 46. PREMATURE BIRTH. The number of deaths from this cause in 1912 (398) was considerably higher than in 1911, although still lower than in 1910. The rate per 1,000 births registered in 1912 was 14-47. :>'«' ' -.■!•■' .'/,..«.■■.. SENILITY. ' No fewer than 706 deaths were attributed to this cause in 1912. The number for 1911 was 611, and for 1908, 586. VIOLENCE. The deaths from external violence, apart from suicide, numbered 514 in 1912—males 438, females 81. The rate per 10,000 living was 6-03 in 1908, 6-79 in 1909, 5-71 in 1910, 5-81 in 1911, and 4-95 in 1912. The various forms of violent deaths, excluding suicides, in 1912 are shown in the following table :—

Accidental Deaths, 1911.

SUICIDE. »j . - The suipidal deaths.,in 1912 were .124—males 10,8, and females 16. The rate per 10,000 living was 1-19 in 1912, against an average of 1-14 for the past five years. , : ; ;:

Cause of Death. Males. Females. i Total. Poisoning .. ■ Burns and scalds Suffocation, gas, &c. Drowning Shooting Falls .. .'. ■ .. In mines and quarries .. By machinery By vehicles, railways, &c. Injuries by animals Starvation 12 23 19 110 24 39 19 7 ' 120 8 2 5 2 6 -24 13 4 21 7 9 1 4 16 ft 44 26 119 25 ' 43 19''" 9 134 ■ 9 2 5 2 10 32 19 2 14 1 Exposure .. Electrocution Homicide Fractures Other external violence . . 4 8 6 Total deaths 433 81 514

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B. LOCAL VITAL STATISTICS. Auckland Health District. Throughout, the statistics given are for the period Ist January to 31st December, 1912. Those dealing with births and deaths, the deaths and death-rates, are taken for the purposes of this report from the annual return of the Registrar-General. They deal only with the population of the City of Auckland and the eight surrounding boroughs —Birkenhead, Devonport, Grey Lynn, Mount Albert, Mount Eden, Newmarket, Northcote, and Parnell—with an estimated mean population of 85,837. Population. The mean population in 1913 is taken as, — Auckland City .. .. .. .. .. .. .. 41,367 Suburban boroughs .. .. ... .. .. .. 44,470 85,837 In " other suburbs " —in which are included Arch Hill, Eden Terrace, Epsom, Mount Roskill, One Tree Hill, Point Chevalier, Remuera Road Districts, and Parnell Riding (including the Domain and Hospital Reserves) —the Registrar-General estimates that there are 21,082 ; and adding the Borough of Onehunga to these (4,651 at the census of 1911) we arrive at a total of 111,570 as the estimated population of Greater Auckland at the middle of the year. The various " rates " quoted and deductions thereupon so far as they relate to Auckland and suburban boroughs are in relation to the population 85,837, as above. Note. —In every case throughout this report where comparison is made with previous years the period referred to is that from January to December inclusive, the figures given in previous reports having been brought into unison with the calendar year. The earlier reports related to the yearly period, Ist April to 31st March of the year following. Birth-rate. Per 1,000 of Mean Population. Auckland City .. .. .. .. .. .. .. 30-63 Auckland and suburban boroughs .. .. .. .. .. 29*66 The average birth-rates for ten years, 1903-12, are, — Auckland City .. .. .. .. .. .. .. 30-11 Auckland and suburban boroughs .. .. .. .. .. 28-12 It was thought that the considerable increase apparent in the birth-rate as compared with the previous year was partly accounted for by the overestimation of the mean population in 1910 as disclosed by the 1911 census. But the figures last year are even better than those of 1910, and it is satisfactory to note that there is at present an upward tendency. Death-rate. Per 1,000 of Mean Population. Auckland City .. .. .. .. .. .. .. 1165 Auckland and suburban boroughs .. .. .. .. .. 9-73 The average death-rates for the ten years, 1903-12, are, — Auckland City .. .. .. .. .. .. .. 12-30 Auckland and suburban boroughs .. .. .. .. .. 10-43 Thus the comparison with the ten years shows very favourably. Natural Increase of Population. w . , Increase per Births. Deaths. «arurai f M Increase. "„ , ~ Population. Auckland City .. .. ..1,267 482 785 18-9 Suburban boroughs .. .. ..1,279 353 926 20-8 Auckland and suburban boroughs .. 2,546 835 1,711 19-9 A fairly high birth-rate and low death-rate combine to produce Very favourable figures in this table. The increases for ten years are (Auckland and suburban boroughs)— 1903 .. .. .. 18-67 1908 .. .. .. 18-07 1904 .. .. .. 19-60 1909 .. .. .. 18-28 1905 .. .. .. 17-36 1910 .. .. .. 16-78 1906 .. .. .. 17-32 1911 .. .. .. 16-32 1907 .. .. .. 16-03 1912 .. .. .. 19-90 Infant Mortality. In Auckland and suburban boroughs— Deaths of infants under 1 year were . . .. . . .. 145 Deaths of infants between 1 and 5 years .. .. .. 28 173 Deaths of children under 1 year per 100 births, — Auckland City and suburban boroughs .. .. .. .. .. 570 This is again very satisfactory when comparison is made with the means of previous years, thus— Auckland City and suburban boroughs—Mean for 5 years, 1908-12 .. 6-85

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But interesting results are obtained by taking the means of earlier quinquennial periods. Thus 1901-5 have a mean of 10-45, and 1906-10 of 8-12 — a gradual reduction which must be regarded with some satisfaction, and may be attributed, to some extent at least, to the better sanitary conditions which have developed in the past twelve years. Causes of Deaths. Zymotic Diseases. Deaths in Auckland and suburban boroughs .. .. .. 88 For the last five years,— Deaths. Deaths. 1908 .. .. ..139 1911 .. .. ..102 1909 .. 74 1912 .. .. ..88 1910. .. .. ..125 The 88 deaths were from — Diarrhoeal diseases .. .. 51 Tetanus .. .. 3 Influenza .. .. .. 5 Puerperal septicaemia .. 3 Diphtheria .. .. .. 8 Septicaemia .. .. 9 Enteric fever ...... 8 — Measles ...... 1 88 Cancer. Auckland and suburban boroughs .. .. .. .. 67 deaths. For the last five years, — Deaths. Deaths. 1908 55 1911 56 1909 .. .. ..76 1912 .. .. ..67 1910 59 Phthisis and other Tubercular Diseases. Auckland and suburban boroughs .. .. .. .. 56 deaths. For the last five years, — Deaths. Deaths. 1908 .. .. .-52 1911 .. .. ..51 1909 .. .. ..58 1912 .. .. ..56 1910 .. .. ..44

Rainfall and Temperature, 1912. (Auckland Museum Observations.)

6—H. 31,

I 1912. Rainfall. Rainfall. Average previous 45 Years. Mean Tei iperature. 1912. Average previous 45 Years. January February March April May June July .. August September October .. November December In. 1-75 3-62 6-12 5-58 1-56 5-46 4-97 3-60 5-53 2-09 1-97 0-81 In. 2-77 3-18 2-78 3-05 4-50 4-53 4-95 4-19 3-42 3-42 3-09 2-62 Deg. 63-6 64-6 61-9 59-9 54-7 52-3 50-4 50-2 54-1 56-1 58-1 62-8 Deg. 67-1 67-4 64-3 61-6 57-1 53-9 52-0 52-4 54-8 57-0 59-7 62-4 Totals and means 43-06 42-50 574 59-1

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C. CLIMATE AND METEOROLOGY. (Being extracts from article in " New Zealand Official Year-book.") [By D. C. Bates, Dominion Meteorologist.] The climate of New Zealand is to be considered in relation to four main features —(1) Its position, stretching for nearly a thousand miles southward of latitude 34° S. ; (2) its insular condition, situated as it is in the widest ocean of the world, from which no part of the country is distant more than seventy-five miles ; (3) its physical features, mountain-chains running mostly north and south and affording different aspects ; and (4) the weather-changes to which these parts of the earth are subject. Sunshine. The latitudes in which the chief cities of New Zealand lie in the Southern Hemisphere correspond with the cities in the North from which the possible amount of sunshine may be gauged. Auckland's latitude corresponds to that of Cape Passaro in the south of Sicily ; Wellington to Naples ; and Dunedin to Venice. The following table gives the period during which the sun is above the true horizon on the days of midsummer and midwinter : —■ „ ~, o, ~ ~ At Auckland. At Wellington. At Dunedin. Possible Sunshine on the Hr Hr Hr mm Longest day .. .. .. .. 14 40 15 10 15 46 Shortest day .. .. .. 9 38 9 13 8 39 The actual hours of bright sunshine recorded in Wellington average nearly six hours per day throughout the year, and few indeed are the days when a brilliant sun does not at some time or other score a definite trace upon the recording-chart. Other districts much more protected from cloudformation, as Nelson, in the Tasman Gulf ; Napier, on the east coast of the North Island ; and Lincoln, near Christchurch, on the east coast of the South Island, have higher records. Some of the west coast districts, on the other hand, record less bright sunshine ; but Wellington, the capital city, is in the middle position, and affords a good mean both for the sunshine and the rainfall of the whole Dominion. Wellington is also in a critical position with regard to atmospheric disturbances, Cook Strait being usually the dividing-line between the cyclonic storms and westerly lows, generally partaking of the changes due to both. The actual results are as follows : —■

Hours of Sunshine.

These results bear comparison with some of the most favoured regions of the world, where, in order to produce the best results, sunshine and shower hold sway in turn. For instance, over the northern parts of the British Isles the annual average of bright sunshine is 1,200 hours, or 27 per cent, of the possible ; and in the south it is 1,600 hours, or 36 per cent. ; while Italy has averages from|2,ooo to 2,400 hours, or from 45 to 54 per cent, of the possible. Temperature. Latitude, insolation, proximity of the ocean, and the height of a locality are the determining factors with regard to temperature. The oceanic influences are recognized as the dominant feature with regard to both summer heat and winter cold, upon both of which they exercise a moderating effect. The west coast of the South Island especially is open to the prevailing westerly winds, and is more humid and equable than the eastern coastal districts, which at times present an almost continental type with considerable range of temperature. In the cities of Auckland and Wellington frosts on the grass are of rare occurrence, though farther south and inland they are often experienced. As showing the influence of the ocean in moderating temperature, we may contrast the records of a continental city with the capital city of Wellington. Temperatures (Degrees Fahrenheit). Mean. • Mea «- r Lat. 41 16 S. Lat. 48 12 N January, maximum .. .. 69-4 j August, maximum .. .. 91-2 July, minimum .. .. .. 42-1 : January, minimum .. .. 10-2 Mean annual range .. .. 27-3 Mean annual range .. .. 81-0 The meteorological seasons are regarded as later than the solar or astronomical seasons. Thus, in the Southern Hemisphere July is usually the coldest and wettest month of the year, while January is the driest and warmest. The seasons are thus roughly divided : — Winter—June, July, August. Summer—December, January, February.. Spring —September, October, November, Autumn—March, April, May.

Year. Auckland. Gisborne. Napier. Moumahaki. Wellington. Lincoln. Nelson. 1907 1908 1909 1910 1911 1912 Hr, min. 1775 45 1975 30 1834 21 Hr. min. 1939 20 2259 20 1965 40 2293 4 2147 20 1750 9 Hγ. min. 2610 35 2806 42 2203 20 2530 47 2406 56 2451 25 Hr. min. 1897 34 2001 40 1856 17 1869 15 1692 25 1906 55 Hr. min, 1853 53 2009 3 2223 31 2157 3 2276 37 1953 17 Hr. min. 2133 53 2185 11 2112 9 2083 42 2326 0 1782 7 Hr. min, 2562 58 2571 34 2506 56 {2227 15 1861 52 *2059 9 *2501 37 *1870 41 *2078 54 *2103 50 f2467 1 1 Average For six years. For f< >ur years. t Incomplete t, 13 days no reci >rd kej >t.

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The following table gives seasonable and annual means computed from several stations in the various " provinces " into which the Dominion was once politically as well as naturally divided : — Mean Temperatures in Shade (Degrees Fahrenheit). Auckland— Spring. Summer. Autumn. Winter. Annual. Mean .. .. .. 56-9 65-7 59-8 51-0 58-4 Maximum.. .. .. 65-2 75-2 68-3 58-5 66-8 Minimum .. .. .. 48-6 56-3 51-3 43-6 49-9 Hawke's Bay — Mean .. .. .. 57-3 65-6 59-0 50-0 58-0 Maximum.. .. .. 66-5 74-8 67-3 58-1 66-7 Minimum .. .. .. 48-3 56-5 50-7 42-0 49-4 Taranaki— Mean .. .. .. 55-0 62-4 58-0 49-9 56-3 Maximum.. .. .. 63-0 71-0 66-0 57-3 64-3 Minimum.. .. .. 47-1 53-7 50-0 42-4 48-3 Wellington— Mean .. .. .. 54-1 62-1 56-4 47-9 55-1 Maximum.. .. .. 61-7 71-0 64-8 55-4 63-3 Minimum .. .. .. 46-2 53-3 48-2 40-5 47-0 Nelson and Marlborough— Mean .. .. .. 55-6 63-5 57-6 48-7 56-3 Maximum.. .. .. 63-7 72-2 65-6 55-9 64-3 Minimum.. .. . .. 47-5 55-0 49-8 41-5 48-4 Westland — Mean .. .. .. 49-7 58-1 51-4 41-2 50-1 Maximum.. .. .. 57-5 66-2 59-1 48-6 57-8 Minimum .. .. .. 42-0 49-9 43-7 33-7 42-3 Canterbury— Mean .. .. .. 52-5 60-8 53-2 43-1 52-4 Maximum.. .. .. 61-9 70-9 62-3 51-2 61-6 Minimum.. .. .. 431 50-9 44-3 35-1 43-3 Otago — Mean .. .. .. 50-4 57-9 51-0 41-5 50-2 Maximum.. .. .. 59-5 67-5 59-1 48-1 58-5 Minimum.. .. .. 41-5 48-2 43-0 35-0 41-9 New Zealand Rainfall, 1912. The total rainfall for the year 1912 was less than the normal in the Auckland, Gisborne, and Hawke's Bay districts, but in the southern portion of the North Island and over the whole of the South Island, with the exception of the Nelson District, the aggregate was in excess of the average. The coastal stations of Canterbury, as was the case in 1911, again show the greatest difference, the excess ranging from 12 to as much as 70 per cent. The following table shows the difference, above or below the mean, for each month in the year : —

North Island Rainfall, 1912. Monthly Means compared with the Averages for Seven Previous Years.

Mean Number of Days with Rain, compared with the Averages for Seven Years.

Jan. Feb. Mar. April. May. j June. July, i Aug. i Sept. Oct. Nov. I Dec. + .. I 3-54 4-96 I 5-26 j 545 6-69 4-02 Av.3-59 3-08 4-90 3-98 4-98 4-54 j 5-93 I 4-30 4-10 446 3-38 3-80 - 1-52 244 I 5-80 3-10 4-31 0-73

Jan. I Feb. Mar. April. May. June. July. Aug. Sept. Oct. Nov. Dee. + 10-0 10-2 14-5 16-7 18-7 22-4 16-5 15-1 Av. 10-0 8-1 11-5 13-3 14-5 15-1 174 14-2 16-0 15-15-6 13-2 12-6 12-0 16-5 11-5 4-0 + Above the average. — Belo the average.

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South Island Rainfall, 1912. Monthly Means compared with the Averages for Seven Previous Years.

Mean Number of Days with Rain, compared with the Averages for Seven Years.

January was not subject to an excessive range of barometric pressure, but minor fluctuations were somewhat frequent, causing weather of a changeable nature with frequent showers, more especially over the South Island. The whole of the North Island had less rainfall than the normal for this month, but the South nearly everywhere recorded a small excess, cheifly owing to a westerly depression which ruled between the 15th and 21st. During this period the western districts especially recorded some copious downpours, which on the 20th resulted in flooded rivers in this portion of the Dominion. Electrical disturbances were also frequent at this time, and Canterbury experienced a severe thunderstorm on the 18th. Towards the close of the month an anticyclone overspread the country, and the month of February was ushered in with fair weather-conditions, which prevailed generally during the first week. Two westerly areas of low pressure influenced weather-conditions. The first, between the 13th and 17th, although only of moderate intensity, was the cause of a heavy rainfall in the vicinity of Cook Strait on the 15th. The second one was of longer duration, lasting from the 17th to the 24th, and was apparently triple-centred, its lowest pressure passing in the south on the 19th, 20th, and 22nd respectively. The only other disturbance was a monsoonal depression to the northward of New Zealand, which on the 27th and 28th accounted for much rain in the northern districts, and warm, humid, and misty conditions generally. The aggregate precipitation for the month differed but slightly from the normal. March generally showed a high rainfall, particularly over the North Island, some of the northernmost districts recording more than double the average. The weather during the greater part of the month was extremely unsettled, and temperatures were much below the average. In the beginning of the month a monsoonal low in the north impinged on an extensive high-pressure system passing further south. There consequently followed a remarkable steepening of the barometric gradient, and the mingling of the warm-air currents of the low-pressure system and the cold currents in front of the anticyclone resulted in considerable rainfall. On the 7th an extensive cyclone passed over the country, in conjunction with which was a westerly low pressure, the trough of which passed on the night of the Bth. Other causes of rainfall in March were three small westerly " lows," and an ex-tropical cyclone whose centre passed to the northward of New Zealand. The latter was of considerable intensity, but owing to a " high " at time being centred over the South Island it was not able to exert so unfavourable an influence as it would have done had the distribution of pressure made it possible for its centre to pass within these latitudes. On the last day of the month a well-defined anticyclone invested the country. In April nearly the whole of the North Island and the east coast districts of the South had an excessive rainfall, a condition which was brought about chiefly by two cyclonic disturbances, one which passed off East Cape on the 15th, and the other an intense and extensive one whose centre crossed in the vicinity of Cook Strait on the 24th. From the latter date to the end of the month continuous westerly low pressure ruled, with very unsettled and at times stormy conditions. May was remarkably free from disturbances of any extent, the controlling pressures being nearly all anticyclonic. Consequently fair weather was the characteristic feature of the month. Precipitation was everywhere considerably lower than the mean.

Jan. Feb. Mar. April. May. ! June. July. Aug. Sept. Oct. Nov. Dec. 3-41 4-36 5-21 5-13 4-69 4-55 3-38 + .. Av. 3-88 2-30 4-07 3-37 3-42 4-56 4-15 3-50 4-36 4-25 3-25 . 4-30 - 3-22 3-74 2-22 2-36 1-86

Jan. Feb. Mar. April. May. June. July. Aug. Sept. Oct. Nov. Deo. 17-0 + 13-6 11-5 13-5 16-5 15-0 17-] Av. 12-3 7-2 11-9 12-5 11-5 13-7 13-7 13-4 15-3 15-4 13-3 14-3 12-0 10-7 104 M-l 9-0 + Abovi tho avei ■age. — Below the average.

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In contrast to the previous month, June was unsettled and wintry, and most districts experienced a large rainfall with the number of wet days greatly in excess of the average. Three extensive westerly low-pressure areas prevailed —viz., between the Ist and 10th, the 15th and 23rd, and from the 27th to the 30th ; and a cyclone apparently passed eastward of East Cape on the 24th and 25th. The barometric range was excessive during the month, the highest pressure being 30-48 in. at the Bluff on the 10th, and the lowest 29-05 in. at Wellington on the Ist. The midwinter month, July, was remarkable for a persistence of easterly winds which accompanied three prolonged disturbances passing in the north, while the southern districts were under the influence of higher pressure. The southern and west coast districts in consequence experienced a considerable amount of fair weather. The only districts having a larger rainfall than the average were portions of the east coast of the North Island and the whole of the east coast of the South Island, and this, as before mentioned, owing to the remarkable prevalence of vapour-laden easterly winds. On several occasions a particularly high barometer reading was recorded, the maximum, 30-17 in., taking place at Oamaru on the 23rd. Anticyclones chiefly dominated weather-conditions during August, between the 10th and the 27th the country being hardly free from them. Previous to the 10th, however, and again towards the close of the month, low-pressure systems were much in evidence. No particularly heavy rainfalls were recorded, and the total was generally below the average. Cold nights with frosts were numerous, the most severe occurring on the night of the 12th. During the month of September the weather was dominated by an unusual number of low-pressure systems, anticyclones of a well-developed character being entirely absent, or else centred too far north to cause settled weather for an appreciable period. Westerly areas of low pressure were frequent and of an extensive and intense type, resulting in a predominance of high westerly winds, in consequence of which districts with a westerly aspect suffered a remarkably excessive rainfall, many stations recording more than double their average for the month. The eastern districts, on the other hand, particularly Canterbury and Hawke's Bay, recorded less than the usual amount. Between the 2nd and the 6th an ex-tropical cyclone passing in the north accounted for heavy rain at times in the northern and east coast districts, and misty and wet conditions generally. On the nights of the 14th and 16th, in conjunction with an extensive westerly " low," depressions of a secondary type caused severe thunderstorms in the vicinity of Auckland and Wellington respectively. Electrical disturbances were also experienced on several occasions during the middle of the month in Westland. Generally the month was one of squally and showery weather, most districts having, besides a larger rainfall, a greater number of rainy days than the average. Again in October the type of pressure-distribution was such as to cause weather of an unsettled character, the longest period of fair weather generally being experienced between the 27th and the 30th, when the centre of an anticyclone passed over the northern half of the North Island. Between the Ist and the 16th the barometer was very unsteady and continually below normal in the South, accounting for a prevalence of northerly and westerly winds and changeable weather, particularly in the western districts. Of the depressions which passed near enough to unfavourably affect the weather-conditions of the Dominion, the following were the most notable : (1.) A small but intense westerly " low " which passed over the South Island on the 15th and 16th, and caused heavy rain and floods in Westland and Southland. (2.) In the rear of the above a shallow cyclone made its appearance, the centre of which moved across the northern portion of the South Island on the 19th. Much mist and fog was experienced about this time, and heavy rain fell on the east coast districts as the trough passed to the east. (3.) A depression off East Cape on the 23rd and 24th. Very heavy rain fell in Hawke's Bay, and low-lying country in parts became flooded. (4.) On the 25th and 26th a steep V-shaped depression in its passage caused strong south-westerly gales in many parts of the country, accompanied by hail and heavy showers, with snow on the higher levels. This depression was the most striking one during the month, but its effect was of short duration, and the advance of an anticyclone brought a favourable change in weather-conditions. The total month's rainfall was excessive in all the east coast districts southward of East Cape and in the southern half of the South Island, but elsewhere less than the average amount was recorded. Several thunderstorms were experienced, especially in the Canterbury districts on the Ist, 2nd, and 31st. The weather in November was a continuation of that experienced in October. On not one occasion was the atmospheric distribution such as to favour settled conditions. The nearest approach -to such was between the 19th and 23rd, when a high-pressure system was in evidence, but although fair conditions ruled at this time cloudy skies were frequent and widespread. Precipitation was con-* siderably above the average in the Taranaki, Hawke's Bay, and Wellington districts in the North Island, and slightly above in the east coast and southern districts of the South. Auckland and Westland generally recorded under the mean monthly fall. Heavy falls of rain were experienced over wide areas on the 4th, 23rd, and 26th. But generally the falls were not excessive, although the total number of wet days was above the average. The country was not for long free from the influence of depressions both of the westerly low and the cyclonic type, although they were not at any time of great intensity. December, the first summer month, was warm and fine, with an extremely small rainfall. A small cyclone passed in the neighbourhood of Cook Strait on the night of the 3rd, and westerly low pressure ruled between the 15th and 21st, the main trough passing in the south on the 19th, when a barometer-reading of 28-85 in. was recorded at the Bluff. At this time heavy westerly winds were experienced.

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The following shows the rainfall-stations that recorded the extreme maximum and minimum falls during the year, in a single month, and the maximum fall during a single day :—

Comparative Table: Year 1912.

D. GENERAL REPORTS OF THE DISTRICT HEALTH OFFICERS FOR THE YEAR 1912. Auckland Health District. —Report by the District Health Officer (Dr. Makgill). I have the honour to submit the twelfth annual report for the Auckland Health District. The principal features of the year's work were the establishment of the system of reports by the Department to the Licensing Benches on the sanitary condition of hotels, the completion of the regulations under the Sale of Food and Drugs Act, the completion of the Model Building By-laws, and organization of the Native nursing scheme. In regard to the latter item we had the advantage of Miss Bagley's assistance on her transfer to the Auckland Office. As in the previous year, the continual outbreaks of epidemic disease amongst the Natives formed a very important item in our work, and it is unfortunate that we have been unable to get the nursing scheme more widely established. The various new responsibilities which have been added increase the general work of the office greatly, and the permanent addition to our staff of a second typist was found necessary. In addition to the routine work of the district six visits were paid to Wellington, three on matters relating to the Food and Drugs Regulations, one concerning the reorganization of the Pathological Laboratory, one to attend the conference on tuberculosis, and one to examine applicants for the Sanitary Institute certificate. In addition to the usual work I prepared a report on physical education in schools for the Chairman of the Royal Commission on Education. Attached are appendices relating to statistics of notifiable infectious diseases, provision for infectious diseases; sanitation of districts; Native sanitation; work under the Food and Drugs Act; and other matters. R. H. Makgill, M.D., D.P.H. (Camb.).

Degrees Tempt jrature i: Shade. Bainfall. i Stations. i p H 1 I s l=! a ft I I d EH . f <2 3 o H O Prevailing Winds. Auckland Pahr. 78-0 Mar. 3 86-0 Dec. 30 88-0 Feb. 7 86-0 Jan. 17 Dec. 31 80-0 Mar. 2 77-8 Dee. 28 82-0 Dec. 15, 16 74-5 Jan. 10 90-0 Dec. 29 97-0 Feb. 6 Fahr. 34-0 Aug. 13 24-0 Aug. 5 24-0 Fahr. 63-4 Fahr. 51-6 Eahr. 57-5 No. 206 Inches. 43-06 Inches. SW, W, NW. Botorua 63-4 44-3 53-8 150 53-40 SW, NE, NW. Gisbome 66-2 47-0 56-6 146 43-38 w, s. Greenmeadows Aug. 5 29-5 Aug. 10 64-1 47-7 55-7 87 28-69 29-930 W, SW, S. New Plymouth 33-0 June 25 29-2 Aug. 14 28-0 Aug. 4, 5, 6 26-5 Aug. 14 23-0 Aug. 13 12-0 Aug. 2, 13 25-7 Aug. 14 28-0 July 20 67-4 48-8 58-1 194 52-36 SW, SE, NE. Wellington .. 60-0 49-2 54-6 195 48-30 29-921 N, S, NW. Nelson 63-8 46-0 54-9 125 30-56 SW, N, SE. Hokitika 60-0 43-4 51-7 177 115-61 29-927 SW, NW, E. Christchurch 59-1 42-6 50-8 146 27-49 29-878 SW, NE. Hanmer Spa 62-2 40-0 51-1 140 45-28 SW, N, W. Lincoln 92-8 Dec. 29 83-0 Jan. 16 61-2 43-8 52-5 HI 32-16 29-859 NE, SW. Dunedin 57-3 41-9 49-6 152 47-31 29-836 SW, NW, NE.

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Wellington, Hawke's Hay, and Nelson-Marlborough Health Districts. —Report by the District Health Officer (Dr. Chesson). I regret having to announce that in the latter part of the year Inspector John Hopkins, of the Wellington Hospital and Charitable Aid Boai d, was killed through falling down the hold of the 11.M.5. " lonic " while carrying out disinfection of the steerage passengers' quarters, on account of the occurrence of infectious disease on that vessel. By his untimely death the Public Health service has lost a most capable and energetic officer, and one who had gained the respect of every one with whom he had been associated. During the year Chief Inspector Schauer resigned, and his place was filled by the transfer of Inspector Middleton from Christchurch. A considerable amount of work has been done during the year, and every officer has had his time more than fully occupied. I again have to refer to the fact that, though the general death-rate of Wellington City is the lowest of all the four large centres, the infantile-mortality rate shows no improvement, and still tops the poll, the figures being, per thousand births for cities and suburbs —Wellington, 613; Christchurch, 60; Auckland, 569; and Dunedin, 38" 1. Naturally the milk-supply is held to be largely responsible, and, though numerous prosecutions have followed on the taking of samples, and every effort has been made to secure a better supply by the means at our disposal, the quality of the milk does not improve. It seems utterly useless to prosecute a farmer or vendor who sells adulterated milk, as the fines imposed are totally inadequate to check the practice. What is the use of fining a man a paltry .£l, or at the most £2, when he happens to be caught with such milk in his possession 1 Such trifling amounts can be made up in a few days by means of diluting this important infants' food. The only way to check this criminal practice is to make the minimum fine so stiff as to seriously affect the man's profits, and a repetition of such offences should be met by imprisonment without the option of a fine. The sanitary conditions at the flax-mills in the Manawatu district received much attention during the year, and on instructions received from the Hon, the Minister 1 was directed to make a special inspection and report thereon in conjunction with an officer of the Labour Department, The inspection disclosed a most unsatisfactory state of affairs, but the blame rested with the men themselves as well as with the owners. Regulations were drafted and submitted for approval, The report was laid on the table of the Housy of Representatives. In conjunction with the Factory Inspectors several premises were visited by me to decide as to their suitability or otherwise for the purpose for which they were used or proposed to be used, Many foodstuffs premises were likewise personally inspected in the city and in various parts of the district. Attached hereto are appendices, being tables and data upon the following matters relating to this district: Notifiable infectious diseases; provision for infectious diseases; sanitary conditions; sanitary conditions of Maoris; sanitary inspections; offensive trades; insanitary buildings; by-laws; legal proceedings; quarantine; disinfection of overseas goods; medical examination; Midwives Act; Sale of Food and Drugs Act. Herbert Chesson, M.R.C.S. (Eng.), L.R.C.P., D.P.H. (Lond.). Canterbury, Westland, and Otago Health Districts.—Report by the District Health Officer (Dr. Finch). I have the honour to submit the following report for this district for the year ending 31st December, 1912. The work of the 3-ear has been chiefly of a routine nature, and the relations between the Department and Hospital Boards have continued to be of a satisfactory nature. Dr. Pearson was appointed Bacteriologist and Pathologist to the North Canterbury Hospital Board, and took up his duties in June. It is now possible to obtain a scientific confirmation of diagnosis of suspected cases of diphtheria, and to better control the spread of this disease. A good many practitioners in the district, however, do not take sufficient advantage of the facilities provided, other than getting the diagnosis confirmed, or in getting bacteriological confirmation of freedom of infection when a patient has apparently recovered. The tuberculosis dispensary was opened in the old office of the Board at Armagh Street, under the charge of Dr. Blackmore, and a special nurse is attached to this for visiting and following up the cases. From the first it has been largely attended, and is a great deal of use to the early case. As the result of a medical examination by Dr. Blackmore of the Native children in the Tuahiwi Pa, near Kaiapoi, it was found that a large number were definitely affected with tuberculosis, and man} 7 of the others had suspicious symptoms. It was considered that the only way to do any permanent good was to appoint a nurse who would see that the children were properly looked after at home. Miss Inglis took up this duty temporarily in July last, and in September Nurse Blackie was permanently appointed to take up this work in Tuahiwi Pa and other Maori pas in the district. Inspector Middleton was attached to this office for special work until October last, when he was transferred to Wellington. Inspector Paull resigned his office as Inspector to the South Canterbury Hospital Board in August, to take up a similar appointment under the Auckland City Council. Inspector Menzies an officer of the North Canterbury Hospital Board, was appointed to take his place, and Inspector Chappel appointed in lieu of him in Christchurch. I attach hereto appendices dealing with the following matters: Notifiable infectious diseasesdangerous infectious diseases;, provision for infectious diseases; sanitary inspections, with Inspector's returns; Quarantine Immigration Restriction Act; Sale of Food and Drugs Act with table of returns and legal proceedings. H. E. Finch, M.B. (Oxon.), D.P.H. (Camb.),

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48

Otago Hospital District. —Report bt the District Health Officer (Dr. Champtaloup). I have the honour to submit the following report on infectious diseases for this district for the year ending 31st December, 1912, that part of the administration of the Public Health Act relating to sanitary matters being under the control of Dr. Finch {vide reports on each notifiable disease). Regarding the instruction of medical practitioners in the more recent methods of therapeutic immunization, such as bacterial vaccines, tuberculins, sera, &c, and owing to the difficulty which medical practitioners experience in getting away for post-graduate instruction, it might be well if the departmental Bacteriologists organized some scheme of instruction in their districts at central places. Small outfits could be carried, and instruction given by arrangement in the more simple laboratory methods of diagonsis and treatment, and in the modern uses of bacterial vaccines, sera, tuberculins, he. Such instruction would, I have no doubt, be welcome to the practitioners, and indirectly of great good to the community. It will not be possible to undertake this in the Otago District till a full-time Bacteriologist is appointed. The scope of the work covered by the laboratory continues to enlarge, but all purely pathological material is examined in Professor Roberts's laboratory, and is not included in the attached report. The accommodation at the new laboratories provided in the Dunedin Hospital last year is now very fully taxed owing to the increased scope of the work which is undertaken, and the fact that the number of students attending University classes in these laboratories in bacteriology and public health has doubled since last year. A medical block, with properly equipped bacteriological and pathological laboratories, in close proximity to the Hospital, is urgently required, in which University teaching and hospital and district laboratory work can be carried out. During the year I commenced an examination of the milk-supply of Dunedin for tubercle. A mixed sample was collected from each, herd and submitted to the usual tests. Some fifty herds were tested in this way, and it is a significant fact that in no case was the tubercle bacillus discovered. The investigation is to be continued during 1913. The need for a Government Analyst stationed in Dunedin is still pressing, and a solution of the difficulty seems possible by which a Government Analyst may at the same time be appointed as assistant to the Professor of Chemistry at the University, and a sufficient salary offered to attract a suitable man. I think the time has come when the combined appointments of District Health Officer, Professor of Public Health and Bacteriology at the Universit)', and Bacteriologist to the Otago Hospital Board, and Government Bacteriologist to the Otago District should be separated. For three years now I have carried on these combined appointments, whereas in Wellington and in Christchurch the District Health Officer and the Bacteriologist are two separate whole-time appointments. In addition, in Otago I have University teaching equal to that of many of our whole-time University professors. It is impossible to do good work in all the branches under my care, and the appointment of a full-time District Health Officer for the Otago Provincial District is urgently required. The Hospital and the University should combine with the Government in making an appointment for a full-time Bacteriologist. Appended hereto is a laboratory report and tables relating to other matters. Sydney T. Champtaloup, M.B., Ch.B., B.Sc. (P.H.). E. APPENDICES TO THE REPORTS OF THE DISTRICT HEALTH OFFICERS FOR THE YEAR 1912. (1.) Infectious Diseases. The diseases declared to be infectious diseases in the meaning of the Public Health Act, and consequently notifiable, are as follows : Scarlet fever, scarlatina, diphtheria, enteric fever, tuberculosis, puerperal fever (including milk-fever, sapraemia, acute sepsis, septicaemia), plague, smallpox, leprosy, cholera, actinomycosis, hydatids, beriberi, blood-poisoning, cerebro-spinal meningitis (including cerebro-spinal fever, cerebral typhus, spotted fever, petechial fever, malignant purpuric fever), typhus fever. The following table shows the number of cases of infectious disease notified throughout the Dominion :—

Nature of Disease. Health District. Wellington, Canterbury, Auckland Hawke ' s Ba y> Westland, Auokland. Marlborough; and and Nelson, j Southland. Health District. Total. Otago.* icarlet fever )iphtheria Snteric fever tuberculosis Jlood-poisoning .. 235 260 252 240 70 644 283 288 347 37 459 172 33 313 20 272 38 9 130 1 1,610 753 582 1.030 128 Totals .. 1,050 1,599 997 450 4,103 * Otago Hos >ital District.

49

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The following return shows the more important infectious diseases notified per month in the health districts for the year ended 31st December, 1912 :—

7—H. 81.

Health District. Scarlet Fever or Scarlatina. p. ill O O O Bi Diphtheria. oo o Sz; R l|lll Enteric or Typhoid Fever. ijg|lj![tillf|l Tuberculosis. dd O 5? P i|i!i|illllil!illji Puerperal Fevers. q S .£5 I >, > P Auckland .._ .. ; 20 Wellington, Hawke's I 33 Bay, Nelson, and Marlborough Canterbury, Westiand, j 44 and Southland Otago* .. .. j 25 14 57 27 59 32 64 28 66 17 61 2(i 57 23 55 19 35 20 49 10 55 7 53 1C 16 14 24 14 15 31 15 20 29 24 24 26 30 43 45 26 20 22 21 16, 21 ,14 23 28 12 32 27 31 18 32 36 13 3.1 18 17 17 8 16 22 8 19 21 33 24 22 23|2b 3119 36 16 26 17 16 13 27 19 26 27 29 23 38 20 23 26 36 17 39 17 32 6 : 1 3 6 7 3 4: 21 9 4 11 4 4 4 4 7 6 S 4 1 22 18 31 20 38j 35 43 37 43 31 45 23 53 41 38 16 36 16 30 2 36 8 10 I 2 10 ! 4' 12 4 16 3 10 3 17 4 14 5 15 7 16 1 17 2 22: 1 13 *| 3 1 6 1 •■ 67J 51 1 1 lj 2 36 34 2 ! 2 ; ( 3 5 21 •I ..I 5 59 65 6 12 19 9 13 13 |22: 21: 34 11 25 13 35] 11 37 12 20 8 45 13 3C: 8 i •• •■ ■• 'I 'I " •I ■• Totals for Dominion.. 122 111 — 137 169 172 152 145 172 108 121 — 97 104 88 52 45 65 62 69 75 110 63 62 60 52 42 73 47 - 36 31 58 48 79 70 59 83 90 94 107 92 90 114! 87 9 1210 - G , 14 H 17 111 12 M ii ii - 7 _ — - — ! I — - — I - - - j _■■ i-M - - - _ - 1,610 753 582 1,030 128 * Otago Hospital District.

a=-3i.

The following table shows infectious diseases more prevalent in hospital districts during the year ended 31st December, 1912 : —

The following tables show the notifications per month of the infectious diseases more prevalent in local authorities' districts during the year ended 31st December, 1912.

50

Health District. Hospital District. Scarlet Fever. Diphtheria. Enteric Fever. Tuber- Sl.ood culosis. P ? lson ' ing. Total. Auckland Bay of Islands .. 3 Marsden -Kaipara ... 4 Auckland .. .. j 139 Waikato .. .. j 19 Thames .. .. 21 Coromandel .. .7 Waihi .. ... 28 Bay of Plenty" .. 14 48 7 125 30 33 8 2 107 49 62 26 15 118 56 9 1 6 42 13 6 86 34 531 167 131 7 51 50 Wellington, Hawke's Bay, Nelson, and Marlborough Cook .. .. 19 Waiapu i Wairoa .. .. 19 Hawke's Bay .. 25 Waipawa .. .. \ 5 Taranaki .. .. i 34 J Stratford .. .. 3 ! Hawera .. .. 34 Patea ... .... 21 Wanganui .. .. ! 115 Palmerston North .... J 45 Wellington j 226 Wairarapa .. . . 54 Picton .. .. 12 'Wairau .. .. 18 Nelson . . .. 8 Buller .. .. 6 8 9 9 *9 15 116 22 8 19 2 13 1 9 16 17 15 35 1 10 2 2 6 10 23 2 2 169 22 62 101 27 66 10 61 42 215 115 530 91 29 34 14 11 1 14 6 4 2 6 3 39 35 '1 135 17 31 43 13 14 3 12 3 1 1 1 36 14 122 19 7 9 2 8 6 12 4 4 4 1 North Canterbury i Westland and 1 Westland .. Inangahua Grey North Canterbury .. 205 Ashburton .. . . 24 South Canterbury . . 67 2 95 9 29 1 2 13 2 5 1 4 3 207 11 19 1 10 2 8 4 530 46 126 Otago and Southland . .. 6 Waitaki .. 31 Otago .. .. 272 Vincent . . .. 8 Maniotdto Southland .. 115 Wallace and Fiord .. 9 1 38 2 9 2 17 130 12 25 7 1 51 450 22 15 172 21 8 23 5 6 3 Totals .. , 1,610 753 582 1,030 j 128 4,103

51

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Summary of Principal Infectious Diseases notified in Local Authorities' Districts during the Year ended 31st December, 1912.

Scarlet Fever or Scarlatina. Diphtheria. Enteric or Typhoid Fever. Tuberculosis. Hospital and Local Authority's District. Blood-poisoning. 1 I I I t t I II II lj| g J 1 I.' P tA a 000 ! . Auckland — Auckland City Birkenhead Borough Devonport Borough Grey Lynn Borough Mount Albert Borough Mount Eden Borough Newmarket Borough Northoote Borough Onehunga Borough Otahuhu Borough Parnell Borough Pukekohe Borough Ellerslie Town District Helensville Town District .. Papakura Town District .. Warkworth Town District.. New Lynn Town District .. Arch Hill Road District .. Avondale Road District Eden Terrace Road District Epsom Road District Mount Roskill Road District Mount Wellington Road District One-tree Hill Road District Point Chevalier Road District Remuera Road District Tamaki East Road District Tamaki West Road District Manakau County.. Rodney County .. Waitemata County 1 2 10 10 1 2 1 idfci land 5 3 .. 1 1th isi 'rit it. 9 1 (i 1 3 3 3 9 8 5 21 5 1 1 5 2 4 1 4 1 1 1 1 2 2 1 1 1 4j .. 2 3 .. 1 1 2 ■• i •■ 4 1 1 4 1 1 2 6 3 1 2 2 2 1 S 2 1 1 1 1 1 ■ ■ 1 .... 3 i -. • • i 1 i ] 1 '2 2 2 1 1 1 1 \ 2 2 1 2 .. 1 2 '.'. ..; 2 I • • 1 '2 1 1 4 "2 1 1 1 '2 1 1 •• ■■ 1 1 i 1 1 .. J 5 3 • * I 'i 2 i 1 2 1 1 1 2 1 1 1 1 1 1 1 1 1 1 1 '2 1 1 1 -1 1 '.'. i 1 1 i 1 ■ • 1 1 i 2 3 1 .. 3 .'. .. 2 1 1 •• i i 1 2 1 1 1 1 i 1 1 i 1 .. 1 1 1 1 .. 1 1 1 3 i I l 1 1 1 3 1 2 1 '2 1 ■• 2!! 1 2 .... 1 1 ■• 2 2 i 3 i 1 1 1 i 8 1 1 10 i ■ ■! 11 1 .. 1 1 2 1 1 1 1 1 i 1 1 2 1 1 1 1 1 1 1 2 1 1 1 2 1 2 1 1 1 '2 1 '2 1 .. 1 2| • • 1 1 1 1 1 .. Bay of Islands — Bay of Islands County Hokianga County Whangaroa County i 1 1 1 1 3 1 3 2 2 i 15 7, 1 2 1 1 1 1 2 1 2 1 1 5 3 1 1 1 3 6 • • -. ■i Bay of Plenty — Opotiki County Tauranga County Whakatane County 2 3 1 ■■ •-• i 2 4 1 2 1 •• 1 .2 1 1 1 1 ■ii 1 I 1 11 '2 2 •■ ] 'l 2 3 1 ..■i

H.—3l.

52

Summary of Principal Infectious Diseases notified in Local Authorities' Districts— continued.

Hospital and Local Authority's District. Scarlet Fever or Scarlatina. Scarlet Fever or Scarlatina. lllllllli Diphtheria. lit o 3 g'gso.aga 3&00S Enteric or Typhoid Fever. I^llllllllllllllllll Tuberculosis. Blood-poisoning. Ii C I I I n M, Disti • • • ■ ict:onti: ed. Bay of Plenty —continued. Opotiki Borough Tauranga Borough 1 ■• 1 'i 1 1 1 .. .... Coromandel — Coromandel County '' i Marsden—Kaipara — Hobson County Otamatea County Whangarei County Whangarei Borough Hikurangi Town District .. Kamo Town District • ■ 1 1.. 1 • • 1 1 '2 1 2 1 1 ■■: '2 2 i I 1 1 1 3 1 • ■! l 1 .... . .1.. .. j.. 1 1 Thames — Ohinemuri County Thames Borough.. Thames County 3 3 3 1 1 1 1 1 1 1 3 5 1 1 1 1 1 1 2 2.. 1 2 3 2 1 - • 1: 8 .. 1 I 1 1 1 2 1 i 2 1 '2 7 3 5 il 4 5 1 3 2 1 l 3 3 I ] ] . '. Waihi — Waihi Borough i.. 4. 1.. Waikato — Kawhia County Kaitieke County Matamata County Piako County Raglan County Rotorua County Taupo County Te Aroha Borough Waikato Borough Morrinsville Town District Waipa County Waitomo County.. Hamilton Borough Cambridge Borough Taumarunui Borough Te Kuiti Borough Frankton Town District .. Huntly Town District 5 1 •• 1 4 .. 1 1 • • i •• 1 '2 1 i '2 '2 2 1 2 1 •I "I 2 1 4 .. 1 1!.. 2 2 1 •• 3 1 1 1 Y .... 1 ■}[] i 2 7 1 1 2 j •■ • • • ■ 1 1 1 i 2 1 .. i.. 1 1 1 '2 2 i 2 1 1 1 1 1 ] i 1 •• .. 3 1 1 ■ I 1 n 1 1 •• I 1 2 1 1 • • 1 1 1 * • 2 ] 1 l 1 1 i) •• 1 • • ■' 1 .. ! i 1 1 3l 1 l 1 21 1 . .

53

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Summary of Principal Infectious Diseases notified in Local Authorities' Districts— continued.

Hospital and Local Authority's District. Scarlet Fever or Scarlatina. I I i 4 ililililtjilililili Diphtheria. Enteric or Typhoid Fever. Tuberculosis. Blood-poisoning. d ill 3 >, § *; ill o O O I isi, ■ici t CO] tin Waikalo —continued. Kawhia Town District Kihikihi Town District Ngaruawahia Town District Raglan Town District Te Awamutu Town District • i • .!.. ;; '2 ...j. 2 : 'l • i..! •• 1 1 L. 1 ■■ ■■ 1 1 i i :::::: ::::'i|:: i .. . • -• Cook— Gisborne Borough Cook County Waikohu County dli :'S boro; lealih "Dish riots. an Is. ■ 1 1 j i 2 1 2 2 2; I 4 5 1 6 IS 3 3 8 3 6 2 2 2 5 1 2 6 1 2 2 2 2 2 2 2 2 1 2; i i ■• ... '2 ] 1 1 2 '2 .. • ■ Waiapu County ] Wairoa — Wairoa Borough Wairoa County .. 1 i 4 1 3 i 1 1 3 'I i 5 2 2 2 1 2 '2 i 4 i 1 • • Hawke's Bay — Napier Borough Hawke's Bay County Hastings Borough ] 1 1 4 2 2 2 2 1 2 ] 1 i 1 1 3 1 1 1 3 2 1 1 2 1 2 3 1 5 1 2 2 1 1 2 1 i '2 1 i ] i i 2 1 2 6 1 i Waipawa — Dannevirke Borough Waipawa County WoodviHe County Waipawa Borough WoodviHe Borough * ' 1 1 i 1 2 i 1 21 ... 7 i 1 i 1 1 i Taranaki — New Plymouth Borough .. Inglewood Borough Waitara Borough Taranaki County Egmont County Opunake Town District .. Okato Road District Werekino Road District .. 2 '2 6 1 i ] ] 2i • • i i i i 2 1 2 • • 1 i 5 i i i 1 i i 1 2 • • 1 1

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54

Summary of Principal Infectious Diseases notified in Local Authorities' Districts— continued.

Scarlet Fever or Scarlatina. Diphtheria. Enteric or Typhoid Fever. Tuberculosis. Blood-poisoning. Hospital and Local Authority's District. ilililfltilltltllblili Illlllllllll 3lll! I III I 1 1 ilingto , , 'ke' '■y, so, art vro '.all th ist/i ■id ■i] iued. Stratford — Stratford County Stratford Borough Whangamomona County .. 1 1 i 2 1 1 2 i Hawera — Hawera County Hawera Borough Kaponga Town District Waimate West County Eltham County .. Eltham Borough Manaia Town District 5 1 4 2 1 i 1 i ] 'i i '2 "•I 2 i i 1 i '■2 i 1 i i 1 •• i j 1 1 i 2 i 1 Wanganui — Wanganui Borough Wanganui East Borough .. Goiwille Town District Castlecliff Town District .. Marton Borough .. Taihape Borough Wanganui County Waimarino County Waitotara County Kangitikei County Hunterville Town District.. Mangaweka Town District.. Ohakune Borough Bull's Town District L^! I 1 1 2 8 1 2 2 6 2 1 3 i 6 1 i G 1 ] i 1 2 8 2 ! 4 2 ! i i i 2 I i 3 2 1 1 3 1 i i 1 I i 1 1 1 2 3 3 ] 1 i 3 2 2 3; •■ i 2: i i 1 1 7 1 2 i 2 ~2 1 1 1 4 1 i 1 1 4 i 1 1 2 i I . .i.. 2 ']' i • • ... i • • 1 Patea — Patea County Waverley Town District .. Patea Borov Jh. .. 1 1 3 6 1 '■2 i i 1 i '3 i i i 2 2 6 i 1 ■• - 6 i ..... Palmerston North — Palmerston North Borough Feilding Borough Poxton Borough Manawatu County Kairanga County Oroua County 2 1 1 2 2 ! 1 1 i 1 2 1 .. 1 .. 1 .. ::h 1 1 3 ! 1 2 1 2i 2 3 .... i i i 2 '2 1 2 1 • •! 1 1 1 1 ! 2 1 'i i i . ' . i 1 1 1 i i ] 4 1 1 i i i ..I J. J

55

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Summary of Principal Infectious Diseases notified in Local Authorities' Districts—continued.

Scarlet Fever or Scarlatina. Diphtheria. Enteric or Typhoid Fever. Tuberculosis. Blood-poisoning. Hospital and Local Authority's District. ri & a ■■■ o • • I Id -I • • I .! U ■ .1 fJ I 5 I 5 I III #ki •<ij.a i? ■< « o o i ■u, 'to7ce' ; .v, iVei arlbi isti m ite itii iued. D almerston North —continued. Kiwitca County Pohangina County Rongotea Town District .. 2 3 3 i I .. 1 8.. 1 .. 3 .. :::: 4[.. Wellington — "Wellington City Levin Borough .. Horowhenua County Hutt County Makara County .. Johnsonville Town District Onslow Borough Lower Hutt Borough Petone Borough Miramar Borough Eastbourne Borough Karori Borough .. 7 13 1 1 2 '21 2 • • 8 1 13 il9| 5 22 .. 4 12 12 1 1 '2 151 11 ■• 19 1 2 •• 1 2 1 1 8 2 9 1 1 3 17 1 1 ii i 1 2 .. 3 1 2 3 .. 1 '2 (3 1 G 1 3 1 1 1 5 2 (> 1 1 1 Ho! 8 2 ii i 2 .. 2 1 1 2 .. 1 i 2 1 ] 1 4 2 i i i i i l i '2 1 i 2 i i i 1 1 1 1 2 2 1 1 1 l •• i 2 I 2 1 -i i 2 1 ■• 1 1 1 1 1 ■ • 2 1 i i ] 2 Wairarapa — Pahiatua County.. Eketahuna County Eketahuna Borough Akitio County Castlepoint County Mauriceville County Masterton County Wairarapa South County .. Carterton Borough Grey town Borough Featherston County Peatherston Town District Martinborough Town District 1 I 10! ] i 1 l i * ' i 1 ] i '2 1 ] Wairau — Blenheim Borough Spring Creek Road District Omaka Road District Awatere County Pelorus Road District Havelock Town District 1 5 2 • • 1 i 1 1 i 1 2 1 i 1 1 1 l .. i 1

f1.—31

56

Summary of Principal Infectious Diseases notified in Local Authorities' Districts— continued.

Hospital and Local Authority's District. Scarlet Fever or Scarlet Fever or Scarlatina. <n £ o fc ft 4 4 i p, i lit s "I -s SSig-g i 1 5? I ■£ 11 1 i\i 4 4 s Diphtheria. Enteric or Typhoid Fever. a a 3 H 3 Tuberculosis. till At I 111 I Illl & I Blood-poisoning. •■11; 'ton, ff«( <ke'. arl 1 ro; '■si; 7< Lti: Picton — Picton Borough .. Sounds County .. Picton Road District '2 1 .. , ... . 1 i -- 2 5 ! 1 '2 4 I '2 1 • • Nelson — Waimea County .. Motueka Borough Nelson City 1 ] '3 '.'. i i ■• 1 1 l 1 •• Buller— Buller County Westport Borough 2 2 • •! i i ..! • -i- ■ • -I ante) ;tlt •d Si Di ■ia North Canterbury — Kaikoura County Amuri County Waipara County .. Kowai County .. Tawera County .. Selwyn County .. Malvern County .. Eyre County Rangiora County.. Waimairi County Paparua County .. Heathcote County Halswell County .. Mount Herbert County Akaroa County .. Wairewa County Springs County .. Ellesmere County Rangiora Borough Kaiapoi Borough.. Christchureh City Woolston Borough Spreydon Borough Sumner Borough New Brighton Borough Lyttelton Borough Akaroa Borough .. 1 9 .. 4 1 1 4 2 5 •• 2 2 1 2 3 2 1 ■■ 2 3 i 3 2 2 2 1 2 (5 1 1 ... 1 1 1 12 1 1 3 1 2 4 1 2 ] 4 " 5 :, a; i 4 1 1 1 1 2 .. 2 i 1st', 1 Is. 1 1 i i i 2 1 1 6 1 2 ] 3 2 1 5 1 1 2 2 1 1 4 '2 5 1 1 i "i i 1 2 3 2 ■ • 1 3 i 2 .. i 1 1 1 i i .. i '3 1 1 1 1 1 - ■• *2 ■' •• 1 2 2 1 4 3 2 1 16 1 1 1 9 1 2 1 I 'I 3 'I 3 3 " 6 1 "I 7 ! "\ 1 8 12 11 ' 2 5 8 8 5 1 's 2 3 1 I 5 7 1 1 '2 6 (3 '5 is *6 15 16! '2 i ■2! 3 1 2 ■ • ] 1 1 1 2 1 1 1 1 '2 ] 6 2 .. ] i i .. 1 1 •■ 1 2 1 3 1 1 1 3 1 1 1 1 1 2 : i 1 1 1 1 i 1 1 '5 1 1 1 I 1 ■ • ..

H.—3l

57

Summary of Principal Infectious Diseases notified in Local Authorities' Districts— continued.

00 ! 03

Scarlet Fever or Scarlatina. Diphtheria. r Enteric or Typhoid Fever. Tuberculosis. Blood-poisoning. Hospital and Local Authority's District. |'g«P,s§-3sg'ooS i 4 £ ti It's Mt i i 9 '44 t i It StU i i Ha [ HH Hi : S 3 3 3 ST u ° » a a h. a ~ M o. -*» > nte <ury, es-i lam m It, Hi 'ctt Ashburton — Ashburton County Ashburton Borough Hamp?tead Town Board .. Tinwald Town Board 1 2 ;X i i .. i .. .. i.. .. 1 4 1 3 6 1 .. 1 i l ..is .. i . i l .... 2 i 1 1 I5..L 1 *' 5 1 1 1 1 3 1 1 1 1 1 1 1 1 1 1 •■ *2 1 • • ..1 •■ South Canterbury — Geraldine County Levels County Mackenzie County Waimate County.. Geraldine Borough Temuka Borough Timaru Borough Waimate County.. 4 1 i i 8 6 3 ] 1 1 1 2 1 I 1 1 1 1 \ 1 I I 1 2 ■• 1 1 1 i 2 2! " 1 3 • ■■ 1 I 3 5 1 1 1 2 4 4 2 1 3 w '2 ] I '2 3 i i 2 i 2 1 •■ i .. • • Inangahua — Inangahua County 2 Grey —„ Grey County Greymouth Borough '2| 1 Westland — Westland County Hokitika Borough ..2 5 .. 4.. , 1 1 1 . Waitaki — Waitaki County Oamaru Borough.. i 2 5 3.. 3!.. lj 2 2 1 1 I I 1 4 2 3 2 1 1 Maniototo — Maniototo County Naseby Borough 3 4 1 1 i '2 Vincent — Vincent County Alexandra Borough Cromwell Borough 1 5 '2 1 1 2 .. 3 .. 1 1 .. !•• Southland — Southland County Lake County 2 3 2 4 i 6 6 ■'• 2 3 1 . . . N 3 ■2 s 1 1 5 ■ 1 2 .. i ..." • !■ ] 1

58

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Summary of Principal Infectious Diseases notified in Local Authorities' Districts— continued.

Scarlet Fever or Scarlatina. Diphtheria. Eutsric or Typhoid Fever. Tuberculosis. Tuberculosis. Blood-poisoning. Hospital and Local Authority's District. i .1 . r> ■ 6 ■ ■ ■ A g &\£ < £ Z § < & § l[p 1 I i ' % -8 % 8 • I ■ ■ 'I ,nt< ',rbui % itland, and 'At ■»'; lih Di, ■tr, in' ed. So uthland —continued. Invercargill Borough Gore Borough Bluff Borough Mataura Borough Winton Borough .. Wyndham Borough Queenstown Borough Arrowtown Borough i 2 1 ] 2 1 2 4 21 4 •• 5 ! 3 3 2 2 2 3 I 1 5 • • 2 .. 1 2 .. 1 i i l| 1 1 | 1 ... i i 2 i i 1 2 1 2 .- i 1 4 i i Wallace and Fiord — Wallace County .. Biverton Borough Otautau Borough 3 1 1 2 ] 1 n\ ■• I-. I •■]••! Otago — Waihsmo County Palmerston Borough Waikouaiti County Waikouaiti Borough Port Chalmers Borough Taieri County West Harbour Borough Dunedin City Maori Hill Borough Roslyn Borough .. Mornington Borough St. Kilda Borough Green Island Borough Mosgiel Borough .. Outram Town District Peninsula County Bay Town District Bruce County Milton Borough .. Kaitangata Borough Clutha County Balclutha Borough Clinton Town District Tuapeka County .. Lawrence Borough Roxburgh Borough Tapanui Borough \go lealii Hi ■trict. 1 1 1 1 i I 2 1 i 1 ] 1 l 1 1 27 6 ] 3 1 1 1 ] 1 1 3 i '2 2 1 1 9 1 2 7 1 4 (i 5 3 4 12 24 1 3 2 1 12 3 10 2 3 1 1 6 ! 7 1 1 6 2 10 l l ] i 2 3 1 1 i 2 i i i 3 2 1 1 i i 1 I 1 1 '2 '2 9 '2 '5 7 5 'o 1 '7 1 4 9 4 4 I 2 2 1 2 12 1 11 i 1 1 3 1 ] 1 1 1 4 i 1 2 i 2 i 2 1 i i 4 i i i 1 2 '2 i i 5 1 1 1 i ] •I i 1 i '2 i i i ■• i. 1 1 1 2 1 1 i i i 2 1 i i 1 1 1 1 5 5 1 1 '3 1 i 3 i 3

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* Scarlet Fever. The District Health Officer, Auckland, reports: — The cases notified from the health district during the last five years are — 1908 .. .. ..195 1911 .. .. ..367 1909 .. .. ..124 1912 .. .. ..235 1910 .. .. ..994 The notifications of scarlet fever were chiefly from the town centres —Auckland, Thames, and Waihi accounting for most. The epidemic appears to have almost died out in the country, and towards the end of the year showed a marked diminution in the towns. As in 1911, no mortality was recorded. The District Health Officer, Wellington, reports : — There has been a marked decrease in the notifications received —644 as against 1,061 last year. The incidence is, however, still high. There have been no special localized epidemics of any magnitude. The disease has been of a mild type. The District Health Officer, Christchurch, reports : — There has been a marked decrease throughout the whole district except in Southland, only about half the number of cases having occurred as compared with last year. There were no cases at all on the "West Coast. In the Southland District there were 115 cases, as compared with 171 last year. The disease was of a mild type, with a few exceptions, and there were no fatal cases. The District Health Officer, Dunedin, reports : — There has been a slight increase in the number of cases notified as compared with last year, 272, as against 229 last year. On the whole this disease is exceedingly mild in this part of the Dominion. The District Health Officer, Auckland, reports : — Diphtheria. The cases of diphtheria recorded throughout the health district for the last five years are— 1908 .. .. ..109 1911 .. .. ..223 1909 .. .. ..122 1912 .. .. ..260 1910 .'. .. ..257 The increase this yea) 1 was largely the result of an epidemic which broke out among the Maoris in the Bay of Islands district, several white families being affected also. It appeared also further north of Whaugaroa, and spread to Hokianga. In nil 48 cases were reported from the Bay of Islands district, the greatest number being during the cold wet months of the winter. In other country districts diphtheria was not common, with the exception of the Thames Valley. Here again the iufluence of the Maori element made itself felt, and 26 cases were recorded in the Thames and Ohinemuri Counties. In the City of Auckland 34 cases occurred, but not in any epidemic form, the cases being very evenly distributed throughout the twelve months. Of the suburbs, Devonport suffered most, with 18 cases. This unsatisfactory result may be attributed probably to the number of very insanitary stables which have been permitted to remain in the borough improperly constructed and drained. The District Health Officer, Wellington, reports : — There has been a steady decline in the notifications duiing the past three years —283 this year, 322 in 1911, and 341 in 1910. Improvement in sanitary conditions has no doubt assisted in this desirable result. The District Health Officer, Christchurch, reports : — There was a decrease in the number of cases throughout the whole district as compared with last year. There was no particular epidemic, the cases being distributed fairly evenly throughout the year. The cases were mostly of a mild type, there being 2 deaths in Christchurch, lin Timaru, and 1 in Gore. The District Health Officer, Dunedin, reports : — There has been a steady decline in this disease, particularly in the cases notified from the Kaikorai Valley, in which district the disease will always be endemic until an adequate drainage scheme is instituted. Enteric Fever. The District Health Officer, Auckland, reports : — The cases of enteric fever recorded throughout the health district for the past five years are— 1908 .. .. ..391 1911 .. .. ..346 1909 .. .. .. 206 1912 .. .. .. 252 1910 ...... 197 The number of typhoid cases notified, though very much lower than last year, still are unduly" high, owing to the prevalence among the Maoris. In Auckland City and suburbs this disease was not unduly high, 94 cases being notified —16 less than the previous year, and 6 less than in 1910. In the city 41 cases occurred —17 less than the previous year. Of the suburbs the only one to suffer unduly was the Remuera Road District. Here the rapid growth of population makes a proper sewerage scheme imperative, but owing to the mismanagement of the local authority the

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sewers, though laid, have not been brought into use, and accumulations of sewage are to be found in back yards and water-tables, which, with an imperfect nightsoil service, make the sanitary condition of this suburb a good breeding-ground for the typhoid-germ. We are able to trace several cases to a dairy in this district, the children of the owner themselves contracting the disease. Of the country districts the Thames Hospital District suffered most, with 71 cases, the larger portion of whom were Maoris. Few cases occurred in Thames Borough until the early summer, when an epidemic broke out, 16 cases being reported. The Waikato Hospital District shows 40 cases, 10 of which were from the Borough of Hamilton. Eight cases occurred in the Rotorua County, the result of an outbreak in a Maori bush camp. The accompanying chart shows the relation of temperature, rainfall, and typhoid so far as Auckland and the suburban boroughs and road districts are concerned. March and April were very wet months, with the temperature much below the average, and this combination, as usual, served to check the prevalence of typhoid, so that in May only 2 cases were reported. The late spring months showed a rainfall much below the average, and the temperature, though still below the normal, was fairly high, with the result that the disease again became prevalent in December. The District Health Officer, Wellington, reports : — The number of cases (288) has been considerably less than last year (357) —close on 20 per cent. reduction. The Cook Hospital District was responsible for 116 cases. There has been a marked improvement in the incidence of this disease in Waiapu—only 22 cases as against 100 last year. The District Health Officer, Christchurch, reports : — There is again considerable decrease in the number of cases. There were 2 deaths in Christchurch District and 1 in the South Canterbury District. It is satisfactory to note that there were only 2 cases in the Vincent Hospital District, where it has been unduly prevalent for some years. The District Health Officer, Dunedin, reports : — There have been only 9 cases notified this year, as against 16 last year. Otago Central, from which most of the cases come, has been singularly free this year, owing to the attention which was given to the conditions obtaining on the dredges working in that district. Tuberculosis. The District Health Officer, Auckland, reports : — The cases notified from the health district in the last five years are — 1908 .. .. ..191 1911 .. .. ..177 1909 .. .. ..118 1912 .. .. ..240 1910 .. .. ..137 There is nothing by which we can account for this sudden increase in the tuberculosis notifications. Probably it is only an apparent increase due to increased vigilance on the part of the medical practitioners in this matter. The District Health Officer, Wellington, reports : — Notifications of this disease have greatly increased, from 199 in 1910, 278 in 1911, to 347 this year. This apparent increase is probably to a large extent due to the earlier notification of the disease, and this is borne out by the fact that the death-rate has decreased, instead of increasing as one would naturally expect if the increase was real instead of only apparent. The District Health Officer, Christchurch, reports : — The large increase in the number of cases in the North Canterbury District is due partly to the opening of a tuberculosis dispensary and partly to the inclusion of all cases under treatment by the Hospital Board which had not been previously notified. The District Health Officer, Dunedin, reports : — Generally tuberculosis is on the increase, judging from the notifications received. The local branch of the British Medical Association has done good work in assisting to educate the public in means of prevention of the disease, and during the year an illustrated booklet was issued under the auspices of the association, giving a very full account of the whole aspect of the campaign against tuberculosis. Additional shelters have been provided at the Sanatorium at Palmerston, and a full-time Medical Director in the person of Dr. E. W. Lyth appointed. Dr. Lyth attends at the outpatient department at the Dunedin Hospital once a week to examine applicants for admission to the Sanatorium, and to conduct a general anti-tuberculosis dispensary in connection with the out-patient department. Blood-poisoning. The District Health Officer, Auckland, reports : — The cases notified during the last five years are — 1908 .. .. ..84 1911 .. .. ..55 1909 .. .. ..59 1912 .. .. ..70 1910 .. .. ..52 The 70 cases in 1912 are — Puerperal septicaemia .. 30 Cerebro-spinal meningitis .. 1 Erysipelas . . .. . . 31 Hydatids .. .. .. 2 Tetanus .. .. .. 1 Unclassified .. .. .. 5

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Hydatids.

The District Health Officer, Dunedin, reports : — I would again call your attention to the fact that the notification of hydatid disease has fallen into abeyance. That part of South Dunedin supplied by the Silverstream Reservoir hag always shown a more marked incidence of the disease than elsewhere in the district. The water from this reservoir is supplied by a long open race, and it is possible that the water is contaminated on its journey. An experimental investigation into this matter should receive the attention of the Department. General. The District Health Officer, Auckland, reports: — The cases of infectious disease notified in 1912 show a decrease of 119 below those of the previous year, the principal decreases being in scarlet fever and enteric. The latter is, however, still much higher than normal owing to the continued epidemic among the Maoris. For five years— 1908 .. .. .. 970 [ 1911 .. .. .. 1,169 1909 .. .. .. 629 1912 .. .. .. 1,050 1910 .. .. .. 1,640 I Comparing last year's notifications with those of the previous year we find — Scarlet fever ... ... ... ... Decrease 132 Diphtheria ... ... ... ... Increase 37 Enteric fever ... ... ... ... Decrease 94 Tuberculosis ... ... ... ... Increase 63 Blood-poisoning ... ... ... ~ 15 Plague ... ... ... ... Decrease 8 Net decrease ... ... ... ... 119

Summary of Cases. — Monthly Incidence.

The following cases were sent to the General Hospital by order of the District Health Officer :— Scarlet fever ... ... ... ... ... 59 Diphtheria ... ... ... ... ... 74 Enteric fever ... ... ... ... ... 76 Tuberculosis ... ... ... . .*. ... 11 Blood-poisoning ... ... ... ... ... 16 236 (2.) Dangerous Infectious Diseases. The infectious diseases declared to be dangerous infectious diseases in the meaning of the Public Health Act are : Plague, smallpox, leprosy, and cholera. General. The District Health Officer, Christchurch, reports : — There have been no cases of dangerous infectious diseases in this district with the exception of a case of beriberi at Greymouth. The District Health Officers, Wellington and Dunedin, report no outbreak of dangerous infectious disease in their districts during the year. Plague. The District Health Officer, Auckland, reports : — It is satisfactory to be able to record that no cases of plague in man was found this year, and that, although the examination of rats was kept up regularly, no infection was found in them

1912. j Scarlet Fever. Diphtheria. Enteric Fever. Tuberculosis. Bloodpoisoning. January February March April May June July August September October November . .* Decemberj 20 14 27 32 26 17 20 23 19 20 10 7 10 14 14 3.1 20 2(1 26 43 26 22 16 14 29 32 27 32 13 18 17 8 8 21 2'l 23 20 25 16 17 13 l<) 27 23 20 26 17 17 6 3 7 4 9 11 4 4 9 6 4 3 Totals 235 260 252 240 70

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out of 6,554 examined. To the activity of the city authorities, as a result of the outbreak of 1911, and the continued warfare on rats, this satisfactory result must be attributed. We have, however, had periods without manifestation of plague before, so that we cannot yet feel on safe ground. As the autumnal danger season approached we issued a circular to local authorities encouraging a renewal of the rat campaign, which was responded to by some of the more vigorous suburban bodies. The City Council and the Harbour Board have kept up the work without cessation since 1911. The Mount Albert Borough Council and the Eden Terrace and Arch Hill Road Boards combined to appoint a special rat-catcher to work in the Arch Hill gully, which was a great breeding-place for rats. Leprosy. The District Health Officer, Auckland, reports : — It was reported that a case of leprosy was known in a Maori girl living on the upper reaches of the Wanganui River. Dr. Monk visited the place, and found that the case was one of true leprosy, but it had already been dealt with by the Department, and a comfortable hut provided for her in an isolated position with sufficient attendance. This case died during the course of the year. The District Health Officer, Christchurch, reports : — The Maori leper was discharged from Quail Island as being cured, but at his own wish returned to Quail Island a few months later. The joint caretaker (Mr. Thomas) for the Agricultural and Health Departments resigned his position in July last and Mr. Mackenzie was appointed as caretaker for the Health Department alone, his chief duties being to cook for the lepers. Dr. C. H. Upham, Medical Officer in attendance upon the lepers quartered at Quail Island Quarantine Station, Lyttelton, reports as follows : — Just a year ago patients C and D both had exacerbations of leprosy at the same time. C is an advanced case, and at such times he is dangerously ill with high fever, painful pustular patches breaking down in face or legs or limbs, or any part affected; the feet present sloughy ulcers, the nose and throat become blocked with purulent crusts. Dis an early case. The course of leprosy is to advance by these efflorescences. At present D presents a few nodules in his ulnar macules and occasionally on his face. He suffers occasionally from general rheumatic pains, and special neuritic pain in the ulnar and peroneal nerve distribution. His temperature (during exacerbations only) rises to 101 or so, and he loses appetite and feels very ill. The reaction from nastin is really an efflorescence. This remedy resembles tuberculin, but cannot be given in minutely graduated doses like tuberculin, there being only three strengths, 80,B 0 , B 1; and 82.B 2 . This reaction a year ago has filled D with a horror of nastin. I was only injecting the Bj at the time, and although he had previously borne a course of B 2 and I had followed Professor Deycke's instructions exactly, I consider D is justified in refusing further treatment with nastin. I have long withheld it from. C, ever since his eyes were attacked, as Professor Deycke admits that it is dangerous in ocular leprosy. The best treatment is Xaxa (acetyl salicylic acid—B.W. and Co.) for the neuritic pains. But the skin lesions do better with salicine than with either sodae salicylate or Xaxa. Full doses only of salicine (e.g., gr. xv) must be given thrice daily. All pustular lesions and ulcers do well with treatment with an ointment of hydray. amnion, gr. v, of eucalypt. mm. xv, vaseline oz. i. Patients must also go to bed during exacerbations. It was D's illness at the same time as C's that made me ask to have E back again, for I) had to keep up to attend C. E ,and C are much attached to each other. Dis of quite a different temperament. I tried to teach him Dr. Paterson's auto-inoculation method (of course, during an afebrile period), and gave him a thermometer, which I also taught him how to use. The result has been good, although the teaching was a failure. D takes exercise every day walking and working with a pick, but he never looks at the thermometer. He is quite content to live alone, but C fretted in his blindness and loneliness. I soon found that E was longing to get back to his friend. So I wrote to you, and no time was lost in getting E back again. His nursing of C, notwithstanding his stunted fingerless hands, is entirely satisfactory —the conjunctiva; are constantly washed clean, and the ulcers are efficientlydressed. Each exacerbation leaves fresh ulcers, which, however, are only skin-deep, exactly like syphilitic ulcers, but they really heal up very satisfactorily. Between the attacks D and C both take Antileprol, which is a purified Chaulmugra oil. This oil has so vile a taste and causes such indigestion as to render it nearly useless. The maximum dose of Antileprol is 10 grams 2J drams per diem. D and C are advised to eat bread before and after a dose, and each manages to take one to two drams a day. They seem to have fewer attacks while taking it. At present C is blind but quite contented, emaciated but active, guiding himself with staff and railing from his hut to his friends. He had a perforating ulcer of the foot earlier in the year, the initiating discharge from which caused sloughing and gangrene of several toes, but all healed up satisfactorily. I have to tap his hydrocele occasionally, but I was surprised and pleased to find that he has recovered from his albuminuria. He was very patient living on a salt-free restricted diet. His appetite is small and he can only enjoy tempting morsels, so his self-denial as long as he had albuminuria was highly commendable. D is very fit and well. He still presents occasionally one or two nodules in his macules. Of course, as long as he shows these he still has nodular leprosy. The anaesthetic form dies out in the course of years, leaving the patient crippled, but liable to no further damage, and non-infectious. E's perforating ulcer is his only lesion, and it is at present healed. But his toeless feet are shaped like closed fists, and in walking are liable to damage and caries, as a trophic lesion from the leprous neuritis. M, our caretaker, is excellent. He works cheerfully and well. It is most fortunate for the Department that Dr. Finch received the services of this excellent hermit. The men like him, and there is never any trouble month after month. He seems to fulfil my wishes, and is genuinely grieved when tradesmen's carelessness or forgetfulness interfere with his catering for the patients.

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(3.) Provision for Infectious Diseases. The District Health Officer, Auckland, reports : — Provision for Consumptives at Auckland. —The hopes expressed in last year's report that the Hospital Board and the Knox trustees might be induced to combine for the treatment of all forms of chronic disease, including tuberculosis, have not so far been realized. As the outcome of many visits to the land and repeated interviews with the Board and the trustees the Hospital Board have purchased 27 acres from the trustee*, but unfortunately it is not the most suitable portion of the estate available. Plans are in course of preparation for a sanatorium to be built on the land. The Knox trustees have also prepared plans on lines suggested by the Department, and the contract has actually been let. The Board have arranged with the trustees to have certain beds set aside for the use of patients nominated by the Board, but the co-operation we hoped for has not gone further than this. Meanwhile the need for more accommodation for consumptives remains, and the Department are still taking into the Cambridge Sanatorium many cases which should not leave Auckland. Rotorua Infectious-disease Hospital. —After considerable delay regarding a site this has been fixed at a spot suitably isolated but convenient to the town, with the advantage of having the borough water-supply and sewerage system available. Plans have been prepared by the Public Works Department on lines approved by the Department, and the building is practically complete save for some details. The old building, after removal of any portions which may be saved, will be burned down. The District Health Officer, Christchurch, reports : — Scarlet Fever. —The accommodation available at the various infectious-disease hospitals has proved sufficient, except at Kew Fever Hospital, in Southland, for a short time when scarlet fever was most prevalent. The Bottle Lake Hospital at Christchurch is well adapted for the mild case, which quickly recovers, and children particularly do very well there. It is not, however, suitable for the treatment of many severe cases, and the situation is in some ways inconvenient. Proposals have been made from time to time to build an up-to-date fever hospital on a more suitable site, but in the meantime the Board has practically decided not to abandon Bottle Lake Hospital, but to make some additions to existing buildings which will render it sufficient for the district's needs for some years to come. Diphtheria. —Accommodation for diphtheria cases is not very satisfactory at any of the hospitals. Diphtheria, however, is not very prevalent, and the type is not generally severe, and no actual harm has occurred except at the Christchurch Hospital. An isolation block is now in course of erection at the Christchurch Hospital, and will contain accommodation for 24 cases of infectious disease other than that of scarlet fever. Accommodation for Consumptives. —Cashmere Sanatorium : During the year three double and two single shelters were erected for females. There are now 24 beds for men and 21 beds for women, and 2 observation beds for both sexes. It was decided to erect a King George Memorial Home for chronic consumptives on the same site as the existing Sanatorium, so that it could be under the same administration. The building, which is now in course of erection, will contain 20 beds for men and 20 beds for women. The tender for the building was £10,450, and the estimated cost of the building complete with furnishings is about £13,000. It is expected that the building will be ready 7 for occupation in January or February, 1914. Oamaru Hospital : A 2-bed shelter has been erected for chronic consumptives. The District Health Officer, Dunedin, reports : — Diphtheria. —Cases of diphtheria, if certified by laboratory examination, are admitted to the isolation wards of the General Hospital, a practice which entails some difficulty and which calls for better provision for those cases requiring surgical interference. Scarlet Fever. —Scarlet fever cases are accommodated at Logan's Point Hospital (2 beds), near Dunedin, and on several occasions the accommodation has been fully taxed. Cases which could not gain admission had to be kept under supervision in their own homes. Pulmonary Tuberculosis. —Additional shelters have been built at the Pleasant Valley Sanatorium, Palmerston South, and all early cases can now be accommodated there. Beds for 20 males and 22 females are available. The need for provision for chronic and advanced cases has been urgently felt during the past year. A suitable site has been secured near Dunedin on which it has been proposed to erect accommodation for these cases in the near future. (4.) Sanitary Condition ok Districts. Auckland City. The District Health Officer, Auckland, reports : — Sanitary conditions in the city were advanced during the year, one important item being the structural improvements in the hotels as regards the position of kitchens and places where food is prepared. Many alterations were effected, the city and the Department working together in the matter through the Licensing Bench. The work of the Drainage Board is rapidly advancing, and within a couple of years it will be possible to link up a very large area with the main sewers. The work of the Harbour Board in connection with the waterfront continues steadily, and must be regarded as one of the most important sanitary improvements to the city. Auckland Suburbs. The work of the committee of representatives from the suburban local authorities in regard to a nightsoil service has been completed so far as it was possible to bring it at present. A uniform contract has been drawn up and formal contracts completed in accordance with the agreement by four of the bodies concerned., We failed to secure a depot, so those at present in use must continue as such till we can make use of the sewers. Grey Lynn Borough. —The Council completed a very satisfactory set of by-laws in relation to wooden buildings. A loan for the extension of their sewerage system has been applied for by the Council.

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Mount Albert Borough. —The by-laws relating to general sanitation have been revised and brought up to date. An objection lodged by the borough against the proposal to erect the auxiliary ward of the Mental Hospital on a portion of land within the catchment area of the borough water-supply was upheld. A temporary drainage scheme affecting a small area not connecting to the present sewerage scheme was approved, a sump in an area of porous soil beingused for the outfall. Otahuhu Borough. —As Otahuhu is now a borough, by-laws relating to plumbing and drainage are being adopted. A part of the sewerage scheme is in progress. Mount Wellington Road District. —A great improvement has been effected in the boiling-down plant of the Auckland Meat Company, thus reducing the former nuisance to a minimum. The pollution of the foreshore by discharge from the various slaughtering-yards has been reduced, the contents of the paunches being prevented from entering the drains. Northcotie Borough. —The drainage of the school, which has been a troublesome problem for some time, has been satisfactorily dealt with by Mr. Farrell, architect to the Board of Education, the system suggested by the Department of septic tank and subsoil distribution being adopted. The various public bodies concerned share the cost between them. Avondale Road District. —A drainage system for part of the township and for the school was recommended by the Department, but so far it has led to no result. Country Districts. Thames. —The Thames Borough Council and the Thames County Council were waited on and urged to adopt a system of sewerage for town and suburbs, a matter which could be fairly easily effected by means of septic tanks on the foreshore. It is probable that the county will adopt the scheme in place of establishing a nightsoil service, and it may be hoped that the borough will follow suit. A number of ancient buildings in the Thames have been condemned, and many have been pulled down or repaired. Waihi. —Little progress was made here, the industrial troubles preventing all hope of improvement. Te Aroha continued to push ahead with its sewerage scheme, and is now improving its watersupply. The sanitary zeal of this town is well rewarded by an extremely low infectious-disease rate. Cambridge has extended its sewerage area. The infectious-disease rate as usual is most satisfactorily low. Hamilton. —Nothing has yet been done as to an abattoir here. Negotiations are on foot between the Department and the Hospital Board as to placing Mr. Bennett in full charge of the borough sanitation. This will occupy quite half of his time, and will necessitate the appointing of a new Inspector for the southern end of the Waikato district. Te Kuiti. —The much-required area for sanitary purposes has been acquired from the Maori owners under the Public Works Act. A commission of inquiry into the matter was held, at which the Health Department was represented, and a decision favourable to the borough was secured. Taumarunui. —The water-supply has been completed, and a partial sewerage system installed. Warkworth has adopted a nightsoil service, and secured a depot approved by the Department. Ngaruawahia. —The problem of the hotel drainage has been brought before the Licensing Bench, and as a result of the inaction of the local authorities the Department is about to instal a service at the cost of the hotel-owners. Helensville has secured a water-supply, and is now engaged on the beginning of the sewerage scheme which was so greatly required. The District Health Officer, Wellington, reports : — City of Wellington. —The Wellington City Council has always been alive to the desirability of improving the sanitary condition of the city, and is rewarded thereby by having the lowest death-rate of the four large cities of the Dominion. The assistance of the Department has been repeatedly sought to secure the demolition of insanitary buildings, or alterations and repairs carried out to remove the defects, and to this end many condemnation certificates have been issued, which the city authorities have put into effect. By this conjoint action the city is rapidly ridding itself of all its old dilapidated and unwholesome dwellings, stables, and other structures. Trouble arose during the year with the water-supply, which on one or two occasions became unpleasant to taste and had a distinct odour owing to vegetable matter therein, but this was at once met by the City Engineer, who took all means at his disposal to correct the fault. It would seem desirable that a filtration plant should be installed as soon as funds are available. The sewers are being extended to outlying suburbs and houses connected up therewith as rapidly as possible. Petone. —The nightsoil depot came under observation owing to faulty trenching, but this was at once remedied on its being brought to the notice of the Borough Council. It is hoped that a sewerage scheme will soon be undertaken. At the instance of the Mayor I made an inspection of the water catchment area re alleged possible contamination from farms. One farm on the upper portion of a gully was keeping ducks and allowing its drainage to enter the gully, but this condition has since been remedied. Woodville. —The drainage system, is now in working-order. Waitara. —A drainage scheme was proposed by the Borough Council, but, as it was desired to run crude sewage into the river, approval could not be given, and an amendment was suggested, but this has not been gone on with. Marton. —The new waterworks and drainage have been completed. The catchment area is, however, not free from possible contamination, and purification by mechanical filters is resorted to. The results of analysis were not satisfactory, but this is probably owing to faults in management which were discovered just prior to the bursting of the dam. It will be interesting to note the result when working is resumed. Gisborne. —The sanitary conditions in this borough are by no means satisfactory. Enteric fever is apparently endemic in the town. It is to be hoped that when the drainage-works are completed and the pan system finally abolished an improvement will be manifest. There is also

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room for considerable improvement in the refuse-removal service. Considerable improvements have been effected in the conditions of the public stables. The premises where foodstuffs are manufactured and sold are most unsatisfactory, and therein the fly nuisance is very marked. These will be necessarily remedied when the new regulations under the Sale of Foods and Drugs Act come into force. The river is considerably polluted by the meat-works discharge higher up and various drains along its banks. The foreshore on the Kaiti side is also polluted by the discharge close to the breakwater of the Sheep-farmers' Meat-works. Wairoa. —New stormwater drainage has been installed in the borough, and it is proposed to allow household waste and septic-tank effluent to enter this. As, however, the sewers discharge into the river at several points on the town-front, it is to be hoped that as soon as possible the Borough Council will take steps to intercept the outfall sewers and carry the sewage to a point well below the town; provision has been made in the original plans for this, so it should not be a difficult task. Lansdowne. —This suburb of Masterton has had for some years a water-supply taken from the Ruamahanga River, which is brought by an open race to a set of rams, whence it is pumped into the distributing-reservoir. Unfortunately, this race has been allowed to get into a state of disrepair, so that it is subject to considerable pollution, and, in fact, the town supply is now derived from a source which was never intended. Repeated endeavours to get this put into proper order have so far failed, but it is to be hoped that the authority responsible will speedily take steps to have the matter rectified. Bull's. —The tennis-players and others using the recreation reserve of this township have suffered considerable annoyance from the discharge of drainage from a private dwelling into a watercourse near by. The Town Board, however, has taken steps to have the nuisance abated. Other insanitary matters in this township have received attention. > Dannevirke. —The effluent from the septic tank is dealt with on farm landman excellent method when properly carried out —but unfortunately the Borough Council, in order to make profit, has let this to a farmer, who naturally studies his crops in preference to the proper purification of the sewage, consequently nuisance has arisen. Due attention has been called to this, Some trouble, has also been experienced with regard to the sewers, Motueka. —The drainage of the two hotels has caused considerable nuisance. Measures, however, have been taken to abate this. The disposal of drainage in flat low-lying places is a troublesome problem, but it is. hoped the methods adopted will prove successful. The drainage and plumbing of one of these houses in particular emphasizes the urgent need of the new Plumbers Registration Act. Nelson. —A swampy piece of land in Washington Valley called for much complaint owing to its receiving the drainage from higher ground. Recommendations have been made for dealing with this, but I regret to state that the City Council has so far taken no steps to improve this disgraceful condition. The Nelson local authority does not give that attention to sanitary improvements that the situation of the city and its climate deserve in order to make it attractive as a health or holiday resort. Many buildings have been condemned, but few have been demolished. Defects, however, in its drainage system are being slowly rectified, but I fear that even now the septic tank is overburdened with surface water, and that it is not serving the purpose for which it is intended, and that crude sewage finds its way into the harbour. Blenheim. —Drainage and water-supply has been contemplated for some years, and a poll of ratepayers has been taken and such thereby authorized. The matter, however, does not progress, though many engineers have been consulted and various schemes proposed. This is unfortunate, as such is badly needed. Attention has been called to the insanitary state of some of the public stables, the satisfactory drainage of which cannot be permanently dealt with without access to a sewer, but at the same time much nuisance would be obviated by proper impervious floors and frequent removal of manure. Many insanitary buildings have been removed. Waiapu County. —Great improvements have taken place with regard to sanitary matters in the townships in this county. "Karori. —For some time past the nightsoil has been deposited in one of the borough reserves, but a proposal has been made to adopt what is hoped to be a simpler and more satisfactory method — i.e., the depositing of the nightsoil into a septic tank, with purification of the effluent through filter-beds. Hotels: The sanitary condition of hotels in the district is now, generally speaking, fairly good, most of the Licensing Committees insisting on the carrying-out of the Department's recommendations prior to renewal of a license. Septic tanks : Many property-owners have sought the advice of the Department with regard to the installation of these in connection with sanitary conveniences at various private houses in the district. (5.) Sanitary Conditions of the Maoris. The District Health Officer, Auckland, reports : — Outbreaks of typhoid in Native settlements as follows were investigated and dealt with : Piako, Katikati, Hoe-o-Taimui, Mataura Bay. An outbreak of scarlet fever occurred among Natives near Tauranga. The scheme for placing nurses to look after the Natives in districts where the Native population warrants it has not progressed as one would wish, chiefly owing to the difficulty in securing certificated nurses willing to undertake this not-too-inviting work. We were sorry to receive the resignation of Nurse Purcell, who had done good work at Rotorua. Nurse Anderson has taken her place, and has already established herself in the confidence of the Natives. Nurse Mataira has been stationed in the Bay of Plenty district, but the area is much too wide for her to be able to deal with the work there single-handed. The arrival of Miss Bagley as a permanent officer of the Auckland Office has been most welcome, as she will be able to organijse this important branch of our work.

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The constant epidemics, especially of typhoid, among the Maoris is a most serious matter, and under present conditions these people form a constant menace to the rest of the population. The spread of typhoid from the Natives in the Thames Valley is an example of this danger. The time for leaving the Native in his primitive state is past. It is essential that he be compelled to adopt more modern methods of life, and take at least some part of his share in the duties and responsibilities which each member of the community owes to the remainder. The District Health Officer, Wellington, reports : — Though much good work has been done by the district nurses for Maoris, and by the Inspectors of the various Hospital Boards, in securing improvements in the sanitary conditions under which this race lives, there still remains much room for improvement. It is a hard matter to alter the long-established customs of these people, and must take time. In Waiapu a Maori hostel has been established at Te Araroa, due largely to the exertions of local residents. A nurse (Miss Tait) was placed in charge, with a probationer (Nurse Angus), and much excellent work has been done by these officers in the northern portion of this county. In the other parts of the. county the district nurse (Miss McElligott) has been indefatigable in her efforts, with most satisfactory results. In the Cook Hospital District Nurse McCormack has been appointed, having her headquarters at Te Karaka. The Muriwai Pa, in which so many cases of typhoid occurred last year, and the condition of which was so deplorable, has had considerable attention bestowed upon it. An effort was made to get the whole pa removed to a more healthy site, but this not being feasible an attempt was made to find a suitable water-supply to take the place of the contaminated surface wells, and Mr.d Claude Williams at his own expense sank an experimental bore, but without success. The only resort then was the provision of tanks for rain-water, and the closure of those wells which seemed most liable to contamination, and the use of the remainder for washing purposes only. All the insanitary dwellings were condemned, and new buildings have now been erected or are in course of erection. These have been placed on the higher portions of the site of the pa, leaving the low-lying land for cultivation purposes. A remarkable and beneficial change has been effected. Special district nurses for Maoris have also been appointed in Wellington Hospital District (Nurse Lewis) and in the Hawera-Stratford District (Nurse Beetham), and are both doing splendid work. More nurses are required for this service. (6.) Sanitary Inspection. The District Health Officer, Auckland, reports : — The arrangements made last year with the Hospital Boards as regards sanitary inspection have worked most satisfactorily, and the Waikato and Thames Hospital Boards have demonstrated their satisfaction by agreeing to increase the salaries of their officers. During the year Mr. Ryland resigned from his appointment to the northern Boards, and Mr. Skynner was appointed in his place. The work in the north is especially heavy in consequence of the large numbers of Natives there, and it is evident that we shall have to appoint separate officers for the Marsden-Kaipara and the Bay of Islands Boards. Inspector Galloway, who had done excellent work in the Auckland District, resigned towards the end of the year. As regards the appointment of his successor the Auckland Hospital Board preferred to select an applicant for themselves, instead of leaving the matter to the District Health Officer as formerly. They appointed Mr. Fogarty to succeed Mr. Galloway. Inspector Grieve has now very important work to perform in enforcing the new regulations under the Sale of Food and Drugs Act—work he is specially qualified to undertake. This will occupy the larger part of his time. Hotel Inspection. The systematic inspection of hotels and preparation of reports on their sanitary condition for the Licensing Benches was begun this year. The work has proved very heavy, but as improvements are made it will be much less troublesome. In all 231 hotels have been reported upon, and already very great improvements have resulted both in the city and in the country. A great handicap to this branch of our work is the uncertainty of tenure under the existing licensing laws. It is natural that an owner should hesitate to spend perhaps several hundred pounds on a hotel which may at next election be deprived of its license. The District Health Officer, Wellington, reports : — This work has been carried out as last year by the Inspectors under the various Hospital Boards. The Cook Hospital Board appointed Inspector York from the Wellington Hospital Board's staff; left a vacancy in Wellington, which was filled by the appointment of Inspector John Hopkins, whose death by accident while disinfecting on the R.M.S. " lonic " is referred to in my covering report. His place was subsequently taken by the appointment of Inspector Cowdrey. The Wairoa Hospital Board appointed Inspector Taylor, and the Waipawa Board arranged with the Hawke's Bay Board for Inspector Gardiner to act in its district. The only Boards now in my district who have not appointed Inspectors are those of Nelson and Buller. I have made repeated representations to these Boards, but so far no action has been taken, though I have reason to believe that the Nelson Board will probably make an appointment shortly. With the exception of Wanganui and the larger cities and boroughs, which have their own Inspectors of Nuisances, these officers, primarily appointed for inspection in connection with infectious diseases, carry out the general sanitary inspection of the districts in which they are located. Inspection of factories has also been carried out in conjunction with the officers of the Labour Department when the latter has found defects which it has considered desirable to bring under the notice of this Department. Attached are summaries of the work performed by the Inspectors,

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The District Health Officer, Wellington, submits the following summary of inspections by the Sanitary Inspectors:—

Foo< .-sellers' Pr( lises. Facto iries. eneral. Nuisances. Plumbing-inspections. Drains tested. District. i I s § I 5 1 I g o I Si j J! i 5 8 1 i m ki .9 s * I 1 & Zi si M O & 3 jo i§ s S"S 8 1 1 o M ; ° > £ We JW irk. CD 1 Old Work. i New Work. Old Woi c -II i I a ■k. a Waiapu — Number inspected Number in which defects existed CookNumber inspected Number in which defects existed Wairoa — Number inspected Number in which defects existed Hawke's Bay-Waipawa — Number inspected Number in which defects existed Taranaki — Number inspected Number in which defects existed Hawera-Stratford — Number inspected Number in which defeots existed Wanganui-Patea Number inspected Number in which defects existed Palmerston North — Number inspected Number in which defects existed Wellington — Number inspected Number in which defects existed South Wairarapa — Number inspected Number in which defeots existed Wairarapa — Number inspected Number in which defects existed Picton-Wairau — Number inspected Number in which defects existed Nelson — Number inspected Number in which defects existed 8 2 6 2 9 95 95 5 87 23 8 7 13 7 1 10 44 1 1 12 12 21 1 22 4 1 7 1 1 17 79 61 7 85 3 19 46 32 4 8 4 1 11 35 15 4 31 1 7 1 20 10 13 1 22 2 ■• 119 2 91 3 2 6 3 8 14 1 1 1 3 3 17 1 1 14 32 405 40 204 90 103 723 92 39 285 34 1 6 3 41 6 5 68 12 114 42 28 95 14 32 4 25 4 1 6 1 1 5 30 102 11 5 4 6 14 2 1 7 1 14 4 4 11 22 56 50 85 8 2 2 1 4 1 5 1 2 2 8 1 13 7 2 8 4 9 9 1 7 37 52 38 38 7 12 5 37 11 11 1 39 77 54 30 19 11 39 50 30 4 34 1 1 7 7 10 •• 34 34 1 5 3 •I 5 65 65 •• - 45 14 32 27 31 30 30 40 16 5 154 33 J 48 27 7 7 44 46 90 06 2 1 18 25 •• .. • • • • 42 1 19 2 8 37 2 109 2 6 3 6 2 3 2 5 3 33 16 2 12 7 2 2 1 4 4 10 6 1 1 150 70 7 49 8 61 20 116 12 2 104 11 1 118 17 47 9 78 10 3 11 1 9 27 6 788 78 42 1 107 15 64 20 435 61 39 27 40 40 34 30 113 9797 91 18 2 5 5 16 1 i i 86 12 32 10 26 5 46 9 24 39 7 9 58 6 31 4 9 1 9 5 865 60 32 4 23 8 41 7 5 28 7 14 100 37 36 46 11 11 22 5 5 48 7 7 11 92 4 12 90 9 26 53 2 99 8 38 1 2 623 136 67 159 66 48 8 79 6 147 90 •• 147 90 147 90 1,450 66 4 .. 1 1 1 4 12 12 44 34 2 2 1 1 1 1 1 ] ■ ■ ..

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Summary of Sanitary Inspections, Canterbury, Westland, and Otago Districts.

Food-selle] ■s' Premises. Fμ ■tori ies. eneraj uisaacee. Plumbinginspections. Drains fa ited. District. 8 I ! i 8 o 1 2 I 8 5 1 o ■A 1 1 III a if j OH ft C O M ■a s h o Ii Sew Work. 1 h to fl B Old Work. ii IT. - Sp Worl & 01( Woi k. i I I O North Canterbury — Total number inspected Number in which defects existed Number requiring requisitions Ashburton — Total number inspected Number in which defects existed Number requiring requisitions South Canterbury — Total number inspected Number in which defects existed Number requiring requisitions Inangahua— Total number inspected Number in which defects existed Number requiring requisitions Grey — Total number inspected Number in which defects existed Number requiring requisitions Waitaki — Total number inspected Number in which defects existed Number requiring requisitions Maniototo — Total number inspected Number in which defects existed Number requiring requisitions Vincent — Total number inspected Number in which defects existed Number requiring requisitions Otago — ■ Total number inspected Number in which defects existed Number requiring requisitions Southland — Total number inspected Number in which defects existed Number requiring requisitions Wallace and Fiord — Total number inspected Number in which defects existed Number requiring requisitions 20 19 114 4 1 39 2 2 3 1 9 1 '.8 7 6 5 1 1 3 3 14 28 15 3 3 19 1 9 6 2 11 3 5 4 16 4 3 3 2 1 1 1 1 1 14 4 7 2 1 13 1 10 15 1 29 4 1 6 •I 2 •• 3 .. 123 15 2 7 • • 'I 3 2 1 13 2 733 168 150 19 1 1 220 45 16 29 ■• 84 1 717 47 20 13 2 1 19 3 2 1 39 25 23 "I 26 15 11 4 9 1 4 2 9 2 2 17 2 2 45 6 5 1 1 1 7 38 3 21 6 1 33 'I 12 1 1 4 1 12 4 1 1 1 2 2 2 1 1 3 1 1 16 15 10 1 1 29 10 2 3 32 17 6 57 36 41 1 1 4 4 4 1 12 2 38 30 17 27 22 18 6 3 3 3 8 4 18 14 8 101 8 25 11 lj 16 89 34 6 11 ■■ i 22 77 21 1,177 4 10 43 2 2 1 1 36 4 •• 'I 2 2 8 8 3 3,390 8,266 200 1,182 3,390 200 1,182 57 2 2 •• 300 •■ 3 •• 12 •• 300 29 29 1 1 .. •■ 14 3 .4 2 1 10 4 2 1 2 10 1 123 11 1 11 3 15 4 7 2 10 12 10 24 18 1 8 44 8 2 1 1 1 1 'I I '' 1 '' I I " .. .-I 'I I 20 8 6 3 1 1 1 18 8 4 1 9 4 11 2 221 30 1 18 4 36 13 1 8 1 1 1 1 20 15 36 23 1 2 58 9 1| ■• 1 1 2 1 1 87 26 6 7 3 7 1 1 19 7 16 5 1 21 8 14 5 4 3 1 1 9 1 24 19 18 69 18 17 3 3 1 930 145 87 15 1 45 8 3 10 2 17 1 13 3 2 114 43 20 90 39 19 148 105 46 32 22 3 176 81 . I 170 2 2 2 126 114 114 62 170 6 6 2 158 206 206 152 45 12 12 9 1 1 17 1 1 21 2 2 6 17 3 3 28 11 11 1 2 1 1 646 123 123 12 1 57 .7 7 21 4 4 7 3 3 2 7 5 5 7 5 5 14 11 3 3 1,170 4 4 1 1 .. 'I i 4 5 2 2 1 1 1 i 123 20 20 l^ 12 3 3 1 4 2 2 2 2 2 6 4; .. •• • • ■ • ! • ■ ..

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(7.) Offensive Trades. The District Health Officer, Wellington, reports : — Owing to nuisances arising in connection with offensive trades, eight premises were personally inspected, and measures were taken in every case to remedy existing defects. In practically all instances the owners were quite prepared to meet the reasonable demands of the Department, and in no case was it found necessary to resort to legal proceedings. The only occasion in which legal action was taken by the local authority concerned was where an offensive trade was established without proper authority having first been obtained. One permit was granted for the establishment of a new business. A proposal to establish another business was opposed by the local authority, and the matter was held over pending an agreement between the local authority and the applicants. (8.) Insanitary Buildings. The District Health Officer, Auckland, reports : — Condemnation Certificates issued in respect to Buildings. —Thames : 21 inspected —some condemned and some repaired. City: 3 condemned (Riordan Lane). Bay of Islands : 1 house (Waimate); 1 house (Russell); 3 Native huts (Opua). Rotorua : 2 condemned; 1 stable condemned; 1 repair. The District Health Officer, Wellington, reports : — In the course of the year 143 buildings were dealt with. In most of these cases condemnation certificates were issued and the buildings pulled down; in others structural alterations or repairs were effected in lieu of demolition. The District Health Officer, Christchurch, reports : — Hospital Board District. Town or Borough. Condemned. North Canterbury .. .. .. Christchurch .. .. 13 „ .. .. .. Lyttelton .. . . .. 8 ~ .. .. .. Kaiapoi .. .. 12 ~ .. .. .. Rangiora .. .. .. 1 South Canterbury .. .. . . Timaru .. .. .. . . 1 ~ .. . . .. Waimataitai . . .. .. 1 Waitaki .. .. .. . . Oamaru.. .. .. .. 2 Otago .. .. .. .. Dunedin .. .. 57 Grey .. .. .. .. Greymouth .. .. .. 5 Structural Repairs. North Canterbury .. .. .. Christchurch .. .. .. 3 ~ .. .. .. Lyttelton .. .. .. 8 ~ .. .. .. Riccartonjj| .. . . .. 2 Ashburton .. . . .. Ashburton . . .. . . 1 Waitaki .. .. .. .. Oamaru.. . . .. ~ 1 Otago .. .. . . .. Dunedin .. .. .. 143 (9.) By-laws. The District Health Officer, Auckland, reports : — Building-areas. —The following local authorities have agreed to a limitation of area, in conformity with the powers provided under section 2 of the Amendment Act of 1910 : Rotorua Town —quarter acre in unsewered areas; Point Chevalier Road District—one-seventh acre; Mount Albert Borough —one-eighth acre. By-laws have been examined and approved of or prepared for Grey Lynn Borough—specification for wooden buildings; Franklin Borough—keeping of animals; Point Chevalier Road District — building-areas; Rotorua Town — building-areas; Taumarunui Borough — general sanitary by-laws and drainage and plumbing; Mount Albert Borough —building and drainage; Otahuhu Borough—drainage and plumbing; Tauranga Borough —building and building-areas, and nightsoil. Model by-laws have been forwarded also to Thames Borough, Opotiki Borough, and Hamilton Borough. After prolonged effort, sometimes impeded by changes in legislation, a set of model by-laws has been compiled, suitable for small boroughs, Town Boards, and suburban Road Boards. They deal with— (a) General provisions; (6) the building by-laws; (c) drainage by-laws; (d) nuisances by-laws; (c) keeping of animals by-laws; (/) the structure and cleansing of privies by-laws. Already they have been welcomed by several local authorities as models upon which local by-laws may be drafted. They are at present issued as " proof copies only," and after being examined by the Crown Law Officers will be issued by authority. An excellent set of by-laws dealing with wooden buildings was compiled by the Grey Lynn Borough Council on the model supplied by this office, and these have been copied by several other local bodies The District Health Officer, Wellington, reports : — Approval was given to the general sanitary by-laws of the Taradale Town Board. Recommendations for adoption of by-laws were also made to the Town Mangaweka relating to general sanitation, drainage, and plumbing, and to the Borough Council of Woodville relating to stables. Marton Borough also passed by-laws for general sanitation, drainage, and plumbing.

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(10.) Quarantine. The District Health Officer, Wellington, reports : — Inspection of Overseas and Intercolonial Vessels. Port. Port Health Officer. Jpec'ed. New Plymouth .. .. .. Dr. McCleland .. .. .. 8 Gisborne .. .. • .. .. Dr. Williams .. .. .. 8 Napier .. .. .. .. Dr. Moore .. .. .. 10 Wanganui.. .. .. .. Dr. Wilson .. .. .. 9 Wellington .. .. .. Dr. Pollen .. .. .. 147 Picton .. .. .. • • Dr. Redman .. .. .. 6 Nelson Dr. Bett ||2 Westport .. .. -.. ■• Dr. Hallwright .. .. .. £10 Total "'**•' • • ■ • • • 200 There were no quarantinable diseases on any of these vessels. The District Health Officer, Christchurch, reports : — Port. Port Health Officer. . %g£i. Lyttelton .. .. .. .. Dr. Upham .. .. .. 46 Timaru .. .. .. .. Dr. Thomas .. .. • • 3J-4 Bluff .. •• ■. Dr. Torrance .. .. ..74 Greymouth .. .. .. Dr. Morice .. .. . . 2 There was an outbreak of German measles and mumps on the s.s. " Pioneer " in August last, and the cases were sent to Bottle Lake Hospital. (11.) Immigration Restriction Acts. The District Health Officer, Auckland, reports : — February 5 : Advised by a Hospital Board of probable return to Dominion of tuberculosis, &c, Native of Australia. Later in the year steps were taken to prevent this man shipping for New Zealand. He subsequently arrived here under an assumed name. March 20 : B. R. C. admitted to hospital under bond, arranged by Customs authorities. July 19 :J. W., " Morayshire," steerage passenger,' stopped here. Bond provided at Wellington. July 5 : Miss J. was not examined at all by Port Health Officer; proved consumptive; was allowed to remain. July 8: J. H., " Nairnshire," was detained on board at Auckland; was freed at Wellington. August 12 : Mr. A., blind, and Mrs. A., infirm, and two of the ship's crew, forbidden to land ex s.s. " Essex." August — : John McDonald, stowaway as " John Waldron." September 18: G. W. and two ship's hands, s.s. " Rangatira," prohibited landing on account of syphilis. September 24 : A. V., s.s. " Makura," mentally afflicted. September 27 : E. H., s.s. " Makura," consumptive and asthma, returned to Vancouver. September 27 : R. 8., s.s. " Marama," ship's hand, permitted to proceed. September 29 : T. G. A., fibroid lung, belonged to Dominion, allowed to land. December 1 : C, cook, s.s. " Tofua," transferred to s.s. " Maheno " for Sydney. December 10: J. F. and I. D., s.s. "Anglo-Mexican," no action. (12.) Medical Examinations, The District Health Officer, Auckland, reports : — The following physical examinations were made : — Applicants for Sanatorium ... ... ... ... ... ... 22 On behalf of other Government Departments— Police Department ... ... ... ... ... ... 1 Valuation Department ... ... .. ... ... ... 1 Inspectors of Factories ... ... ... ... ... ... 1 For the Board of Education a family was examined and found to be suffering from scabies. (13.) Sale of Food and Drugs Act, 1.908. The District Health Officer, Auckland, reports : — The greater part of the work in connection with this Act has been the revision of the regulations as to standards and labelling. Changes were adopted in the New South Wales regulations which we for the most part adopted also. It was thought desirable for the present to omit those relating to wine-making. New regulations permitting jam to be made with a proportion of glucose were adopted, with certain restrictions as to special labelling of such articles. The regulations were completed by the end of the year, and only await the assent of Cabinet for their adoption. An active campaign was begun in Auckland in the matter of the milk-supply, and a considerable number of prosecutions resulted, details of which appear elsewhere.

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Many foodstuffs were examined upon information received from various sources, and were condemned, destroyed, or otherwise dealt with. A warning to agents of a butter-preservative (Puroid) was issued, pointing out that the presence of their preservative in butter was contrary to the regulations. The District Health Officer, Dunedin, reports : — Several attempts have been made to obtain the services oi a competent analyst under the Act for this district, but without avail. Negotiations at present are being conducted with the University with a view to appointing a combined University assistant in chemistry and Public Analyst. Samples taken for Examiantion during the Year ended 31st December, 1912. ' The District Health Officer, Auckland, reports :— The following samples of foods were taken by officers of the Department, with results as indicated. Prosecution followed in a number of cases, detailed in another place. Samples Did not conform taken. to Standard. Milk ... ... ... ... ... ... ... 271 60 Bread (batches) ... ... ... ... ... 28 15 Cocoa ... ... ... ... ... ... ... 3 2 Tea ... ... ... ... ... ... ... 3 Baking-powder ... ... ... ... ... ... 13 2 Wine ... ... ... ... ... ... ... 2 Vinegar ... ... ... ... ... ... 1 Butter ... ... . ... ... ... ... 11 2 Pepper ... ... ... ... ... ... 4 Preservatives ... ... ... ... ... ... 2 1

WELLINGTON-HAWKE'S BAY DISTRICT.

CANTERBURY-WESTLAND-SOUTHLAND DISTRICT.

Sample taken. isults of Weighing or Analysis. Where purchased. Number. Nature. Complying. If I III Mi SS-S m Rendered defective in Transit. Wellington (in and around) Wanganui (in and around) Palmorston North Hawora and Stratford Marlborough District South Wairarapa District Masterton New Plymouth Gisborne (in and around) Hastings Ha wera-Stratf o rd Wanganui (in and around) Marlborough District Palmerston North Wellington Woodville Marlborough South Wairarapa ;. Woodville Wanganui Wellington Wanganui Wellington Woodville Ashhurst 113 14 13 8 6 5 4 6 4 2 53 9 8 7 3 2 1 11 3 3 6 2 2 2 1 1 1 1 Milk Bread 93 9 10 6 4 4 3 50 1 8 7 I * 1 10 2 3 6 2 9 1 1 2 1 2 11 2 2 2 1 6 '2 6 4 2 i Pepper 1 1 1 Butter Margarine Coffee and chicory.. Cheese Skim-milk cheese .. Vanilla-essence Baking-powder 2 Doubtful, 1 1 1 no action t '2 aken. Now Plymouth Wanganui

Samples taken. Results of Weighing or Analysis. Action taken. Hospital District where purchased. Number. Nature. Complying. Prosecuted. | Named. North Canterbury 69 1 26 1 28 21 14 12 25 1 3 Milk .. Honey Bread .. 52 1 23 17 16 1 Ashburton South Canterbury Waitaki Inangahua Grey Otago Milk .. 23 16 13 9 18 3 1 5 5 1 3 7 1 1 3 1 5 2 . 1 1 3 Bread .. Chocolate Honey 2 6 2

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Food Inspections for Period from 1st January to 31st December, 1912, inclusive.

Food or Drags inspected: Where. t> * j nv~. Action taken—if "marked," "sealed," or "destroyed." Date ana lime. Remarks. Consignment tinned salmon 45 hams 12£ lb. bacon 23 carcases pigs 79 lb. peas 2 cases frozen fish 1 barrel frozen salmon .. 1 cwt. cornflour Wellington - L Wellington 'awke's Bay D 8/1/12 20/1/12 20/1/12 29/7/12 29/7/12 19/1/12 30/1/12 26/2/12 Hstrict. No action necessary. Destroyed. 9 whole carcases and 5 half carcases destroyed. Destroyed. Destroyed with owner's consent. Destroyed with consent of agent. Destroyed owing to stopped drain flooding cellar. Ditto. Wanganui 6 boxes sultanas J ton salt 1 owt. cream of tartar . . 1 cwt. carbonate of soda J cwt. borax 6 25-lb. bags oatmeal .. 160 lb. currants 200 lb. seeded raisins . . Numerous other articles 3 sacks oysters Several bundles flat fish 2 sacks oysters 3 lb. plums 1 sack cauliflower J sack cauliflower J cask turnips 1 sack cabbage 181b. tomatoes 2 dozen schnapper 5 dozen oranges 4 lb. apples 10 dozen mandarins 2 shoulders bacon 2 part sides bacon 61 3-lb. tins plums 6 dozon oranges 3£ sides bacon 20 lb. bananas 4 sacks potatoes 1 case bananas . . J case bananas 2 bundles fish " 4 bundles fish Sundry quantities of fruit German sausages 9 lots of various fruit . . 7 lots of various vegetables 1 lot of fruit .. 4 lots of fruit 7 lb. candied lemon-peel 50 cans of red clover .. Cask of fruit 95 hams 12Jib. bacon .. Hawker's whitebait Fruit (quantity) Vegetables (quantity) .. Fish (quantity) S?.cks of peas Shipmont of almonds .. 26/2/12 26/2/12 26/2/12 26/2/12 26/2/12 26/2/12 26/2/12 26/2/12 27/2/12 6/4/12 6/4/12 19/9/12 t> ■ ■ Destroyed. South Taranaki Arrived bad ; destroyed. Seized and destroyed. Removed for pig-feed. Condemned and destroyed. ii fi Removed for pig-feed. 2 tins seized and destroyed. Condemned and destroyed. No action taken. Condemned and destroyed. Destroyed with owner's consent. Mastorton ,, Pahiatua.. Masterton 4/3/12 6/4/12 9/4/12 6/11/12 2/12/12 -/12/12 10/12/12 Carterton Feathorston Greytown 31/5/12 Seized and destroyed. Found to be sound. Wellington Taken to destructor. Not bad enough to seize. Sound. ] 3 lb. black pepper Blenheim 13/2/12 Taken to destructor. Very little deteriorated; allowed to be cleaned. Destroyed with kerosene by order of the Stipendiary Magistrate, Mr. R. S. Floranoe. Cured leg of pork destroyed by auctioneer. Figs destroyed by owner. Food on sale at auction-room Marton .. Mangaweka 22/11/12 7/12/12 Gα; 'ierbury, Westland, Oh Railway-shod, Christchurch Blackball Greymouth igo, and South! land Districts. Shipment of dates 1/4/12 No action warranted. Meat Fish.. 12/1/12 30/4/12 14/6/12 17/5/12 Given to pigs Destroyed 6 dozen flounders and 4 groper. Destroyed 8 cases. Had cases picked over and rabbits cleaned. 7 cases rabbits Railway-shed, Dunedin Dunedin 11 rolls bacon 14 rolls old bacon 120 dozen eggs 85 dozen eggs 77 dozen eggs 40 lb. bacon 200 lb. bacon 1,0081b. figs .. 14 cases fruit 10 hams Fish.. 23/7/12 5/8/12 16/12/12 17/1/12 25/1/12 25/1/12 1/8/12 9/11/12 23/5/12 23/5/12 23/5/12 23/5/12 No action. Destroyed. Invercargill No action. v • •

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Food Inspections for Period from 1st January to 31st December, 1912, inclusive —continued.

Legal Proceedings for Period from 1st January to 31st December, 1912, inclusive.

10— H. 31.

Food or Drugs inspected. Where. _. , m . Action taken —it "marked," "sealed," or "destroyed." Date and Time. Remarks. I Bread Fruit i. SO cases fruit -0 cases prunes ! cases figs t sacks onions 5 sacks potatoes ) hams !5 rolls bacon 0 sides bacon .00 cases apples Ganterb•y, Westland, Olago, ai Otautau id Southland 19/5/12 19/5/12 29/6/12 29/6/12 29/6/12 29/6/12 29/6/12 29/6/12 29/6/12 29/6/12 29/6/12 districts —continued. No action. Invercargill i) Destroyed. No action.

Defendant. Offence. Date of Hearing. Name of Magistrate. Result of Proceedings Fines. Coats. Remarks. Auchlam District. M-, Eden Terrace K., Auckland N., Auckland.. C, Auckland D., Papatoetoo H., Auckland Milk-adulteration Bread, short weight Milk-adulteration 22/2/12 10/4/12 11/4/12 Mr. Frazer .. £ s. d. 2 0 0 1 0 0 2 0 0 0 10 0 5 0 0 2 0 0 £ s. d. 0 17 6 0 17 6 0 7 0 0 17 6 0 17 6 0 17 6 Baking-powder below standard Milk-adulteration 2 0 0 5 0 0 5 0 0 5 0 0 0 1 0 0-10 2 0 0 4 1 0 3 0 0 1 0 0 10 0 0 10 0 0 10 0 0 5 0 0 2 0 0 5 0 0 10 0 0 1 10 0 1 10 0 1 0 0 1 0 0 5 0 0 5 0 0 5 0 0 10 0 0 5 0 0 10 0 0 2 0 0 5 0 0 10 0 0 2 0 0 1 0 0 1 0 0 5 0 0 5 0 0 5 0 0 5 0 0 2 0 0 5 0 0 3 0 0 5 0 0 2 0 0 1 0 0 1 0 0 5 0 0 2 0 0 20 0 0 0 1 0 1 0 0 10 0 0 5 0 0 0 17 6 0 17 6 1 16 6 0 17 6 4 2 6 4 2 6 0 7 0 6 13 6 0 6 6 10 0 7 10 0 1 0 0 0 17 6 0 7 0 0 7 0 0 7 0 0 7 0 0 7 0 0 7 0 0 7 0 0 7 0 0 7 0 1 3 0 0 7 0 1 3 6 0 17 6 0 19 6 W., Ellerslie .. E., Papatoetoe W. Co., Auckland T., Devonport R., Taumarunui McL., Taumarunui S., Parnell ... S., Te Kuiti .. J. and R. M- P-> Paeroa C, Taumarunui M., Taumarunui S., Taumarunui M., Cambridge McF., Northcote I)., Mount Albert C. W., Northcote A. N., Birkenhead G., Hamilton.. G., Hamilton.. F., Hamilton.. S., Helensville H., Eden Terrace E., Kihikihi .. U., Dargaville M., Now Lynn McF., Northcote N., Birkenhead T., Grey Lynn H., Newmarket W. W., Auckland L., Huntly .. B., Huntly .. V., Mercer T. C, Northcoto H., Pukuranga M., Tamaki East J. D., Ho wick . .. O., Auckland.. Z., Thames C, Thames .. .. C, Te Awamutu K., Ruakaka.. R. and G., Te Aroha .. H., Ellerslie .. H., Ellerslie .. .. W., Pukekohe W. M., Taumarunui R., Taumarunui L., Te Kuiti .. S., Taumarunui T. and Co., Auckland . . Butter Milk-adulteration Bread, short weight Milk-adulteration Broad, short weight Milk-adulteration Bread, short weight Milk-adulteration Bread, short weight Milk-adulteration Bread, short weight Milk-adulteration Bread, short weight Milk-adulteration 15/7/12 15/7/12 15/7/12 Mr. Cutten .. Mr. Cutten . . • Bread, short weight Milk-adulteration 0 17 6 0 17 6 0 19 0 1 5 0 0 7 0 0 19 6 1 10 0 1 10 0 0 17 6 0 17 6 0 17 6 0 18 0 0)7 6 0 17 6 0 19 6 0 17 6 0 17 6 0 19 6 0 17 6 0 10 6 0 19 0 1 15 0 0 17 6 Bread., short weight Milk-adulteration s> ?> 15/9/12 ?> Bread, short weight Selling adulterated cocoa Milk-adulteration F. B., Auckland 5 0 0 0 17 6

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Legal Proceedings for Period from 1st January to 31st December, 1912, inclusive —continued.

Defendant. Offence. Date of Hearing. Name of Magistrate. Result of Proceedings. Fines. Costs. Remarks. Wellini iton - Hawh i's Bay District. £ s. d. 2 0 0 H. L., Wellington Soiling short-weight bread Ditto .. .. i 8/1/12 Mr. Riddell.. '£ s. d. 0 11 0 A. R., Wellington D. and Sons, Wellington J. B., Wanganui R. L., Wanganui T. H., Wanganui C. S., Wanganui M. A., Wanganui S. C. B. Co. (Ltd.), Wanganui E. 0., Wellington .. 8/1/12 8/1/12 16/9/12 16/9/12 16/9/12 14/10/12 11/11/12 11/11/12 Mr. Kerr ! '. 2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 2 0 0 0 10 0 0 10 0 0 11 0 0 11 0 0 7 0 0 7 0 0 7 0 0 7 0 0 7 0 0 7 0 Mr. Pago .. Selling adulterated milk Ditto .. .. I 29/1/12 Mr. Crooke . . 2 0 0 1 7 6 D. O'S., Wellington .. J. T., Wellington A. J. S., Wellington . . J. and D., Wellington .. M. J., Feathcrston 29/1/12 1/5/12 6/5/12 6/5/12 1/7/12 Mr. Riddell! '. 2 0 0 0 10 0 1 3 6 0 9 0 Dismissed. Mr. Reid .. 2 0 0 0 10 0 1 1 0 0 17 0 F. F. and I. Co., Wellington F. J., Wellington N. M. Co., Wellington .. C. D., Wellington F. P., Wellington W. D. G. C, Hawora . . S. D. K., Ngaere L. H., Feilding R. H., Foilding C. C, Wanganui H. Bros., Wellington .. A. W., Wellington J. E. P., Wellington .. H. and B., Wanganui .. 8/7/12 Mr. Riddell.. Dismissed. 15/7/12 22/7/12 22/7/12 22/7/12 9/9/12 18/9/12 12/11/12 12/11/12 4/11/12 9/12/12 9/12/12 9/12/12 16/12/12 Mr. Kendrick Mr. Thompson 2 0 0 3 0 0 5 0 0 5 0 0 5 0 0 0 10 0 2 0 0 2 0 0 1 0 0 1 0 0 1 18 6 1 17 6 0 17 6 1 0 0 0 17 6 0 17 6 0 19 0 1 1 6 1 0 0 1 0 0 " Mr. Kerr Mr. Riddell.. ,, . . . . ,, . . Mr. Kerr Dismissed on the ground that there had been no sale, defendant being an unregistered milkman. K. M. L., Wellington .. W. C. and Sons, Blenheim F. C. A., Napier T. C, Hastings Soiling fruit unfit for human eonsumption Soiling adulterated pepper Ditto Soiling adulterated coffee Selling adulterated baking-powder Selling adulterated pepper Ditto 29/1/12 13/2/12 17/2/12 19/1/12 Mr. Crooko .. Mr. Ploranco Mr. McCarthy 1 0 0 0 10 0 5 0 0 2 0 0 1 0 0 0 18 1 0 17 6 1 1 0 G. and C, Hastings 19/1/12 2 0 0 1 1 0 W.H.,Wairoa 6/3/12 Mr. Barton .. 0 10 0 1 15 0 A. R. M., Wairoa J. 0. D. S., Wairoa 6/3/12 6/3/12 0 10 0 0 10 0 1 15 0 1 15 0 R. B., Christchurch Oanierbur •y, Westlaiu I, and Otaqo Dis itricts. 1 4 6 Selling adulterated milk Ditto 5/11/12 Mr. Bishop .. 2 0 0 H. S., Christchurch W. C, Christchurch .. G. T., Christchurch A. H., Timaru J. Me A., Timaru J. S., Timaru. . F. W., Waimate W. S., Waimate 5/11/12 5/11/12 15/10/12 29/8/12 29/8/12 29/8/12 27/8/12 27/2/12 Mr. Day 12 0 0 4 0 0 5 0 0 2 0 0 2 10 0 1 0 0 1 0 0 2 9 0 1 4 6 2 0 0 1 15 0 0 17 6 0 17 6 0 17 6 Mr. Hutcheson y> Dismissed. Defect in analyst's certificate. Ditto. M. P., Waimate C. B., Oamaru E. P., Oamaru S. H., Greymouth M. S., Ree'fton 27/2/12 26/8/12 21/8/12 18/11/12 26/9/12 ♦> 1 0 0 1 0 0 7 10 0 0 17 6 0 17 6 0 10 0 Mr. Hewitt .. Dismissed. First case in district. ?! • • B. G., Christchurch .. Selling light-weight bread Ditto 17/9/12 I Mr. Bishop .. 3 0 0 0 7 0 W. A. MoB.. Christchuroh J. W. S., Christchurch .. W. F. G.,Ashburton .. 17/9/12 17/9/12 2/2/12 » 3 0 0 i> 0 0 5 0 0 0 7 0 0 7 0 0 7 0 Selling adulterated bread ! Mr. Day ..

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F. LABOKATORY WORK—ANALYTICAL AND BACTERIOLOGICAL. The Dominion Analyst reports :— I have the honour to forward herewith returns of analyses made in this laboratory for the Department of Public Health during the year ending 31st March, 1913. These returns show a total of 559 analyses of a varied character. A return showing the analyses made for the Police Department, some of which may be of interest to you, is also supplied.

Summary of Analyses made in the Dominion Laboratory, Wellington.

Health Office Laboratory, Auckland. Report by Dr. 11. H. Makgill, District Health. Officer and Pathologist. The following are the different kinds of pathological specimens submitted to this office for examination: Sputums, for examination for tubercle bacilli; swabs, for diphtheria; blood, for typhoid; urine, for general; smears, for gonococcus; slides, for gonococcus; miscellaneous. Rats, 6,554, of which none were plague-infected. A number of specimens were received and forwarded to the Bacteriologist, Wellington, for report. Laboratory of Medical Pathology and Vaooine Station, Wellington. Report of Mr. J. A. Hurley, Government Bacteriologist. The number of the pathological and other examinations made is compared with the number made in the preceding year, and an increase of about 30 per cent, is shown. The work in the Vaccine Station is also shown to have greatly increased during the same period.

Nati Nature. ,ure. Object of A Object of Analysis. Analysis. ! No. I For the Pub blic Health Department. Baking-powder Butter Butter-preservative Cheese Chocolate Cocoa Coffee Cottolene Cream of tartar Disinfectant Egg-essence Egg-preservative Formalin Gelatine Glaxo.. Glucose Honey Milks Oxypathor Pepper Sewage and tar-oil Tea Vanilla Vegetable butter Vinegar Waters Whiskies Purity Nature Purity tt • • j) Nature Purity .. General analysis Nature General analysis Purity General analysis Purity General analysis Nature Purity General analysis Lead-content Purity Nature Purity General analysis >> • • 5 4 1 2 1 5 1 1 1 1 1 1 4 2 1 4 4 .. 442 1 26 5 1 .. ' 1 1 1 39 3 559 Beer Blood.. Brandy Lysol Medicine Plum wine Powder Stomach and contents Whiskies For th w Police Department. Adulteration Carbon monoxide General analysis J? • • ?) )> • • Nature Poisons General analysis 1 2 4 3 .. j 2 .. J 1 .. 1 15 40 69 Total .. i 628

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Table showing Results of Examination of Pathological Specimens, 1st April, 1912, to 31st March, 1913.

Result. Material. Object of Examination. Total. Positive. Negative. Sputum Tubercle bacillus Other conditions Bacterioscopical examinations .. 146 148 358 30 504 178 64 Purulent discharges Total for 1912 746 539 Microscopical —■ For gonococcus ,, tubercle bacillus.. „ other pathogenic organisms Bacterioscopical examinations .. 25 7 52 145 42 35 20 29 67 42 72 174 Pleuritic fluid Total for 1912 .. Microscopical—• For tubercle bacillus.. „ other conditions.. Bacterioscopical examinations .. 2 4 8 13 2 5 355 164 15 6 13 Cerebro-spinal fluid .. Total for 1912 Microscopical Bacterioscopical 3 9 13 6 34 32 16 15 Stomach-contents .. Total for 1912 .. 31 28 Total for 1912 .. ■' 5 m Fseces Chemical Microscopical Bacterioscopical 9 3 14 23 3 10 Total for 1912 36 44 Urine Chemical Microscopical Bacterioscopical 192 238 158 Blood Total for 1912 .. Widals Differential counts Other conditions — Microscopical Bacterioscopical Wassermann reaction Opsonic indices 69 129 208 51 588 393 2 3 5 38 16 25 Totals for 1912 .. 343 292 Swabs For diphtheria „ other conditions 87 25 145 11 I 232 36 Parasites .. .. Total for 1912 .. 268 270 For hydatids — Sputa Other specimens For other parasites 19 9 3 14 5 4 33 14 7 Total for 1912 54 58

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Table showing Results of Examination of Pathological Specimens, &c. —continued.

Result of Examination of Tissues.

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Material. Object of Examination. Result. Total. Positive; Negative. Animals examined j Guinea-pigs Rats for plague Mice for leprosy Rabbits 12 15 23 13 27 23 16 8 3 Total for 1912 .. 74 90 Foodstuffs Milk Meat Fat .. Chocolates 6 3 9 12 1 2 Total for 1912 .. 24 19 Water Total for 1912 .. 36 ■ 27 ■'■'■ Other examinations —■ Clothing.. Disinfectants, drugs, &c. .. Patent medicines Dressings, surgical Manure, artificial Unclassified Identification of stains 2 5 2 7 15 7 2 1 6 4 2 Total for 1912 .. • 38 20 Vaccines (autogenous) 138 13 Total for 1912 .. Examinations of calf-lymph .. Total for 1912 .. 54 92 Solid tissues requiring section.. 200 196 Total for 1912 .. Totals for 1912 .. 3,024 2,319

Reproductive System. Digestive System. 14 . s a .§1 03 t> 43 3 CO o n o >> o 02 H4 CO l>> 02 00 3 . £ I S - d CQ SeS ■3 . I a a ® d -w © E>i 1—f Urinary System. CO t>> 02 t o c« ■** -I g-a a» r Conditions. © CQ I © © 2 r3 "* •i 3 ay #* 3 rl 0|-1 O M H •8 o 3 £ c 44 GO CO M § s -2 a 3 CO s 4a S H CMOS m O © CO H of 3 O ■ tn •Iff ©o 02 to a 3 "3 44 o H i Carcinoma Sarcoma Simple tumours .. Inflammatory Normal Others Spoiled Unnamed ; Bacterial Tubercle bacillus Others 7 12 6 8 1 1 14 4 4 4 I 3 1 2 1 4 13 1 3 8 4 1 1 4 16 3 1 4 1 1 4 14 2 1 1 1 2 i 7 8 1 52 79 22 1.9 2 2 30 66 38 32 4 6 1 i 1 3 2 2 1 2 1 3 5 1 5 7 10 2 14 5 2 Total 36 26 4 21 18 23 8 21 20 200 196

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Details of Urinary Examinations.

Summary of Work performed at the Vaccine Station, Ist April, 1912, to 31st March, 1913. Calves inoculated ... ... ... • ... ... ... 18 Total for 1912... ... ... ... ... ... 29 Total for 1911... ... ... ... 17 Post-mortem of calves ... ... ... ... ... ... 18 Total for 1912... ... ... ... ... ... 29 Total for 1911... ... ... ... ... ... 17 Bacterioscopical examination of lmyph ... ... ... ... 54 Total for 1912... ... ... ... ... ... 92 Total for 1911... ... ... ... ... ... 36 Tubes of lymph prepared ... ... ... ... ... 23,158 Total for 1912... ... ... ... ... ... 29,595 Total for 1911... ... ... ... ... ... 13,550 Bacteriological and Public Health Laboratory, Dunedin. Report for the Year ending 31st December, 1912, by the District HeaWi Officer and Bacteriologist (Dr. S. T. Champtaloup). (Note. —This report does not include the work done in connection with University classes in bacteriology (three) and public health (two), or specimens examined in the pathological laboratories.) SPUTUM. General bacteriological examinations, other than for tubercle ... ... 45 Examination for tubercle bacillus (ordinary method) — Positive ... ... ... ... ... ... ... 166 Negative ... ... ... ... ... ... ... 343 Total ... ... ... ... .. ... 509 Examination in doubtful cases by antiformin method— Positive ... ... ... ... ... ... ... 1 Negative ... ... ... ... ... ... ... 11 Total ... ... ... ... ... ... 12

Result. Method. What sought. Total. Positive. Negative. 'hemical analyses— Quantitative Estimation of urea ... „ sugar ... ,, albumen ,, other substances 27 41 10 15 31 15 15 93 Qualitative For albumen „ sugar ... ,, other substances 22 14 2 53 29 17 iacterioscopical For B. coli... 40 27 11 5 20 99 67 11 9 71 ,, gonococcus „ B. typhosus ,, other organisms... 4 51 licroscopical For tubeicle bacillus... „ casts, pus, epithelium, &c. 19 132 61 26 168 80 158 238 Total for 1912 588 393

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As with other laboratories, we have not found that the antiformin method has added materially to our positive results. Examination for hydatid hooklets, &c. — • Positive ... ... ... ... ... •■■ • • • 2 Negative ... ... ... ... ... •■• ■•■ 9 Total ... ... ... ... ... ... 11 Though the material in most of these cases has probably come from an old hydatid cavity, all trace of membrane or hooklets had disappeared long before the specimens were sent for examination. examination of swabs for diphtheria. Positive ... ... ... ... ... ... ••■ 87 Negative ... ... ... ... ... ... ~. 270 Suspicious ... .. ... ..." ... ••■ ... 11 Total ... ... ... ... ... ... 368 The laboratory routine is to examine swabs direct, and, if diphtheria bacilli are found, to report immediately, confirming by cultures. In all cases cultures are examined at the end of twelve hours, and reported again at the end of twenty-four hours where the previous finding was negative. In a few cases it is found that the second examination of cultures after twenty-four hours reveals the presence of a few previously undetected diphtheria bacilli. The direct examination of swabs is useful in detecting Vincent's angina, a condition clinically resembling diphtheria, and which would be missed if the ordinary cultural methods were relied on. widal reaction for typhoid. Positive ... ... ... ... ... ... ... 19 Negative ... ... ... ... ... ... ... 70 Doubtful ... ... ... ... ... ... ... 6 Total ... ... ... ... ... ... 95 agglutination reaction for para-typhoid fever. Negative ... ... ... ... ... ... ... 6 URINE : BACTERIOLOGICAL EXAMINATIONS. Positive. Negative. Total. For tubercle v. ... ... ... ... 31 39 70 ~ typhoid ... ... ... ... 8 8 ~ streptococci ... ... ... ... 1 ... 1 staphylococcus albus } c R ~ staphylococcus aureus ) " ~ B. coli communis group ... ... ... 29 1 30 ~ B. Proteus ... ... ... ... ... 3 ... 3 ~ pneumococcus ... ... ... ... ... 4 ... 4 ~ gonococcus ... ... ... ... ... 1 ... 1 ~ B. fluorescens ... ... ... ... ... 1 1 General bacteriological and cytological examination ... 22 Total ... ... ... ... ... 146 The cases of tubercle were verified by the usual laboratory procedure. A noticeable feature of this year's report is the increase of specimens sent from suspected cases of tubercle, and the high percentage of positive results. BODY FLUIDS : BACTERIOLOGICAL AND CYTOLOGICAL EXAMINATIONS. Arthritic fluid ... ... ... ... ... ... ... 9 Pleural fluid (2 positive tubercle) ... ... ... ... ... 9 Ascitic fluid (2 positive tubercle) ... ... ... ... ... 5 Cerebro-spinal fluid (4 positive T. 8.)... ... ... ... ... 13 Total ... ... ... ... ... ...36 Where a cytological finding suggested tubercle, where no tubercle bacilli could be detected in films prepared from the centrifugalized deposit, inoculation was carried out. In all there were eight tubercular specimens.

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BLOOD CULTURES. Cases in which bacteria were isolated from blood ... .... 6 • ~ blood sterile ... ... ... ■■• ■•■■•'" 13 Total ... ... ... ... ••■ ■■■'■ 19 It is gratifying to note that medical practitioners are making increasing use of this valuable means of early and accurate diagnosis. BACTERIOLOGICAL EXAMINATION OF PUS AND OTHER. MORBID MATERIAL FROM VARIOUS SOURCES..—; _, BACTERIA ISOLATED. Pneumococci ... ... ... ... ... ... ... 5 Streptococci ... ... ... ... ... ... ... 32 Staphylococcus aureus ... ... ... ... ... 31 Staphylococcus albus ... ... ... ... ... 3 B. colicomm. group ... ... ... ... ... ... 13 Acne bacillus ... ... ... .. ... ... 4 Influenza bacillus ... ... ... ... ... ... ... 5 Tubercle bacillus .. ... ... ... ... ■■ ... 4 Sterile pus ... ... ... ... .... ... ... 5 Gonococcus ... ... ... .... .... ... ..18 Total specimens ... ... ... ... ... 124 Also B. pyocyaneus, 1; tetanus, 1; sporothrix, 2. WASSERMAN REACTION FOR SYPHILIS. Positive reaction ... ... ... ... ... ... ... 26 Negative reaction ... .... ... ... ... ... ... 33 Total ... ... ... ... ... .;.. s}) In all cases the original method of Wasserman was used with the modification of alcohol extract of normal heart-muscle. Most of the recations were from cases of secondary or tertiary syphilis. BACTERIOLOGICAL EXAMINATION OF MATERIAL FROM FEMALE GENITAL TRACT. Total ... ... ... :-.. ... ... ... 16 This includes complete investigation of material sent and isolation of the organisms present. Practitioners now avail themselves of a new intra-uterine swab which is supplied by the laboratory, and since its use has become more general. The work under this heading has materially decreased, for in almost every instance practically pure cultures of the infecting organism were obtained, instead of mixed cultures, by the older and less accurate methods. Examinations from puerperal cases have yielded practically pure cultures of a streptococcus in nearly every case, one exception being a pure culture of the gonococcus. EXAMINATIONS OF SMEARS, PUS, ETC., FOR GONOCOCOI. Positive ... ... ... ... ... ... ... ... 10 Negative ... ... ... ... ... ... ... ... 13 Total ... ... ..'. ... ... ... 23 OPSONIC INDEX TO TUBERCLE. Total cases ... ... ... ... ... ... ... 3 This valuable aid to diagnosis has not been in requisition, nor can we encourage it in a general laboratory with a limited staff. , ' MISCELLANEOUS EXAMINATIONS. Positive. Negative. Total. Catgut sutures for sterility ... ... "... 16 16 Milk for tubercle ... ... ... ... 2 2 Calf-lymph for sterility ... ... .... .. 6 Blood for malaria ... ... ... 2 2 Faeces for amoeba, &c. ... ... .:. "■ I 4 5 Unclassified ... ... ... ... 11 Hail- for ringworm... ... ... ... ... 1 ... 1 Commercial vaccines for sterility ... .... ...... 6. ■ Examination for spermatozoa 1 ... 1 Total ... ... : - ; : '' :; " 1 ;;\ ; s ;. ' ''" %o" "

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SUMMARY OK TISSUES IN WHICH TUBERCLE BACILLI WERE DEMONSTRATED. Lungs ... ... ... ■•• ■•• ••■ ■•■ ... 167 Pus, &c. ... ... ... ... ... .. •■ ■•■ 4 Genito-urinary ... ... ... ... ... ... ... 31 Body-fluids .. ... ... ... ... ... •■■ 8 Total ... ... ... ... ... ... 210 WATER-ANALYS ES. Chemical examination ... ... ... ... ... ... 4 Bacteriological examination ... ... ... ... ... ... 7 This branch of the laboratory work might well be extended, and it is hoped that by the appointment of an analytical chemist to the laboratory staff, not only water-supplies but food and drugs will receive considerable and timely supervision in this part of the Dominion. AUTOGENEOUS BACTERIAL VACCINES. Staphylococcus aureus ... ... ... ... ... ... 26 Staphylococcus alb us ... ... ... ... ... ... 6 B. coli comm. group ... ... ... ... ... ... 18 Streptococcal group ... ... ... ... ... i~> B. influenza ... ... ... ... ... ... 7 Pneumococcus ... ... ... ... ... ... ... 10 Micrococcus catarrhalis ... ... ... ... ... ... 6 B. diphtheroid ... ... ... ... ... ... ... 4 Acne bacillus ... ... ... ... ... ... ... 2 B. Friedlander ... ... ... ... ■. .:. ... 2 Paratetragenus ... ... ... ... ... ... ... 2 B. septus ... ... ... ... ... .. ... 1 Total ... ... ... ... ... ... 112 In addition to the autogenous vaccines (vaccines made from patients' own bacterium) supplies of the more common stock vaccines have been prepared for hospital and general use. Typhoid vaccine for prophylactic injection against typhoid has been supplied free to several hospitals and institutions for the use of nurses and attendants. Towards the end of the year we adopted the use of sensitized vaccines in certain cases, but the cases treated have been as yet too few upon which to frame a report. Also gonococcus 1; diphtheria, 1; B. pyocyaneus, 1. SERA, ANTITOXINS, ETC. The following sera have been prepared in the laboratory for purposes of investigation : Rabbit v. sheep, 2 each; rabbit v. cat, I each; rabbit v. horse, 1 each; rabbit v. typhoid, 2 each; rabbit v. paratyphoid A and B, 1 each; rabbit v. V>. enteritidis (G.), 1 each. TUBERCULIN. During the year the Palmerston Sanatorium, the Hospital, and local practitioners have been supplied with the freshly diluted tuberculins as required. The tuberculins mostly in demand were : Tuberculin T.R. (human and bovine); bacillary emulsion (human and bovine); old tuberculin (human and bovine); tuberculin P.T.0., &c. SALVAUSAN AND NEO SALVARSAN. These drugs have been used with success in a number of cases, and are prepared for the practitioner immediately before use. The subcutaneous method has been abandoned for the intravenous route, and in all cases the water used (300 c.c.) was freshly distilled just before use. ' THERAPEUTIC INOCULATION, OUT-PATIENT DEPARTMENT IN CONNECTION WITH LABORATORY. A large number of patients have attended for the purpose of consultation or inoculation with bacterial vaccines, sera, or tuberculin. To conduct this department satisfactorily would, however, require more time than, with the present staff, we can possibly devote to it. 11— H. 31.

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G. SANITARY INSTITUTE EXAMINATIONS. In order of sequence of examinations the following candidates have passed the Sanitary Science Examination. This entitles them to the membership of the Royal Sanitary Institute : — Name. Address or Public Position now held. Thomas Courtenay . . . . Auckland. Norman Frank Furness .. .. Inspector, Auckland Hospital and Charitab'e Aid Board. Thomas Da vies Leedham . . . . Plumbing Inspector, Auckland City Council. Charles Henry Widdicombe . . Parnell, Auckland. Henry William Johnson . . . . Plumbing Instructor, Wellington Technical School. Walter James Cross .. .. Newmarket, Auckland. Archibald Smith Galbraith .. Devonport. Auckland. Henry Cuthbert Spinley .. .. Devonport, Auckland. Neil Alfred Haworth Smart .. Epsom, Auckland Harry Coltman .. . . .. Inspector, Nelson Hospital and Charitable Aid Board. William Galloway .. .. Auckland. John Lerwill .. .r .. We lington Harold Paull .. .. . . Plumbing Inspector, Auckland City Council. In order of sequence of examinations the following have passed the Inspector of Nuisances Examination, which entitles them to the associateship of the Institute: — Name. Address or Public Position hold. Robert Grieve .. .. .. Inspector, Department of Public Health, Auckland. Ernest George Cooper .. .. Sanitary Inspector, Wellington City Council. Walter Benjamin Gough .. .. Sanitary Inspector, Petone Borough Council. Robert Bagrie Jackson . . . . Plumbing Inspector, Wellington City Council. William Lindup . . . . .. Sanitary Inspector, Wellington City Council. Norman Frank Furness .. .. Inspector, Auckland Hospital and Charitable Aid Board. William Galloway . . .. Auckland. John Menzies .. . . .. Inspector, South Canterbury Hospital Board. William James Chappeli .. . . Inspector, North Canterbury Hospital Board. George Urban Judkins . . .. Sydenham, Christchurch. George Albert Baker .. . . Inspector, North Canterbury Hospital Board. Harry Coltman . . . . . . Inspector, Nelson Hospital and Charitable Aid Board. Marie McNaughton Cameron . . Matron, St. Helens Hospital, Christchurch. Thomas Tomlinson . . . . Inspector; Christchurch Drainage Board. Marshall, Edward Bettel .. . . Addington, Christchurch. Arthur Wakeford Nicol .. .. Inspector, South Canterbury Hospital and Charitable Ad Board. John Mi'ler Armour .. .. Inspector, Otago Hospital and Charitable Aid Board. Kenneth Cameron .. .. Inspector, Department of Pubic Health Dunedin. James Craighead .. .. .. Inspector, Otago Hospital and Charitable Aid Board. George William Davies .. .. Dunedin. Reginald Day .. .. .. Mornington, Dunedin. Ernest James King . . . . Dunedin. William Kinca d Scrymgeour .. Mornington,'Dunedin. Frederick Swindells .. . . Ravensbourne, Dunedin. Francis George Thomson .. .. Kaikorai, Dunedin. Jessie Bicknell . . . . .. Assistant Inspector of Hospitals, Wellington. John Henry Cowdrey .. . . Inspector, Wellington Hospital and. Charitable Aid Board. Frederick Butterworth Gardiner .. Inspector, Hawke's Bay and Waipawa Hospital and Charitable Aid Boards. Water Henry Honour .. . . Inspector, Napier Borough Council. Henry William Johnson .. . . Plumbing Instructor, Wellington Technical School. James Johnston .. . . . . Inspector, Wairau Hospital and Charitable Aid Board. Sydney Oliver Kenny .. .. Petone. David Parnell . . .. . . Plumbing Inspector, Wellington City Council. William Slaughter . . . . Inspector of Factories, New Plymouth. Sidney Herbert Sargeant .. . . Inspector, Department of Public Health, Rotorua. Edgar Norman Johnson . . .. Sanitary Inspector, Heathcote County Council. George Alfred. Macdonald .. .. Westport. Hugh Knight Whittington . . Inspector, Christchurch Drainage Board.

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APPENDIX lI.—HOSPITALS AND CHARITABLE AID. A. REPORTS ON INDIVIDUAL INSTITUTIONS. HOSPITAL AND CHARITABLE INSTITUTIONS UNDER THE CONTROL OP DISTRICT BOARDS. Auckland Hospital and Charitable Aid Board. Usual date of meeting : Third Tuesday in each month. Chairman : Henry Schofield. Secretary : H. N. Garland. Public Health Inspectors : N. P. Furness, M. J. Fogarty, C. T. Haynes. Charitable Aid Inspector : A. H. Jones. Institutions under the Board's control: Auckland Hospital, Alexandra Home, Costlcy Home, Auckland Dental Hospital, Point Chevalier Hospital. Auckland Hospital. Medical staff, honorary: Alfred Clark, F.R.C.S.; Claude E. A. Coldicutt, M.D. (Edin.), D.P.H. (Camb.); Helen Constance Frost, M.8., B.S. (N.Z.); G. Gore Gillon, M.D. (Glas.), F.R.C.S. (Edin.) ; Herbert Mayer Goldstein, M.8., B.S. (Lond.); Lawrence Harke, M.A., M.B. (Camb.); Alex. Kinder, M.8., F.R.C.S. (Eng.) ; J. Hardie Neil, M.8., Ch.B. (N.Z.), M.R.C.S. (Eng.); Joseph C. Pabst, M.D. (Melb.); Ernest Roberton, M.D. ; Carrick Robertson, M.8., F.R.C.S. (Eng.); T. Copeland Savage, F.R.C.S. (Eng.), M.S. (Lond.); Sidney .Arthur Stride, L.S.A.; C. Tewsley, M.D., F.R.C.S. (Edin.); Robert Henry Walton, M.D., F.R.C.S. (Edin.) ; Ernest H. Williams, M.8., Ch.B. (N.Z.). Medical staff, resident: C. E. Maguire, M.D. ;P. A. Ardagh, M.8., B.S. ;A. M. Grant, M.8., 8.5.; W. A. Abbott, M.8., B.S. ; A. B. McCutcheon, M.8., B.S. Matron : J. M. Orr. Localities from which patients came : Rodney and Waitemata County, 223 ; Mount Eden and Mount Albert, 298 ; Grey Lynn and Ponsonby, 311 ; Parnell and Remuera, 299 ; City of Auckland, 1,316 ; other contributory districts, 779 ; non-contributory districts, 130 ; admissions from vessels in harbour, 64. Visited frequently during the year and found in excellent order. The condition of the internal affairs of the Hospital, commented on in the last report, has entirely changed, and the amendment to the by-laws recommended has been carried out. Dr. Maguire has been appointed Medical Superintendent with full control of the institution. A lady Superintendent, Miss Orr, was appointed from England, and under her management of the nursing department everything is working in a satisfactory manner. The average number of patients per diem in this Hospital shows an increase of 16, but the total maintenance expenditure has nevertheless decreased. Maintenance expenditure per occupied bed is £888, against £949 for 1911-12. "Domestic and establishment" expenditure exhibits the main decrease —viz., £45 per occupied bed. Alexandra Convalescent Home, Ellerslie. . Visited on 10th July, 1912. There were 12 patients in—3 children and 1 epileptic case. A staff nurse from the Hospital Was in charge. Costley Home. Medical staff, resident: Alexander Neil McKelvey, L.R.C.P. and S. (Irel.). Matron : Miss Jane Forbes. Visited 3rd February, 1913. There were 64 women and 195 men. A new chronic ward for women had been made out of the old nurses' quarters, the partitions being removed and the walls repainted. There were 8 male consumptive patients in the shelters, and 2 Women. The old dormitories were being repainted. The Nurses' Home had been furnished, and the Matron's rooms fitted up comfortably, since last visited. The grounds have been much improved. Mr. Jenkins has been most attentive as Chairman of the Committee, and has been ably assisted by Dr. McKelvie, Mr. McLeod (head attendant), and Miss Forbes (matron). The chronic ward for males is now kept in excellent order ; indeed, the whole institution is excellently managed. Wellington Hospital and Charitable Aid Board. Usual date of meeting : Nearest Tuesday to 20th of month. Chairman : Rev. W. A. Evans. Secretary : J. Coyle. Public Health Inspectors : B. S. Reed, J. H. Cowdrey. Superintendent Charitable Aid : A. H. Truebridge. District Nurse : E. M. Lewis. Institutions under the Board's control: Wellington Hospital, Children's Hospital, Infectiousdiseases Hospital, Seddon Annexes for Consumptives, Ohiro Home, Otaki Hospital, Otaki Sanatorium.

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Wellington Hospital. Medical staff, honorary : Surgeons—F. C. Faulke, F.R.C.S. ;W. E. Herbert, M.D., F.R.C.S. (Edin.); M. Holmes, M.D., F.R.C.S. (Edin.); D. J. McGavin, F.R.C.S. (Eng.), M.D.; W. Young, M.D., F.R.C.S. (Edin.) : physicians—W. K. Fyffe, M.8., B.S. (Camb.), M.R.C.P. (Lond.) ; E. W. Giesen, M.8., C.B. ; C. B. Henry, M.B. (Camb.) ; P. McEvedy, M.8.8.5. ; St. J. A. Tolhurst, M.D., 8.5.: opthalmic surgeons—G. W. Harty, M.8., F.R.C.S. (Edin.); C. F. G. Webster, M.R.C.S., M.B. (Melb.). Dentist: H. Didsbury. Masseur : Royd Garlick. Masseuse : Nurse E. Everitt. Children's Hospital: Surgeons—C. M. Begg, M.D., F.R.C.S. (Edin.); H. J. McLean, M.8., F.R.C.S. (Edin.) : physicians—Agnes Bennett, M.D., CM. (Edin.) ; D. E. Platts-Mills, M.8., Ch.B. Medical staff, resident: H. Hardwick-Smith, M.8., 8.5., B.A. (Camb.), F.R.C.S. (Eng.) ; R. Woodhouse, M.8., Ch.B. ; H. D. Robertson, M.8., Ch.B. ; Y. C. Fraser, M.8., Ch.B. ; W. McCaw, M.8., Ch.B. Matron : F. K. Payne. Localities from which patients came : Petone, 173 ; Lower Hutt, 108 ; sundry small places, 282 ; Westport, 17 ; Auckland, 11 ; Dunedin, 8 ; Christchurch, 4 ; Main Trunk, 4 ; Napier, 3 ; Hastings, 4 ; Wairarapa, 28 ; Gore, 1 ; Blenheim, 2 ; Palmerston North, 7 ; Feilding, 5 ; Wanganui, 8 ; Stratford, 1 ; Hamilton, 2 ; Foxton, 1 ; Gisborne, 2 ; Eketahuna, 5 ; Mauriceville, 1. ; Patea, 2 ; Thames, 1 ; Tahiti, 1 ; Sydney, 1 ; West Indies, 1 ; Wellington and suburbs, 3,109. Visited on sth March, 1913. There Were 91 men in the Hospital wards, 19 in the Victoria Hospital, and 16 in the Seddon Shelter ; there were 83 Women in the wards, 19 in the Victoria Hospital, and 6 in the Seddon Shelter. In the Children's Hospital were 56 patients. The staff in this department has been increased to fourteen. The ground floor only of this building is yet in use, but the verandahs and sun-rooms are much used when the wards are full. Radiators are to be put in, as the fireplaces are not found sufficient. The verandahs recently added to the Hospital wards are found of great service; and the small enclosures now laid out as gardens —some of which work was done by patients—are a great improvement. The much-needed renovation of the sanitary annexes, begun some time ago, was still in progress, and this, with the addition of patients' clothes-rooms and cupboards in the back corridors, has made the old wards more in accordance with modern requirements. Two small wards for diphtheria cases are to be built off No. 6 Ward. The new out-patients' department is in course of erection. The attention of the Board might be directed to the improvement of the kitchen and adjacent offices, which are far from fit to be part of an institution such as the Wellington Hospital. The manner in which the kitchen and the grounds at the back are kept is by no means satisfactory. There is an increase of £3,740 in maintenance expenditure of this Hospital, corresponding to an increase in the number of in-patients per diem (295 against 258 last year). Otaki Sanatorium. Medical staff, honorary : H. C. Faulke, F.R.C.S. (Edin.). Medical staff, stipendiary : W. H. Huthwaite, M.R.C.S. (Eng.), L.R.C.P. (Lond.). Matron : E. M. Scaly. Localities from which patients came : Wellington City, 40 ; Wellington Suburbs, 17 ; Paraparaumu, 1 ; New Plymouth, 1 ; Petone, 3 ; Blenheim, 1 ; Eketahuna, 1; Nelson, 2; Weraroa, I ; Wairarapa, 4 ; Manawatu, 5 ; Wanganui, 2 ; Bulls, 1 ; unknown, 3. Visited on 15th April, 1913. There Were 32 patients in—ls men and 17 women and girls. The same good order as in the Hospital was evident. The patients are now doing a great part of the work of this institution—scrubbing out the shelters, washing up, preparing vegetables, and other domestic work. The male patients, under the superintendence of the head gardener, also do from one to three hours' work daily in the gardens ; others take charge of the fowl-run. The Matron stated that it was almost impossible for many patients outside the Wellington Districtto make use of this Sanatorium, as the charge for such was £2 2s. per week, which must be paid by the patient or made up by the Hospital Board of their districts. The charge for patients from the Wellington District is £1 10s. per week. . Otaki Hospital. Medical staff, honorary : H. C. Faulke, F.R.C.S. (Edin.). Medical staff, stipendiary: W. H. Huthwaite, M.R.C.S. (Eng.), L.R.C.P. (Lond.). Matron : E. M. Scaly. Localities from which patients came : Levin and Shannon, 32 ; Ohau and Manakau, 10 ; Otaki, 65 ; Te Horo, Waikanae, and Paraparaumu, 36 ; Wellington, I ; Featherston, 1. Visited on 15th April, 1913. There were only 7 patients in hospital. The Hospital had been very busy during the summer, having at times up to 16 patients. Everything was in excellent order. The maintenance expenditure per occupied bed was £125-7 against £143 in 1911-12, "domestic and establishment " and " salaries and wages " exhibiting the main decreases.

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Ohiro Home. Medical staff, stipendiary : H. Hardwick-Smith, M.8., B.A. (Cantab.), F.R.C.S. (Eng.). Master : A. H. Truebridge. Matron : A. Truebridge. Localities from which, patients came : Wellington Hospital District. Visited on 18th March, 1913. There were 108 men and 28 women in—23 in the annexe. The place was in very good order. The women's portion had been repapered and painted. The grounds are much improved, and a large quantity of vegetables are grown and poultry kept to supply the needs of the institution. Infectious Diseases Hospital. Visited on 12th March, 1913. There were only 11 cases in Hospital—l man, 2 women, and 8 children —only lin the acute stage. Many of the patients sleep on the verandas, by which means the accommodation for those in the convalescent stage of scarlet fever is much augmented. The place was in excellent order. Convalescent Home, Wellington. Visited on 18th February, 1913. There were no patients in, as the place was undergoing thorough renovation, papering, and painting. A sun-room is to be built for the male convalescents. North Canterbury Hospital and Charitable Aid Board. Usual date of meeting : Fourth Wednesday in each month. Chairman : Frederick Horrell. Secretary : W. S. Wharton. Public Health Inspectors : A. W. Nicol, G. A. Baker, W. J. Chappell. Charitable Aid Inspector : Mrs. S. G. Goring. Institutions under the Board's control : Christchurch Hospital ; Consumptive Sanatorium; Akaroa Hospital ; Kaikoura Hospital ; Infectious Diseases Hospital; Lyttelton Casualty Ward ; Tuarangi Old Men's Home, Ashburton; Female Refuge, Linwood; Queen's Jubilee Memorial Home, Woolston; Orphanage, Waltham ; Armagh Street Depot. Christchurch Hospital. Medical staff, honorary : H. T. D. Ackland, F.R.C.S. (Eng.) ; J. F. Duncan, M.8., F.R.C.S. (Eng.) ; H. McL. Inglis, M.8., Ch.M. ; T. A. Mac Gibbon, M.8., Ch.B. (Edin.), F.R.C.S. (Eng.) ; C. L. Nedwill, M.8.; G. W. Russell, M.D. (Lond.) ;J. Stephenson, M.8., F.R.C.S. (Eng.) ;F. G. Westenra, M.8., CM. (Edin.). Medical staff, stipendiary: F. L. Scott, M.D.; W. S. Robertson, M.8., Ch.B.(N.Z.); D. L. Sinclair, M.8., Ch.B. (N.Z.) ; A. E. Widdowson, M.8., Ch.B. (N.Z.) (resident). Matron : Mabel Thurston. Localities from which patients came : Ashley County, 17 ; Akaroa, 12; Amuri, 9 ; EUesmere, 42 ; Cheviot, 15 ; Eyre, 7 ; Halswell, 23 ; Heathcote, 52 ; Kaikoura, 18 ; Kowai, 8 ; Malvern, 88 ; Mount Herbert, 3 ; Paparua, 51 ; Oxford, 21 ; Rangiora, 18 ; Selwyn, 16 ; Springs, 10 ; Tawera, 14 ; Waimairi, 181 ; Waipara, 17 ; Wairewa, 20 ; Amberley T. 8., 6 ; Christchurch City, 1,314 ; Kaiapoi Borough, 25 ; Lyttelton, .66 ; New Brighton, 31 ; Rangiora, 44 ; Spreydon, 56 ; Sumner, 17 ; Woolston, 68 ; shipping, 27 ; no address, 2 ; other districts, 91. Visited on 9th and 10th November, 1912. The Hospital was very full. In the small part left of the old No. 6 Ward there were some diphtheria cases. The consumptive shelters for women, formerly behind this building, have been turned round, and now get much more sunshine. There were only three women in. The new board room and offices are now in occupation, and are very complete. The wards were in very good order. The sanitary annexes of the Hyman-Marks wards have been improved, and more modern appliances installed. Provision has been made for linen cupboards (which were formerly in the wards) and for patients' clothes-cupboards. The Nurses' Home is very comfortable, and the accommodation ample. This Hospital compares still less favourably with the other hospitals of its class than last year as regards cost, especially in the items "salaries and wages" and "provisions." In regard to the latter it may be pointed out that the Christchurch Hospital expends on meat £4 per occupied bed more than (or more than twice as much as) any other hospital of its class. The extra Id. to lid. per pound paid for beef is not proportionate to the total extra cost of meat consumed. Lyttelton Casualty Ward. Medical staff, stipendiary : J. A. Newell, M.B. Matron : Ethel M. Gooding. Localities from which patients came : Christchurch City, 2 ; Heathcote County, 3 ; Lyttelton Borough, 9 ; Selwyn County, 1 ; shipping, 4 ; other districts, 1. Visited in August, 1912. A trained nurse, Miss Gooding, is now in charge of this ward. She also does any district nursing that is necessary. The doctors in Lyttelton are allowed the use of the ward and the services of the nurse for minor operations in private cases at a small fee.

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Christchurch Sanatorium. Medical staff, stipendiary : G. J. Blackmore, M.D., D.P.H. Matron : K. Benjamin. Localities from which patients came : Christchurch City, 59 ; Akaroa County, 1 ; Ashley County, 1 ; Eyre County, 1 ; Kowai, 1 ; Heathcote, 3 ; Kaiapoi Borough, 3 ; Lyttelton Borough, 4 ; Malvern County, 1 ; Oxford County, I ; Rangiora Borough, 3 ; Spreydon Borough, 2 ; Tawera County, 2 ; Waimairi County, 5 ; other districts, 2. Visited several times. The institution was always in excellent order. Christchurch Infectious-diseases Hospital, Bottle Lake. Medical staff, stipendiary : J. F. Duncan, M.8., F.R.C.S. (Edin.). Matron : K. Bowie. Localities from which patients came : Akaroa County, 4 ; Christchurch City, 92; Eyre, 3; Heathcote, 1; Kaiapoi Borough, 1 ; Lyttelton Borough, 15 ; Malvern County, 2 ; Paparua County, 6; Selwyn County, 1 ; Sumner Borough, 7 ; Waimairi County, 14; Woolston Borough, 1 ; other districts, 1. Visited several times. Great improvements are needed at this institution. The average number of patients per diem during 1912-13 Was half what it was in 1911-12. The cost per bed has increased all round, total maintenance per bed being £807, against £569 the previous year. Kaikoura Hospital. Medical staff, stipendiary : Fife Slater, M.B. Matron : I. Ivey. Localities from which patients came : Kaikoura County, 44 ; other districts, 1. Akaroa Hospital. Medical staff, stipendiary : C S. Cantrell, M.B. Matron : M. G. Davies. Localities from which patients came : Akaroa County, 13 ; Akaroa Borough, 7 ; Christchurch City, 1 ; EUesmere County, 1 ; other districts, 1. Visited on 20th May, 1912. One female patient. Some improvements have been carried out in the part of the building occupied by the matron. Memorial Home, Woolston. Medical staff, stipendiary : J. F. Duncan, M.8., F.R.C.S. (Edin.). Matron : Margaret Higgins. Localities from which patients came: Christchurch City, 80 ; Waipara County, 1 ; Lyttelton Borough, 4 ; Kaiapoi Borough, 1 ; Rangiora Borough, 2 ; Kaikoura County, 1 ; New Brighton Borough, 2 ; Spreydon Borough, 1 ; Paparua County, 3 ; Woolston Borough, 3 ; Waimairi County, 1 ; Kowai County, 1 ; other districts, 1. Visited on 30th December, 1912. There were 78 inmates, 18 of these being in the chronic ward under Sister Webster's care. There were about 6 old couples in the married quarters. As usual, everything was most satisfactory in this Home. Tuarangi Home, Ashburton. Medical staff, stipendiary : G. Lyon, M.B. (Aberdeen). Master : T. H. Knight. Matron : E. Knight. Localities from- which patients came : Christchurch City, 75 ; Akaroa, 2 ; Amuri, 1 ; Cheviot, 1 ; EUesmere, 1 ; Halswell, 2 ; Kaikoura, 2 ; Kaiapoi, 3 ; Kowai, 1 ; Lyttelton Borough, 4 ; New Brighton Borough, 1 ; Oxford, 3;. Rangiora, 3 ; Selwyn, 1 ; Waimairi, 3 ; Wairewa, 1 ; Woolston Borough, 3 ; Ashburton district, 18. Visited on 19th September, 19] 2. There were 80 inmates, 29 of whom were in the chronic wards. Many of these patients are up all day, and some in their beds were out on the verandas. Everything in this part and in the part managed by Mr. and Mrs. Knight was in very good order. Armagh Street Depot, Christchurch (for Casuals). Medical staff, stipendiary: J. F. Duncan, M.B. (Edin.), F.R.C.S. (Edin.). Master : W. Reeves. Matron : M. Reeves. Localities from which, patients came : Christchurch City, 57 ; Lyttelton Borough, 1 ; other districts, 1.

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Waltham Orphanage. Medical staff, stipendiary : J. F. Duncan, M.8., F.R.C.S. (Edin.). Matron: Jean Donaldson. Localities from which patients came : North Canterbury Hospital District. Visited on 30th December, 1912. Miss Donaldson had 9 boys and 7 girls under her care. The children all looked bright and happy. The additions lately made to the dining-room and sleeping-accommodation are a great improvement. Otago Hospital and Charitable Aid Board. Usual date of meeting : Alternate Thursdays. Chairman : James Hamlin Walker. Secretary : John Jacobs. Public Health Inspectors : James Craighead, William Armour. Inspector, Inquiry Officer, and Collector : Michael Fraer. Inspector : Mrs. Darroch. Controller of Stores : Walter Downs. Institutions under the Board's control: Dunedin Public Hospital; Chronic Ward, Caversham ; Otago Benevolent Institution ; Forth Street Maternity Home ; Infectious-diseases Hospital; Port Chalmers Cottage Hospital; Kaitangata Cottage Hospital; Tuapeka Public Hospital, Lawrence ; Palmerston Sanatorium ; Tapanui Hospital. Dunedin Hospital. Medical staff, honorary: S. C Allen, M.D. (N.Z.), F.R.C.S. (Eng.), D.P.H. (Camb.); L. E. Barnett, M.8., F.R.C.S. (Eng.); F. S. Batchelor. F.R.C.S. (Eng.); Winifred Bathgate, M.8., Ch.B., B.Sc. ; S. Champtaloup, M.8., B.Sc. (P.H.) ; D. Colquhoun, M.D., F.R.C.P. (Lond.) ; H. L. Ferguson, M.D., F.R.C.S. (I.) ; F. Fitchett, M.D. (Edin.) ; W. A. Fleming, M.8., CM. ; A. J. Hall, M.8., Ch.B. (N.Z.) ; M. Macdonald, B.Sc. (N.Z.)'. M.8., CM. (Edin.) ; S. A. Moore, M.D. (Edin.); W. Newlands, M.A., M.8., F.R.C.S. (Edin.) ; Charles North, M.8., Ch.B.; E. J. O'Neil, M.B. (N.Z.), F.R.C.S. (Edin.); H. P. Pickerill, M.8., Ch.B., L.D.S. (Eng.); F. R. Riley, F.R.C.S. (Eng.) ; R. Ritchie, M.8., M.R.C.S. (Eng.) ; W. S. Roberts, M.R.C.S. (Eng.) ; D. E. Booth, Masseur. Medical staff, resident : A. R. Falconer, M.8., D.P.H, 8.A., 8.5 c.,; T. Julian, M.B. ; P. P. J. Stewart, M.8.; D. Whyte, M.8., D.P.H. Matron : Margaret Myles. Localities from which patients came : Dunedin and suburbs, 1,777 ; Balclutha, 35; Catlin's, 41 ; Clinton, 12 ; Green Island, 45 ; Henley, 19 ; Middlemarch, 15 ; Lawrence, 29 ; Milton, 30; Mosgiel, 97 ; Palmerston, 53; Port Chalmers, 64; Roxburgh, 13; Kaitangata, 39 ; shipping, 36 ; Seacliff, 14; Tapanui, 10 ; Waitaki, 19 ; Maniototo, 10 ; Vincent, 22 ; Southland, 34; South Canterbury, 4 ; Ashburton, 1 ; North Canterbury, 10 ; Buller, 1 ; Nelson, 1 ;• Westland, 4 ; Napier, 1 ; Auckland, 2. Visited on 13th and 14th November, 1912. There were 178 patients in the Hospital, the beds in wards and side wards all being full, with the exception of three beds in No. 1. The accommodation provided on the balconies for consumptives was almost all taken up. In the children's ward there were 23 patients. Nursing : There is now a staff of ninety, eighteen being detailed for duty in the allied institutions. The Board has recently graded the staff and classified the nursing service, making six Matrons and two Sub-Matrons under the Chief Matron, and two grades of Sisters—Superintending Sisters and Ward Sisters. A portion of the staff is living in a house across the street, which is a very unsatisfactory arrangement. The laundry was in course of alteration. Another washing-machine is to be installed, which is badly needed. The rooms for the female domestic staff are to be renovated. They are now in a very bad condition. Some alterations are to be made at the morgue, where a small mortuary chapel is to be built. The statistics of the chronic ward, Caversham, have this year been included with those of the Dunedin Hospital, and this accounts for the large increase in the average number of occupied beds per diem, and also for the increase in the average days' stay of patients (thirty-three days against twenty-five for 1911-12). The decrease in the cost per occupied bed in this Hospital can only be partly due to the inclusion of perhaps seventy or eighty chronic oases. Decreases in the expenditure on salaries and wages, £12-5 ; domestic and establishment, £10 ; provisions, £51 ; and surgery and dispensary, £3'B, make up a total decrease in maintenance of £31 '3 per occupied bed. Tuapeka Hospital, Lawrence. Medical staff, stipendiary : W. Sutherland, M.8., B.S. Matron : Johanna Drew. Localities from which patients came : Tuapeka County, 89. Visited on 11th February, 1913. There were 3 male patients and 2 female patients, 1 being a maternity case. Five maternity cases were treated during the year,

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No improvements have been carried out at this Hospital, but the Hospital and grounds were somewhat tidier than when previously visited. The cost of maintenance per occupied bed, £1467, represents a reduction of £49 from that of 1911-12. " Domestic and establishment " (£34-7, as against £80-2 in 1911-12) and " salaries and wages" (£7O-8, as against £77-2 for 1911—12) account for the large decrease. Provisions show an increased cost. Kaitangata Cottage Hospital. Medical staff, honorary : Bruce Baird, B.Sc. (N.Z.), M.8., M.Ch. (Glas.). Matron : Fanny Clements. Localities from which patients came : Taieri Mouth, 1 ; Inch-Clutha, 2 ; Kaitangata, 24. Visited on 12th February, 1913. No patients in, but. some children had recently been operated on for adenoids. Port Chalmers Cottage Hospital. Medical staff, honorary : H. Borrie, M.8., CM. ; G. Hodges, M.B. Matron : Amelia C Veitch. Localities from which patients came : Country, 3 ; town, 2 ; England, 3. Visited on 18th February, 1913. * No inmates. This small Hospital is kept in excellent order, but not very much use is made of it. Tapanui Hospital. Medical staff : W. Robertson, M.R.C.S. (Eng.), L.R.C.P. (Lond.). Matron : Jean Naismith. Localities from which patients came : Tapanui, 2 ; Kelso, 4 ; Waikaka, 1 ; Moa Flat, 1 ; Dunrobin, 1 ; Heriot, 2 ; Conical Hills, 2. Visited on 17th February, 1913. This small Hospital was opened in November last, and is well designed and equipped for the purpose of a cottage hospital. There was 1 patient in, who had been operated on for appendicitis. Otago Benevolent Institution, Caversham.. Medical staff, stipendiary : T. Julian, M.8., Bach. Surg. (N.Z.). Master : G. Sinclair. Matron : Lucy Mee. Localities from which patients came : Dunedin, 176 ; Green Island, 2 ; Palmerston, 3 ; Mosgiel, 5 ; Port Chalmers, 6 ; Lawrence, 3 ; Tapanui, 2 : Catlin's 1 ; Kaitangata, 2 ; Milton, I ; Balclutha, 8 ; Middlemarch, 4 ; Vincent, 9 ; Southland, 2. Visited on 14th November, 1912. There were 115 men and 66 women in. In the chronic wards there were 20 women and 24 men. These wards were in good order, and the patients are very well cared for. There is to be a permanent Sub-Matron in charge, and different arrangements are to be made as to the management. Improvement of the quarters for the nursing staff is much needed. The female portion of the institution was, as usual, in excellent order, though the kitchen and storeroom portion is very old and difficult to keep clean. The lavatories of the male dormitories are not kept very clean. The floors of the dormitories, bathrooms, and smoking-room badly need proper cleaning and scrubbing. The old men who arc expected to keep them in order are not able to do it thoroughly. Palmerston South Sanatorium. Medical staff, stipendiary : C. E. W. Lyth, M.8., B.S. (Lond.). Matron : M. Valentine. Localities from which patients came : Southland, 7 ; Waitaki, 3 ; South Canterbury, 4 ; Ashburton, 3; Wallace, 3; Bruce, 1 ; Clutha, 4; Tuapeka, 1 ; Taieri, 10; Palmerston, \ : Port Chalmers, 4 ; Dunedin, 64. Visited on 10th February, 1913. There were 44 inmates —20 male patients, 3 of whom were in bed, and 24 female patients, 10 of whom were in bed. The cases that are now being admitted are more suitable for Sanatorium treatment, and more satisfactory results have been obtained. It is proposed to erect a separate residence for the doctor and a separate home for the nurses. Any extensions that are made for administration purposes will have to be carefully planned with a view to being suitable for extensions if required in the future. The average number of occupied beds per diem in this institution during 1912-13 was 40, an increase of 24 over that of 1911-12. The cost per bed has diminished by more than half. Dunedin Fever Hospital. Medical staff, stipendiary: A. R. Falconer, M.8., Ch.B. (N.Z.), D.P.H.; T. Julian, M.8., Ch.B. ; P. P. J. Stewart, M.8., Ch.B. ; D. Whyte, M.8., Ch.B. Matron : B. Ferguson. Localities from which patients came : Dunedin and suburbs, 44 ; We'lington, 1 ; Seacliff, 1 ; East Taieri, 1.

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Forth Street Maternity Hospital. Medical staff, honorary : F. R. R ley, F.R.C.S. (Eng.). Medical staff, stipendiary : Russell Ritchie, M.8., M.R.C.S. (Eng.). Matron : Ruth M. Every. Localities from which patients came : Southland, 5 ; Oamaru district, 2 ; South Canterbury, 2; Tuapeka, 5 ; Waikouaiti, 3 ; Clutha, 8 ; Vincent County, 2 ; Christchurch, 1 ; Milton, 2 ; Taieri, 5 ; Dunedin, 110. (See reports on maternity hospitals.) Bay of Islands Hospital and Charitable Aid Board. Meets quarterly. Chairman : William Stewart. Secretary : H. C Blundell. Public Health Inspector : A. E. Skynner. District Nurses : Eleanor E. Chappell, Gertrude Hyatt, Alice Pettsen. Institutions under the Board's control : Mangonui Hospital, Hokianga Hospital, Bay of Islands Hospital, Kawakawa (maternity). Mangonui Hospital. Medical staff, stipendiary : G. Wishart Will, M.B. Matron : Edith M. Clark. Localities from which patients came : Mangonui County and Whangaroa County. The work of the Mangonui Hospital has increased during the last year, many more people i aking advantage of this Hospital than previously. A maternity ward was added in which a number of cases have been taken. There is a great difficulty in staffing the Hospital. Hokianga (Rawene) Hospital. Medical staff, stipendiary: Alex. A. McFarlane, M.8., Ch.B. Matron : Helen B. Lones. Localities from which patients came : Hokianga County. The Hokianga Hospital has not had such calls on its accommodation as either of the other hospitals under the Board, though since the maternity ward was added a fair number of midwifery cases have been treated. The Hospital should not be regarded in any way as a private hospital, and all cases should be received on the same footing, those who can afford to pay the full fee doing so, while remission can be made by the Board in the case of others. Maintenance per bed shows a considerable reduction —namely, £77-2, which brings it from. £2125 down to £1353. " Domestic and establishment " (£33-7, as against £51-3 in 1911-12) and " Salaries and wages " (£64-8, as against £123-8 in 1911-12) account for practically the whole decrease. Bay of Islands Hospital, Kawakawa. Medical staff, stipendiary : Horace D. Eccles, M.R.C.S., L.R.C.P. Matron : L. R. Fergusson. Localities from which patients came : Bay of Islands County. The site for the new cottage hospital at Kawakawa was visited and approved, and later, when the building was approaching completion, a further visit was paid to arrange details of the drainage scheme. This Hospital was opened for patients in January, 1913. It was intended chiefly as a maternity hospital, with room for an occasional emergency case or accident, but has rapidly developed into the most largely patronized of the Board's institutions, and it has already been found necessary to increase the staff and accommodation. Marsden-Kaipara Hospital and Charitable Aid Board. Chairman: R. Y. Kernohan. Usual date of meeting : Second Saturday in each month. Secretary: C McKinnon. Public Health Inspector : Peter Shenton. District Nurse : J. L. Ariell. Institutions under the Board's control : Northern Wairoa Hospital, Whangarei Hospital, Whangarei Cottage Home. Whangarei Hospital. Medical staff, stipendiary : J. L. Fraser-Hurst, M.A., M.D. (resident). Matron : Dora Giffney. Localities from which patients came : Whangarei County, 197 ; Hobson County, 4 ; Bay of Islands County, 38 ; Otamatea County, 6 ; Whangarei Borough, 111 ; Dargaville Borough, 4 ; Auckland, 7 ; Waikato, 6 ; Hawera, 4. Visited on 30th April, 1913. In the male ward were 15 patients, and 4in the side ward. In the female ward were 6 patients, and 2 on the veranda ; a septic case in special ward ; in the isolation hospital there was 1 diphtheria case.

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The demand on the accommodation of this Hospital has been very great, and it has been decided to build additions to Hospital and increased accommodation at Nurses' Home The Hospital when visited, in spite of overcrowding, was in good order. The drainage of this Hospital has proved a source of trouble, and an effort is being made br> extend the borough sewerage scheme in this direction, as offering the only satisfactory solution of th n problem. The number of beds occupied per diem has nearly doubled in the last year (being 26, against 14 in 1911-12), whilst the cost per occupied bed has decreased by £33-6, " salaries and wages " showing a reduction of £29 per bed. Whangarei Cottage Home. Medical staff: J. L. Fraser-Hurst, M.A., M.D. Master : James Harker. Matron : Mrs. Harker. Localities from which patients came : Whangarei County, 32 ; Bay of Islands, 14 ; Otamatea County, 8 ; Hobson County, 6. Visited on 30th April, 1913. There were 27 male and 3 female cases. All male beds occupied ; one vacant bed in female ward. Save for a minor defect in the effluent drain from the septic tank everything was satisfactory, and the wards very clean. Northern Wairoa Hospital. Medical staff, honorary : W. H. Horton, M.B. Medical staff, stipendiary : J. R. Closs, M 8., B.S. Matron : M. G. Atkinson. Localities from which patients came : Hobson County, 109 ; Otamatea County, 18 ; Dargaville Borough, 26 ; Auckland, 2. Visited on 29th January, 1913. There were 11 patients in. A duty-room has been made out of the old private-patients' room, which is a great improvement and renders the nursing-work more easy. It is proposed to make the Matron's office into a dispensary, and to enlarge the theatre ; also to line the theatre-walls with some more aseptic material than the present board , which collect much dust and are difficult to clean. The Board has decided that out-patients, except those discharged from the Hospital and returning for dressings, shall not be attended at the Hospital. The Hospital was in good order. This Hospital shows a welcome reduction in the cost of maintenance per bed throughout— "Provisions," £11; "Surgery and dispensary," £56 ; "Domestic and establishment," £35; and " Salaries and wages," £196. Thames Hospital and Charitable Aid Board. Chairman : Thomas Kilgour. Usual date of meeting : First Wednesday in each month. Secretary : J. E. Banks. Public Health Inspector : B. A. Franklin. Institutions under the Board's control: Thames Hospital; Old People's Home, Thames. Thames Hospital. Medical staff, stipendiary : Dr. D. B. Walshe, M.8., Ch.B. (Melb.). Matron : M. Wilson. Localities from which patients came : Thames Hospital District, 655 ; Waikato, 34 ; Bay of Plenty, 2 ; Auckland, 15 ; Waihi, 5 ; Bay of Islands, 1 ; Christchurch, 1 ; Palmerston North, 1 ; Tasmania, 1. Visited on 4th June, 1913. It has been decided to erect a new operating-theatre and two sanitary annexes. In view of the large number of enteric cases received into the Hospital this year it is also proposed to build additional wards and a Nurses' Home. A ward for delirium tremens cases and isolation wards are under consideration. The Thames Hospital has for the year under review shown itself to be the most economically managed public hospital in the Dominion. District Home, Tararu. Medical staff, stipendiary : D. B. Walshe, M.8., Ch.B. (Melb.). Master : R. Hay-Chapman. Matron : Mrs. R. Hay-Chapman. Loca ities from which patients came : Waihi, 1 ; Waikato, 1 ; Coromandel, 1 ; Thames and Ohinemuri, 38,

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Coromandel Hospital and Charitable Aid Board. Chairman : Samuel James. Usual date of meeting : Third Monday in each month. Secretary : Richard Simmonds. Public Health Inspector : William Lee, Mercury Bay district ; James R. Gardiner, Coromandel district. Charitable Aid Inspector : Philip J. Brown. Institution under the Board's control : Coromandel Hospital. Coromandel Hospital. Medical staff, honorary : Dr. J. J. Eade, M.8., Bac. Surg. Medical staff, stipendiary : John Craig, L.R.C.S., L.R.C.P. Matron : Nina Black. Localities from which patients came : Coromandel County. A detached room for the night nurse has been added. The proposal to build a house for the doctor has not been carried out, but his house is now connected by telephone. The Matron, Miss Sellars, died during the year, and Miss Black, trained at the Thames Hospital, was appointed. The surgical work of the Hospital has increased. This Hospital, which in 1911-12 was the second costliest hospital in the Dominion, shows a general decrease throughout —in all, £40-4 per bed. It will be seen, however, that this institution is still well above the average of its class in the cost per occupied bed. 1,229 out-patients were treated last year. Waihi Hospital and Charitable Aid Board. Chairman : Dawson Donaldson. Usual date of meeting : Last Friday in each month. Secretary: F. Bishop. Public Health Inspector : T. H. Erwin. Chai itable Aid Inspector : F. Bishop. Institution under the Board's control: Waihi Hospital. Waihi Hospital. Medical staff, stipendiary: John M. Hyde, M.8., Ch.B. Matron : Ada Taylor. Localities from which patients came : Waihi, 290 ; Thames, 139 ; Bay of Plenty, 34 ; Waikato, 7 ; Auckland, 6. - Visited on 31st January, 1913. There were 37 patients in the Hospital. There had been 11 typhoid cases this year already. The Hospital was in good order. Miss McGregor had left, and Miss Taylor, late Acting-Matron of the Auckland Hospital, was Matron. The grounds were in good order. The open-air shelters for consumptives—one only of which was occupied—-need repair. Decreases in the cost of " surgery and dispensary " and " domestic and establishment," and almost corresponding increases in " provisions " and " salaries and wages," effect only a slight increase in the total cost of maintenance per occupied bed. The number of occupied beds per diem was 35, against 42 the previous year. Bay oe Plenty Hospital and Charitable Aid Board. Chairman : Alex. Peebles. Meets quarterly. Secretary : H. 0. Garaway. Public Health Inspector : John Landells. There are no institutions under this Board's control. Tauranga. —The site for the proposed cottage hospital was visited and approved, and the plans in course of preparation were examined and altered as suggested by the Department. Whakatane. —At the request of the Bay of Plenty Board the District Health Officer visited that district and inspected various suggested sites for a cottage hospital at Whakatane. It is perhaps too soon to fix on a site, as the position of the proposed railway should first be determined. Waikato Hospital and Charitable Aid Board. Chairman : J. P. Bailey. Usual date of meeting : Every fourth Thursday. Secretary : W. I. Conradi. Public Health Inspectors : A. P. Bennett, Hamilton ; — Calderwood, Taumarunui. Charitable Aid Inspector : L. Holmes. District Nurse : E.M. Smith. Institutions under the Board's control : Waikato Hospital ; Taumarunui Hospital; Old Men's Home, Hamilton.

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Waikato Hospital, Hamilton. Medical staff, stipendiary : H. Douglas, M.8., CM. ; W. H. Thomas, M.8., Ch.B. Matron : E. M. Rothwell. Localities from which patients came : Poverty Bay ; South Canterbury, 4 ; Auckland, 26 ; Westaland, 3 ; Marlborough, 1 ; New Plymouth, 4 ; Wellington, 6 ; Southland, 1 ; Waikato, 1,198. Visited on Ist April, 1913. There were 59 patients in—37 women and 22 male : 7 were enteric cases (Maoris). The wards were in excellent order. The new annexe for consumptives is finished, but has not yet been occupied. There were no cases in the fever ward. The institution is excellently managed. Dr. Douglas was on sick-leave, Dr. Gower being in charge. The cost per bed has slightly increased, a decrease in " surgery and dispensary " and " domestic and establishment " being counterbalanced by an increase in " provisions " and " salaries and wages." Taumarunui Hospital. Medical staff, stipendiary : W. Mac Knight, M.8., F.R.C.S. (Ed.). Matron : E. Morton. Localities from which patients came : Taumarunui and surrounding district. Visited on Bth April, 1913, in the evening. There were 10 cases in, all enteric—Europeans from the town and outlying parts. The accommodation of this small cottage hospital had been pushed to the utmost limit. During the last month there had been as many as 13 cases. These were all too seriously ill to be sent to the base hospital. Dr. McKnight is now in charge, with Sister Morton, from the Hamilton Hospital, and three probationers in course of training. Many cases of accidents and others had been sent to Hamilton. The cost per bed during last year compares excellently with that of the previous year. 1911-12. 1912-13. Decrease. £ £ £ Provisions . . . . .. . . . . 55-0 38-2 16-8 Surgery and dispensary .. . . . . . . 4-5 3-8 0-7 Domestic and establishment .. .. .. 47-6 28-5 19-1 Salaries and wages .. . . . . . . 126-7 73-7 53-0 Total maintenance . . . . £233-9 £144-3 £89-6 Old Men's Home, Hamilton. Medical staff, stipendiary : H. Douglas, M.B. Master : L. Holmes. Matron : Bessie Holmes. Locality from which patients came : Waikato Hospital District. Waiapu Hospital and Charitable Aid Board. Chairman : A. B. Williams. Usual date of meeting : Fourth Monday in Month. Secretary : A. L. Temple. Public Health Inspector : J. P. Terry. District Nurse : Miss M. Macdonald. Institution under the Board's control : Waiapu Hospital. Waiapu Hospital, Te Puia. Medical staff, stipendiary : C. S. Davis, M.D., M.R.C.S., D.P.H. Matron : A. B. Allan. Locality from which patients came : Waiapu district. Visited by District Health Officer on sth April, 1913. Patients at time of visit, B—typhoid cases, 6 (4 female, 2 male) ; phthisis, 1 ; injury to knee, 1. The two latter were accommodated in the shelters, leaving the Hospital to the typhoid cases. The temporary typhoid ward in the Hospital grounds used in the last epidemic is still standing, but only contains 3 stretchers. It was proposed to put this ward in order in view of the prevalence of typhoid in the district at the time of the visit. It was found necessary to reopen the typhoid camp at Tuparoa. Eleven cases were admitted on the first day, and preparations were made to enlarge the camp. No action has yet been taken with regard to the erection of a maternity ward. The Medical Superintendent considers that provision should be made for 3 cases and a nurse's room. Morgue. : Though somewhat primitively furnished, the morgue is suitable for present needs. Drainage : The work of installing a water-carriage system and septic tank has not been gone on with.

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Children's Wards, Napier Hospital.

New Plymouth Hospital and Nurses' Home.

Hospital Grounds, New Plymouth.

IS To face p. 92.]

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Infectious Diseases Hospital, Wellington.

Wellington Hospital.—The Fraser Ward —Main Surgical Ward.

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Cook Hospital and Charitable Aid Board. Chairman : Hon. Captain Tucker, M.L.G Usual date of meeting : Third Friday in every month. Secretary : H. M. Porter. Public Health Inspector : F. 0. York. Native Nurse : Jean Cormack. District Nuise : Hannah J. Greenslade. Institutions under the Board's control: Gisborne Public Hospital; Old People's Home, Gisborne Gook Hospital, Gisborne. Medical staff, stipendiary : W. Carlyle Wilson, M.8., 8.5., F.R.C.S. (Eng.). Matron : E. F. Godfray. Localities from which patients came : Gisborne Borough, 372 ; Cook County, 238 ; Waikohu County, 134. Visited on 22nd and 24th July, 1912. There were 54 patients, 18 being women —2 in the isolation ward with scarlet-fever. There were no typhoid cases—the first time for two years the Hospital has been without enteric cases. An outbreak later in the year entirely filled the wards, and severval of the nursing staff contracted the disease. The new Hospital, which will soon be ready for occupation, is badly needed. During the year Dr. Wilson resigned the position of Medical Superintendent, and a full-time Medical Superintendent has been appointed-—Dr. Kahlenberg. This Hospital last year accommodated daily on an average 55 patients, against 44 in 1911-12. The cost of maintenance per bed diminished by £16-9, a decrease having taken place in all sections of maintenance expenditure. Old People's Home, Gisborne. Master : R. C. Vigis. Matron : Mrs. R. C. Vigis. Localities from which patients came : Cook and Waikohu Counties, 24 ; town and suburbs, 8. Visited on 22nd July. There were 20 inmates, 3 being women. Everything was, as usual, clean and comfortable. Wairoa Hospital and Charitable Aid Board. Chairman : John Hunter Brown. Usual date of meeting : Second Friday in each month. Secretary : W. O'Shain. Public Health Inspector : William Taylor. Institution under the Board's control : Wairoa Hospital. Wairoa Hospital. Medical staff, stipendiary : John Miller, L.R.C.S., L.R.C.P. (Ed.). Matron : Jessie Lorimer. Localities from which patients came : Wairoa County, 50 ; Wairoa Borough, 67 ; Cook County, 36 ; Hawke's Bay County, 40 ; Waikato County, 1 ; unknown, 13. The work of this Hospital has increased, and it is intended to make some alterations and to build an operating-theatre. The Matron, Miss Bull, resigned during the year, and Miss Lorimer was appointed. In this Hospital the cost (per occupied bed) of maintenance shows a net increase of £66 (1912-13, £159-6 ; 1911-12, £153). " Domestic and establishment " and " salaries and wages " show increases of £8 and £3-5 per bed respectively, whilst " provisions " and " surgery and dispensary " exhibit slight decreases. Hawke's Bay Hospital and Charitable Aid Board. Chairman : W. Shrimpton. Usual date of meeting : Second Monday of each month. Secretary : James Scheele. Public Health Inspector : F. B. Gardiner. Institutions under the Board's control: Napier Hospital (general) ; Old People's Home, Park Island. Napier Hospital. Medical staff, honorary : H. F. Bemau, M.R.C.S., L.R.C.P. ; J. J. Edgar, M.8., L.R.C.S. ; J. P. D. Leahy, 8.A., M.8., M.S. ; H. M. Wilson, 8.A., M.B. (Cantab.). Medical staff, resident: T. Gilray, M.8., F.R.C.S. (Edin.) ; L. J. Thompson, M.8., Ch.B. (N.Z.). Masseur : W. H. Hildebrandt. • Matron : Rose Macdonald. Localities from which patients came: Napier, 445; Hastings, 225; Hawke's Bay County, 238 ; Park Island, 47 ; Taradale, 20 ; shipping, 19 ; other districts, 42 ; no address, 4. Visited on 26th and 27th July, 1912.

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There were 104 patients in, of whom 16 were children, and there were 33 in the chronic wardsServeral patients were sleeping on the verandas. There were 2 men in the shelters. Six of the patients in the chronic wards were from the general wards, on account of lack of room. The portion of the old Nurses' Home used for overflow of patients was not occupied. The upstairs rooms are used as quarters for the junior resident. The senior resident is occupying the rooms formerly used by the Matron and junior resident. The Chairman informed me that it was intended as soon as possible to build a house for the senior resident. The Nurses' Home is not now large enough for the staff, several of the bedrooms having two nurses —-some much too small. Three bedrooms are to be added. The Hospital was in good order. There is a reduction in the cost per bed of £13-8, which is distributed over all departments. Old People's Home, Park Island. Medical staff, stipendiary : T. Gilray, M.8., F.R.C.S. (Edin.). Master : W. H. Hickens. Matron : Mrs. A. Hickens. Localities from which patients came : Napier, 34; Hastings, 18; Hawke's Bay County, 36 ; Taradale, 4 ; Waipawa, 20 ; Waipukurau, 9 ; Dannevirke, 20 ; Woodville, 4 ; Weber, 2 ; Patangata, 5 ; Wairoa, 9 ; other districts, 4. Visited on 27th July. The Home was in excellent order. The Hospital is supplied from the institution with almost all the vegetables required. Waipawa Hospital and Charitable Aid Board. Chairman : G. E. Bickford. Usual date of meeting : Second Thursday in month. Secretary : G. B. Ashley. Public Health Inspector : F. Gardiner. Plunket Nurse : M. Wright. Institutions under the Board's control : Waipukurau Hospital ; Dannevirke Hospital. Wai'pawa Hospital, Waipukurau. Medical staff, stipendiary: S. C. Godfray, M.8., Mast. Surg. (Edin.) Matron: M. E. Carston. Localities from which patients came: Patangata County, 51; Waipawa County, 52; Waipawa Borough, 216; Waipukurau Borough, 55; Dannevirke County, 71; Borough, 7; Hawke's Bay County, 14; no address, 25; other places, 41. Visited on 11th May, 1913. There were 43 patients. The nursing staff consists of the Matron and five nurses, four of whom are registered. It is the intention of the Board to engage three probationers shortly, but the difficulty now appears to be lack of accommodation for them. At present the Matron has frequently to get up at night to assist the one nurse on duty, and as she also takes a share in the day nursing while the wards are so heavy, it makes her life a very strenuous one. Nothing has yet been done to the floor of the operating-theatre, where the tiles are very much worn. The Hospital surroundings generally were in satisfactory order, and the Matron is fortunate in having a good domestic staff. A new boiler-house has been erected for the hot-water supply. The old isolation ward has been converted into a lumber-room. A decrease of £131 in the cost of maintenance is contributed to mainly by "Salaries and wages" (£lO-3). Dannevirke Hospital. Medical staff, stipendiary: Thomas Macallan, M.B. (Aberd.); W. H. Dawson, M.8., D.P.H., F.R.C.S. (Edin.). Matron : Georgina Hopper. Localities from which patients came: Dannevirke Borough, 96; Dannevirke County, 65; Weber County, 7; Patangata, 3; Akitio, 20; Woodville, 19; Hastings, 2; Christchurch, 3; Napier, 4; Marton, 1; Auckland, 4; Taranaki, 1; Wanganui, 1; Gisborne, 1. Visited on 6th May, 1913. There were 25 patients in :of these, 17 were male and 8 female. All whom it was possible to discharge had been sent out in preparation for the Oringi Camp, which was to last till the end of the month, and which had kept the Hospital very busy the last time it was held. Everything was in excellent order, but Miss Hopper is anxious to have more accommodation for the nurses. A new X-ray plant has recently been installed, but has scarcely been used yet. Dannevirke Hospital exhibits an increase per occupied bed of ,£l2-5, which is contributed to by all sections of expenditure. Previously this Hospital compared exceptionally well with othei hoapitals of its size in regard to cost, and is even now below the average.

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Taranaki Hospital and Charitable Aid Board. Chairman : F. C. J. Bellringer. Date of meeting : Third Wednesday in month. Secretary : C. M. Lepper. Public Health Inspector : A. H. Kendall. District Nurse : Nurse Kelly. Institutions under the Board's control: New Plymouth Hospital; Old People's Home. New Plymouth Hospital. Medical staff, stipendiary E. A. Walker, M.D.; D. S. Wylie, M.8., Bach. Surg., F.R.C.S. (Eng.); G. Home M.D., D.P.H.; H. B. Leatham, M.R.C.S. (Eng.), L.R.C.P. (Lond.). Matron : Elizabeth Browne. Localities from which patients came: Taranaki County, 142; Egmont County, 57; Clifton County, 52; New Plymouth Borough, 160; Waitara Borough, 24; Awakino County, 16; miscellaneous, 9; Inglewood Borough, 39. Visited on 11th October, 1912. There were 46 patients in : of these, 15 were women and 9 children, A great many of the patients were out on the verandas. The wards were in good order, but are badly in need of repainting, and the Board intends to have this done. There were two patients in the consumptive annexe —one very advanced. It is usually found necessary to have two nurses here, but at present one is in charge and is relieved for a time each day. There were no patients in the isolation wards, but recently both cottages had been in use. The old laundry has been rendered more inconvenient than before, owing to the levelling of the site for the new hospital. The Matron is experiencing great difficulty in getting the laundrywork done. It is advisable to have the new laundry proceeded with as soon as possible. Old People's Home, New Plymouth. Medical staff, stipendiary : G. Home, M.D. Matron : Annie Bayly. Localities from which patients came : Hawera, Stratford, New Plymouth Visited on 11th October, 1913, accompanied by the Secretary. Everything was, as usual, in excellent order. There was only one inmate in bed, a case of paralysis admitted from the Hawera district. The farm is doing well, and the Secretary hopes to extend its output considerably. The Hospital is supplied with milk and eggs from here, and sufficient vegetables are grown for both institutions. There were 27 male inmates and 9 women; all seemed content and well cared for. Stratford Hospital and Charitable Aid Board. Chairman : John Smith. Usual date of meeting : First Tuesday in month. Secretary : I. Harry Perm. Public Health Inspector : A. Gray. Institution under the Board's control: Stratford Hospital. Stratford Hospital. Medical staff, stipendiary : David Steven, M.B. Matron : Meta O'Brien. Localities from which patients came : Stratford County, 62; Whangamomona County, 56; Stratford Borough, 68; elsewhere, 5. Visited on 10th October, 1912. There were 7 cases in—only 1 woman, in the side ward. The Hospital was in very good order. The new isolation wards were finished except for the installation of electric light. Practically no alteration in cost per bed. Hawera Hospital and Charitable Aid Board. Chairman : R. H. Nolan. Usual date of meeting : Third Monday in month. Secretary: C. E. Parrington. Public Health Inspector : A. Gray, Eltham. Native Health Nurse : Nurse Beetham. Institution under the Board's control : Hawera Hospital. Hawera Hospital. Medical staff, stipendiary: W. M. Thomson, M.A., M.8., B.Ch. Matron : — Clapcott. Localities from which patients came : Eltham, 36; Kaponga, 28; Okaiawa, 19; Manaia, 22; Okoia, 12; Normanby, 15; Hawera, 96; outside, 12, Visited on 10th October, 1912,

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There were only 16 patients in—lo male and 6 female, 1 being a child in the fever ward. It had been found that the drainage at the Nurses' Home was not satisfactory, one drain soaking away under the building. This was to be rectified. The Hospital was in good order. New basins had been added to the operating-theatre. The increase by £69 in cost per bed in this Hospital is made up chiefly of increases in "domestic and establishment," £47, and in "salaries and wages," £14. In regard to " domestic and establishment," it must be pointed out that the Board has evidently carried out during the last year extensive renovations, the amount expended on " repairs to buildings " being £475 (or £34 per bed), against a total of £45 in 1911-12. The amount expended on " lighting " seems to require some explanation. The increase per bed in " salaries and wages " evidently follows from a reduction in the average number of patients per diem. Patea Hospital and Charitable Aid Board. Chairman: Herbert 0. Clarke. Usual date of meeting : Second Tuesday in. each month. Secretary : KG. Homer. Public Health Inspector : F. Wilson. Institution under the Board's control : Patea Hospital. Patea Hospital. Medical staff, honorary : A. G. Harvey, M.8., M.R.C.S. (Eng.). Medical staff, stipendiary: W. T. Simmons, M.B. Matron : L. Scolan. Localities from which patients came: Waitotara to Hawera —County, 70; borough, 56; town district, 10. Visited on 9th and 10th October, 1912. There were 7 patients in—4 women and 3 men. The Hospital, as usual, was in good order. At present there is no registered nurse beside the Matron, but as the number of patients is rarely very large she can manage with a senior probationer and three juniors. It is a pity some interest is not taken in making a garden round the Hospital. Maintenance expenditure per occupied bed for last year was £123, against £1612 the previous year. This substantial reduction is noticeable in all departments, but particularly in "domestic and establishment " and " salaries and wages." Wanganui Hospital and Charitable Aid Board. Chairman : William Ritchie. Usual date of meeting : Third Wednesday in month. Secretary • A. C. Ritchie. Public Health Inspector : Thomas Pargeter. Institutions under the Board's control: Wanganui Hospital; Taihape Hospital; Jubilee Home, Aramoho. Wanganui Hospital. Medical staff, honorary, Consulting Physician, C. B. Innes, M.B. ; E. E. Porritt, M.D.; J. W T . Anderson, M.D.CM.; A. H. Wall, M.R.C.S., M.8.; A. J. Crawford, M.D., F.R.C.S.; M. M. Earle, M.R.C.S., L.R.C.P. Medical staff, stipendiary : H. R. Hatherley, M.R.C.S. (Eng.). Matron : Cecilia McKenny. Localities from which patients came: Wanganui Borough, 495; Taihape Borough, 19; Marton Borough, 55; Wanganui County, 67; Waitotara County, 51; Rangitikei County, 58; Waimarino County, 25; Bull's Town District, 13; Gonville, 31; Hunterville, 6; Castlecli'ff, 30; Mangaweka, 10; Ohakune, 5; Palmerston North, 4; Patea, 4; Napier, 5. Visited on Bth October, 1912. There were 55 patients in; of these 17 were women and children. The new ward was finished, but not yet furnished. The sanitary annexes are very good. The new theatre is also finished, but not yet in use, as the floor will have to be done again. It has cracked very badly. The doctor's house is finished. Dr. Hatherley is now occupying the resident's rooms at the Hospital. A very substantial reduction throughout may be noticed in the cost per bed of this Hospital. Taihape Hospital. Medical staff, honorary: E. C. Barnett, M.R.C.S., L.R.C.P.; T. B. Whitten, M.D., L.R C S ; R. B. Turnbull, M.8., C.8., D.P.H.; H. E. Owen, L.R.C.P.; R. J. Boyd, M.D., CM. Medical staff, stipendiary : H. Hutson, M.D., CM., F.R.C.S. Matron : E. Southall. Localities from which patients came : Vicinity Taihape. Visited on 9th April, 1913. There were 7 cases in,

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The resident doctor recently appointed has at present no accommodation, and lives at the hotel. It is proposed to build two rooms for his use. It is difficult to understand what work there will be here for a resident. The theatre-floor has recently been covered with decolite. The grounds are very badly kept. Jubilee Home, Aramoho. Medical staff, stipendiary : H. R. Hatherley, M.R.C.S. Master : Samuel J. Allen. Matron : Mrs. Allen. Localities from which patients came: Wanganui Borough, 27; Rangitikei County, 4; Waitotara County, 1; Wanganui County, 1; Patea County, 6; Hunterville Town District, 1; Taihape Borough, 4; Bull's Town District, 1; Marton Borough, 2. Visited on 9th October, 1912. There were 26 cases in—only 5 women. There is no suitable room at this Home in which to nurse chronic cases. The institution is well kept by Mr. and Mrs. Allen. There is a fine, well-stocked vegetable-garden. Palmerston Nobth Hospital and Charitable Aid Board. Chairman : James Glenny Wilson. Usual date of meeting : Second Thursday in each month. Secretary : William Stubbs. Public Health Inspector : Morgan O'Brien. Charitable Aid Inspector : Frederick Aisher. District Nurse : Maud Eliza Lloyd. Institution under the Board's control: Palmerston North Hospital Palmerston North Hospital. Medical staff, stipendiary: A. A. Martin, M.D., F.R.C.S.; P. J. Putnam, M.D., Ch.B.; C. W. Peach, M.D. (Anesthetist). Matron : Mary McLagan. Localities from which patients came: Palmerston North, 356; Feilding, 62; Foxton, 36; Manawatu County, 74; Kiranga County, 71; Oroua County, 63; Kiwitea County, 45; Pohangina County, 27; other districts, 37. Visited on 10th April, 1913. Extensive alterations are contemplated at this institution during the year. The Victoria Ward is to be completed and furnished. A new Nurses' Home, for 40 beds, is to be erected, and the present building converted into a house for a resident Medical Officer. To enable these alterations to be carried out the infectious-diseases hospital and the diphtheria ward will have to be moved further south-west, and the new home for the nurses erected on the vacant site. Owing to the increased demands on this Hospital the erection of a new ward for male patients is an immediate necessity. As usual, the institution was in excellent order. The new annexe for female consumptives is nearly finished. There were only 2 patients in the male annexe. Wairarapa Hospital and Charitable Aid Board. Chairman : Edgar George Eton. Usual date of meeting : Second Wednesday in alternate month. Secretary : H. Fitzherbert Green. Public Health Inspectors : James Cairns, Charles W. Miller. District Nurses : S. Carrie Jones and Nellie Nickless. Institutions under the Board's control: Masterton Hospital; South Wairarapa Hospital; Pahiatua Hospital; Buchanan Home; Renall-Solway Home. Masterton Hospital. Medical staff, honorary :P. R. Cook, M.8.; J. A. Cowie, M.8.; H. H. Prior, M.B. Medical staff, stipendiary: A. Hosking, M.B. (Edin.). Matron : Maude G. Hayward. Localities from which patients came: Masterton Borough, 154; Masterton County, 85; Carterton Borough, 3; Wairarapa South County, 21; Eketahuna Borough, 7; Mauriceville County, 14; Akitio County, 4; Castlepoint County, 4; Featherston County, 3; others, 15. Visited on 27th February, 1913, in the evening. There were 30 cases in—l 2 male and 12 female in the wards, and 6 scarlet fever cases in the fever hospital. Three nurses were off duty ill, and a private nurse had been sent for from Wellington. The Nurses' Home is now ready for occupation, and several new probationers are to be taken on. . In the cost per occupied bed, "provisions" shows an increase over last year of £66, " domestic and establishment "of £4, " salaries and wages "of £7 - 9, the total increase in maintenance being £163 per occupied bed.

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South Wairarapa Hospital, Grey town. Medical staff, honorary: A. Hosking, M.8.; D. G. Johnston, M.8.; A. Gunn, M.8.; H. E. Webb, M.8., Ch.B.; A. E. A. Palmer, M.8., Ch.B. Medical staff, stipendiary : William Bey, M.B. (Aberdeen). Matron : Mary Bagley. Visited on 27th February, 1913. There were 13 cases in the male wards, and 4 cases in the women's ward. In the Buchanan wards were 3 women and 3 men. Of the latter, one might with advantage be sent to the Solway Home. The place was in very good order, and since the new Matron has taken charge many improvements have been made in the theatre, store-rooms, and outside offices apart from the new building. The work of the Hospital has certainly increased, and the number of cases is more consistent than formerly, justifying a larger permanent staff than that recommended under the Wairarapa nursing-staff scheme. Pahiatua Hospital. Medical staff, honorary: J. P. S. Jamieson, M.8., Bach. Surg.; H. Paterson, M.8., Bach. Surg.; W. A. Dunn, M.R.C.S. (Eng.), L.R.C.P. (Lond.). Medical staff, stipendiary: H. T. Dawson, M.8., Mast. Surg. Matron : E. M. Davis. Visited on 28th February, 1913. There were 4 patients in the women's ward and 6in the men's ward. There were 5 patients in the fever ward. It is proposed to build a sitting-room for the Matron. This is desirable. Renall-Solway Home. Matron : Annie Johns. Visited on 27th February, 1913. There were 10 old men in the Home. It is proposed to use some of the rooms for women. Picton Hospital and Charitable Aid Board. Chairman : Seymour Fell. Usual date of meeting : Second Thursday in each month, Secretary : J. Blizzard. Public Health Inspector : James Johnston. District Nurse : Mary Hatelie. Institutions under the Board's control : Picton Hospital. Picton Hospital. Medical staff, stipendiary: W. E. Redman, M.R.C.S. (Eng.); G. Watson Hill, L.8.C.5., L.R.C.P. (Edin.). Matron : Hilda Burton. Localities from which patients came: Picton Hospital District, 141; shipping, 2; Wellington, 4; Christchurch, 1. Visited on 13th June, 1913. There were only 6 patients in the main hospital, and lin the consumptive shelter. During the last few months the Hospital had been very full, and the isolation ward also occupied. Everything was in very good order. New beds and lockers had been provided in the wards. The Matron has at present a very junior staff of probationers. The Board has been unable to obtain a staff nurse, and it has been necessary to engage private nurses for varying periods. The maternity hospital has been in occupation for two months. As far as possible the place has been fairly well adapted for the purpose, but the rooms for patients are barely large enough for two. It is furnished comfortably and simply, and with all the necessary appliances for midwifery work. Heavy increases in the cost per bed have taken place :— 1912-13. 1911-12. Increases. £ £ £ Provisions ... ... ... .... 308 233 7-5 Surgery and dispensary ... ... 229 12-5 104 Domestic and establishment ... ... 707 540 167 Salaries and wages ... ... ... 945 549 39-6 Total maintenance ... ... £219-0 £144-7 £74\'S " Salaries and wages " amounted to £737, against £565 in 1911-12, although the average number of occupied beds per diem has decreased from 10 - 3 to 7'B. Wages of domestic staff show greatest increase. Wairau Hospital and Charitable Aid Board. Chairman : J. J. Corry. • Usual date of meeting : Second Monday in each month. Secretary : A.J. Maclaine. Public Health Inspector : James Johnston. District Nurse at Seddon : C. A. Holgate: Institutions under the Board's control: Wairau Hospital, Blenheim; Cottage Hospital, Havelock.

99

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Wairau Hospital, Blenheim. Medical staff, stipendiary : James F. Bennett, M.B. Localities from which patients came : Wairau district, 223; Wellington, 2; West Coast, 1; Nelson, 1; Picton, 14. Matron : W. S. Fulton. Localities, broadly, from which patients came: Wairau district, 223; Wellington, 2; West Coastj 1; Nelson, 1; Picton, 14. Visited on 14th June, 1913. There were only 12 patients in, 3 of these being women. It had just been decided by the Board to build a new hospital, and plans were to be prepared for the next meeting. The isolation ward was unoccupied, though there were several cases of scarlet fever in and about Seddon, and two nurses of the Hospital staff had been sent to nurse them. At Havelock during the year there had been 6 typhoid cases in the emergency cottage, and nurses were sent from the Hospital to nurse them. The maintenance expenditure of this Hospital shows an increase of £45 per occupied bed, the increases in each section being " provisions " £5, " surgery and dispensary " £4, " domestic and establishment " £20, and " salaries and wages " £15, per bed. The average number of beds per diem was 148 in 1912-13, as against 17 the previous year. Havelock Hospital. Medical staff, stipendiary : R. B. Williams, M.R.C.S. (Eng.), L.R.C.P. (Lond.). Matron : Olive Peake. Localities from which patients came: Havelock district, 22; Picton, 9; Nelson, 2. Old Men's Home. The old men under the care of the Board are accommodated in a cottage at the rate of 17s. per week. There were 15 inmates, who seemed comfortable and contented, and were having a good dinner when visited. The cleanliness of the place, especially of the bed-linen, left much to be desired, and it will be an advantage when the Board can place this under better conditions. Nelson Hospital and Charitable Aid Board. Chairman : Henry Baigent. Usual date of meeting : First Wednesday in each month. Secretary : Sidney Blomfield. Relieving Officer : W. L. Heyward. Institutions under the Board's control : Nelson Hospital, Alexandra Home for Aged. Nelson Hospital. Medical staff, stipendiary: H. E. A. Washbourn, M.B. (resident). Matron : E. L. Gosling. Localities from which patients came: Nelson Borough, 150; Waimea, 136; Richmond, 6; Takaka, 31; Collingwood, 28; Motueka, 9; Murchison, 6; outside district, 31. Visited on 15th June, 1913. There were 34 patients in, 19 in male and 15 in female wards. There were also 5 old men in chronic ward and 9 patients in consumptive annexe. The children's ward and the sanitary annexe, which is to be used for both that and the women's ward, were nearly completed. The Hospital was in very good order. There is an increase of £4 in the cost per bed, due to the items " surgery and dispensary " and " domestic and establishment." Alexandra Home, Nelson. Master : Frank Liley. Matron : Mrs. Frank Liley. Localities from which patients came : Nelson Provincial District. Visited on 16th June, 1913. There were 38 inmates —5 women. The Home is very comfortable for these old people, and they are well taken care of. The place was in good order. Buller Hospital and Charitable Aid Board. Chairman : J. H. Greenwood. Usual date of meeting : Second Tuesday in every alternate month. Secretary : Robert F. Mullan. Institutions under the Board's control : Westport Hospital; Denniston Hospital; Old People's Home, Westport.

]£.—3l

100

Butter Hospital, Westport. Medical staff, honorary : E. D. Dunn, L.R.C.S., L.S.A. Medical staff, stipendiary: Guy Hallwright, M.R.C.S., L.R.C.P. Matron : E. Dunsford. Localities from which patients came : Westport Borough, Buller County, iiustralia. There were 24 patients in—7 women. An X-ray room has been built off the main corridor. A new drying-room is a great convenience. The corridors had been repainted last year, but the damp has again come through the paint and made them in as bad condition as ever. Otherwise the Hospital was in good order. The Nurses' Home is completed, and is to be opened as soon as the furniture is ready. There has been unnecessary expense in this building in a great deal of ornamental woodwork and stainedglass windows. f fhe sitting-room for nurses and other rooms are quite spoilt by the latticed windows being of muffled glass. Except in " salaries and wages," an increase is noted in the cost per bed —viz., " provisions," £I' 9; "domestic and establishment," £52. . . Old People's Home, Westport. Medical staff, stipendiary: G. Hallwright, M.R.C.S., L.R.C.P. Master : John Stewart. Matron : Mrs. J. Stewart. Localities from which inmates came : Westport Borough, Buller County. Visited on 20th June, 1913. There were 20 inmates—only 1 woman. It is a pity that the unused portions of this old institution are not removed, as it addi considerably to the work of the Matron to keep them clean. The old people were all well. Dcnniston Hospital. Medical staff, stipendiary: Thomas Gordon Short, M.8., Ch.B. Matron : L. E. Smith. Localities from which patients came : Buller County. Visited on 20th June, 1913. There were 5 patients in—accidents from the mines. There is a fairly large out-patient attendance. Some improvements have been made since the last visit, and the Matron now has a sittingroom for herself. A room has been added for the servants. The local committee mentioned that there was a movement on foot to subscribe for an X-ray plant, which they think is needed for accident cases. The building of a maternity ward has been deferred for the present. The Matron has been given three months' leave after her recovery from typhoid fever, and Miss Fanning, from Christchurch, was in charge. Grey Hospital and Charitable Aid Board. Chairman : Michael Hannan. Usual date of meeting : Second Wednesday in each month. Secretary : Michael Phillips. Public Health Inspector : Joseph Fletcher. Institution under the Board's control : Grey River Hospital, Greymouth. Grey River Hospital, Greymouth. Medical staff, honorary: J. W. Mcßrearty, F.R.C.S., L.R.C.P. (Edin.); James Mcßrearty L.F.P.S.; W. McKay, M.D., F.R.C.S. (Edin.). Medical staff, stipendiary: Charles G. Morice, M.8., F.R.C.S. (Edin.). Matron : Susan Kitto. Localities from which patients came: Greymouth Borough, 116; Brunner Borough, 11; Grey County, 227; other districts and shipping, 30. Visited on 29th November, 1912; also in May. There were only 11 hospital cases proper—6 males and 5 females. There were 10 old men in the chronic word, and 46 in the other part of the institution. The walls in the female ward are discoloured, and the theatre-floor is in a bad state of repair. Electric lighting has been substituted for gas, and is expected to prove more economical, as well as giving a better light. A new boiler has been put in, and improvements made in the heating of wards. Use is being made of a portion of the Hospital grounds for the keeping of cows. The Hospital was in excellent order. Inangahua Hospital and Charitable Aid Board. Chairman : E. J. Scantlebury. Usual date of meeting : Fourth Thursday in each month. Secretary : Charles Nevin. Public Health Inspector : Joseph Fletcher. Institution under the Board's control : Reefton Hospital.

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101

Reef ton Hospital. Medical staff, stipendiary: W. A. Conlon, M.8., Ch.B. Matron : J. Barry. Localities from which patients came : Inangahua, 103; Wellington, 1; Grey, 4. Visited on 28th November, 1912; also in April. There were 23 inmates, 3 of whom were surgical cases. The remainder were chronic cases, all old persons. The sanitary conveniences are badly arranged, and it would be difficult to improve matters without incurring comparatively large expenditure. The Board proposes to erect an annexe for infectious cases, and the plans have been submitted. An increase in the cost of maintenance per bed in this Hospital is contributed to by provisions," " domestic and establishment," and " salaries and wages." Westland Hospital and Charitable Aid Board. Chairman : 'Ihomas Kennedy. Usual date of meeting : Second Thursday in month. Secretary : John Peake, jun. Public Health Inspector : John Peake, jun Institutions under the Board's control : Westland Hospital, Kumara Hospital, Ross Hospital, Otira Cottage Hospital. Westland Hospital, Hokitika. Medical staff, stipendiary : E. Teichelmann, F.R.C.S. (Eng.). Matron : M. R. Little. Localities from which patients came: Westland County, 131; Hokitika, 73; Kumara, 2; Ross, 2; Greymouth, 1; Nelson, 1. Visited on 29th April, 1912. Male ward—l 2 beds, 12 patients (2 old men in side room); female ward —12 beds, 8 patients (1 old man in side room). There were 18 beds and 18 old men in the ward for old men. Visited again in November. There were 10 patients in the male ward and 1 patient in the side room; 7 patients in the female ward and about the same number of old men in the old-men's ward. In November the nursing staff consisted of the Matron and a trained nurse and five probationers. The senior probationer was away ill. Of the other four probationers, two had had one year's training, one six months', and one six weeks'. Under these conditions an undue amount of work and an unfair strain is thrown on the Matron and trained nurse. The necessity of bringing the Hospital up to date by the provision of an administration block and additional male ward has been previously reported on, but as long as the main Hospital is starved through the expenditure of money on other hospitals financial difficulties will bar the way. The sum of about £500 was collected by voluntary contributions for the erection of an infectious-disease annexe, and plans for this building have been forwarded for consideration. The average days' stay of patients at this Hospital was, for 1912-13, 66, and in 1911-12, 79. Totara Hospital, Ross. Medical staff, stipendiary : John Alexander, M.B. Ch.B. (Glas.). Matron : Ada C. Phillips. Localities from which patients came: Westland County, 19; Boroughs—Ross, 15; Hokitika, 3; Westport, 1; Greymouth, 1; Kumara, 1. Visited in April, 1912" There were 2 surgical cases in the male ward and a case of fractured femur in the female ward. There were also 8 old men in the old-men's ward. The sanitary convenience is not very suitable. Now that this Hospital has been rebuilt it is a pity more use cannot be made of it. If the old men were transferred elsewhere and other than urgent cases sent to Westland Hospital, this Hospital would probably serve a much more useful purpose if used for maternity cases. A trained midwife resident at the Hospital would also be useful in the district. Otira Cottage Hospital. Medical staff, stipendiary : William Cairns, M.8., M.S. Matron : Louise J. Ziegler. Localities from which patients came : Westland, 30; Canterbury, 16; Greymouth, 2. Visited on 25th April, 1912; also in December. There were 2 cases of accidents from the Otira Tunnel, and 1 case of bronchitis. A good many accident cases have been treated at this Hospital, which is practically selfsupporting through voluntary contributions. The salary of the Medical Officer of this small Hospital is £400, which makes the item " salaries and wages " quite disproportionate—viz., £2936 per occupied bed. The out-patients numbered 709, and the attendances thereon 1,358. Kumara Hospntal. Medical staff, stipendiary : George Phillips, M.R.C.'S. (Eng.), L.R.C.P. (Lond.). Matron : Helena K. Isdell. Localities from which patients came: Westland, 22; Grey County, 11; Selwyn County, 1Kumara Borough, 33; Greymouth Borough, I. Visited in April, 1912.'

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There were no hospital cases proper. There were 9 old men suffering from various chronic ailments. The buildings other than the Hospital are becoming more and more dilapidated. A general reduction in the cost per bed is noticeable in all branches of expenditure. Ihe average days' stay was, however, 105 days, against 63 days in 1911-12. Ashborton Hospital and Charitable Aid Board. Chairman: Henry Davis (1912-13); H. Friedlander (1913-14). Usual date of meeting : First Monday each month. Secretary : Arthur Clark. Public Health Inspector : M. Kershaw. Institution under the Board's control : Ashburton Hospital. Ashburton Hospital. Medical staff, stipendiary : Hugh Hunter, M.8., B.Ch., Surgeon Superintendent; George Lyon, M.8., CM. (Aberd.), Assistant Surgeon. Matron : S. E. Morley. Localities from which patients came: Ashburton, 55; Allenton, 27; Coldstream, 8; Longbeach district, 15; Rakaia, 9; Wakanui, 4; Hampstead, 13; Mayfield district, 6; Tinwald, 9; Mount Somers district, 12; Methven district, 21; Hinds district, 13; Dromore, 9; Timaru, 3; Masterton, 1; North Canterbury, 5; Southland, 1; Dunedin, 1; Wanganui, 1. Visited on 19th December, 1912. There were 14 patients in hospital—s women and 9 men —and 2 children in the fever ward. The building of the new ward and the alterations to the old building are almost completed. At present the staff is working under difficulties. The alterations will make a very great improvement. The Nurses' Home is finished, and will shortly be furnished. An increase of £11 in "salaries and wages" per bed mainly contributes to the increase of £15 in the cost of maintenance per occupied bed. South Canterbury Hospital and Charitable Aid Board. Chairman : F. A. Gillingham. Usual date of meeting : Third Tuesday in month. Secretary : H. S. Russell. Public Health Inspector : James Menzies. Institutions under the Board's control: Timaru Hospital, Waimate Hospital, Talbot Infec-tious-diseases Hospital, Old Men's Home. Timaru Hospital. Medical staff, honorary: G. H. Ussher, M.D., F.R.C.S. (Eng.); G. E. Gabites, M.8., F.R.C.S. (Edin.); F. F. A. Ulrich, M.8., F.R.C.S. (Eng.). Medical staff, stipendiary: A. B. Lindsay, M.B. (resident). Matron : Jean Todd. Localities from which patients came: Geraldine Borough, 19; Geraldine County, 32; Waimate Borough, 10; Waimate County, 48; Timaru Borough, 347; Teinuka Borough, 42; Levels County, 112; Mackenzie County, 37; casuals, 31. Visited on 21st January, 1913, and other occasions. There were 21 male patients, 5 females, and 1 child in the children's ward. There were also 1 male consumptive and 2 females in the shelters. Some of the beds in the male surgical ward were out of repair, and a new set of hospital beds have been provided. The interior of this ward requires redecorating, and the ventilators, which act as dust-traps, removed. The outside of the Hospital has been repaired where necessary and repainted, which greatly improves the appearance. Some of the rooms used by the nurses and domestic staff were in a dilapidated condition, and have been put in proper repair. A padded cell is in course of erection. The average cost of maintenance of this Hospital was for 1912-13 less by nearly £10 than in 1911-12. " Provisions " furnishes the main decrease. Waimate Hospital. Medical staff, stipendiary: H. C. Barclay, M.D., F.R.C.S. (Edin.). Matron : Mabel Mander. Localities from which patients came: Waimate County, 110; Waimate Borough, 68. Visited on 21st January, 1913. The Matron was away on holiday leave. Miss Geddis, senior probationer, was in charge. There were 12 patients —9 males and 3 females. The Hospital was being satisfactorily administered by Miss Geddis and four other probationers, Dr. Barclay exercising special supervision during the absence of the Matron. There had been an unusual number of cases of appendicitis. Six cases had just gone out of the Hospital; all had done well. Two of the male patients in were appendicitis cases. The new sanitary annexe for the male ward has been completed. Maintenance expenditure per bed was reduced by £4, but is still comparatively high.

103

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Timaru Old People's Home. Medical staff, stipendiary : A. B. Lindsay, M.8., B.S. Master : James Young. Matron : Grace Young. Localities from which patients came: South Canterbury district, 92; Ashburton district, 3. Visited in March, 1913. This old building will just last till the new building is available. It is expected that the inmates will be moved to the new building during next month. Talbot Infectious-diseases Hospital. Medical staff, stipendiary : A. B. Lindsay, M.B. Localities from which patients came: Timaru Borough, 34; Geraldine Borough, 1; Temuka Borough, 1; Levels County, 1. Waitaki Hospital and Charitable Aid Board. Usual date of meeting : First Tuesday in each month. Secretary : Walter Gibb. Public Health Inspector : R. J. McKenzie, Oamaru. Institution under the Board's control: Victoria Home, Oamaru (a home for old people, with a ward for chronic cases). North Otago (Victoria Home) Benevolent Institution. Medical staff, stipendiary: W. H. Hargreaves, M.R.C.S. (Eng.), L.R.C.P. (Lond.). Matron : M. Dormer. Localities from which patients came: Waitaki County, 31; Oamaru Borough, 23; Hampden Borough, 2; South Canterbury, 3. Visited on Bth February, 1913. There were 26 males and 7 females, including 2 sick males and 1 sick female. A lavatory for sick males has been built. Everything was in excellent order. Vincent Hospital and Charitable Aid Board. Chairman : John Smart. Secretary : J. S. Dickie (part time). Public Health Inspectors : Kenneth Cameron, R. Y. McKenzie. Institutions under the Board's control : Cromwell District Hospital, Dunstan District Hospital. Cromwell Hospital. Medical staff, honorary : J. G. Hyde, M.8., L.R.C.S. (Edin.). Medical staff, stipendiary: G. A. Morris, M.8., CM. Matron : Anne Elliott. Localities from which patients came : Hawea, 5; Bannockburn, 12; Farros, 6; Lowburn, 4; Maungawera, 1; Pisa, 4; Ranfurly, 1; Clyde, 1; Owensbury, 2; Allerton, 1; Makorua, 1; Luggate, 2; Wanaka, 4; Cromwell, 5; Dunedin, 1; Waitiri, 1; Ness, 3. Visited on 15th March, 1913. There were 2 male patients. The wards had been repainted, and water-closets substituted for the pan system. The new maternity building was opened in December, but has not yet been made use of. The internal finish is better than is usually the case in these outlying hospitals. An inquiry was held by the Committee into certain allegations made against the staff. The inquiry showed that there had been a certain amount of laxity in detail, but no serious neglect. The Hospital was in good order. Good use is made of the grounds in providing vegetables, dairy-produce, &c. Dunstan Hospital. Medical staff, honorary : G. A. Morris, M.8., CM. Medical staff, stipendiary : J. G. Hyde, M.B. Matron : M. R. Logan. Localities from which patients came: Clyde, 9; Alexandra, 8; Ida Valley, 7; Earnscleugh, 6; Ophir, 3; Matakanui, 1; Lander, 1; Waitahuna, 1; St. Bathan's, 1; Chart's Creek, 1; Bannockburn, 1; Cromwell, 1; Lowburn, 1. Visited on 14th March, 1913. There were no patients except an old Chinaman, who has been in for some years. The wards had recently been painted and the Hospital was in excellent order, and the grounds were somewhat better kept than usual. The Committee had obtained an estimate for the erection of an infectious-disease annexe, but the amount, £1,800, was more than they wished to spend. An increase in the cost per occupied bed is noticeable in all sections of the expenditure, the total cost per occupied bed being, for 1912-13, £1993, as against £1601 in 1911-12. Maniototo Hospital and Charitable Aid Board. Chairman : Charles Inder. Usual date of meeting : First Wednesday every month. Secretary : A. Wilson. Public Health Inspector : K. Cameron. Institution under this Board's control : Naseby Hospital.

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Naseby Hospital. Medical staff, stipendiary: C 0. Lillie, M.8., M.R.C.S. Matron : A. S. Rochfort. Localities from which patients came: County of Maniototo and Borough of Naseby, 107; Vincent County, 3; Dunedin, 2; Oamaru, 1. Visited on 13th March, 1913. Miss Eagle was Acting-Matron until Miss Rochfort, who had just been appointed, was able to take up her duties. There were 3 male patients—all old men —and 2 female patients. Some of the beds are old and out of repair. The heating arrangements are not satisfactory. The new infectious-disease annexe has been completed; the internal finishing of the woodwork and plaster is not very good. Seventeen maternity cases were treated in the maternity ward during the year. A substantial decrease of £40 in the cost per bed is noticed in the case of this Hospital. " Salaries and wages," which was previously exceptionally high, is the greatest item of decrease —viz., £36. Southland Hospital and Charitable Aid Board. Chairman : A. T. Hawke. Usual date of meeting : Thursday before second Friday in month. Secretary : Thomas Pryde. Public Health Inspector : R. Bleakley. District Nurses : Alice Scarell, Sarah Somerville. Institutions under the Board's control: Southland Hospital; Gore Hospital; Wakatipu Hospital; Arrow Hospital; Kew Hospital; Lome Farm Home. Southland Hospital. Medical staff, honorary: A. F. Ritchie Crawford, M.8.; W. Ewart, M.8., F.R.C.S.; R. H. Hogg, M.8., Ch.B.; J. G. Mac Donald, M.8.; 0 S. J. Hunter, M.D., CM.; J. B. Sale, M.8.; C. B. Snow, M.8.; J. Young, M.8.; W. Stewart, M.8.; J. Collins, M.8., Ch.B., M.A.; J. Garfield Crawford, M.8., Ch.B., F.R.C.S.; J. H. Pottinger, M.8., F.R.C.S.; Agnes A. Baird, M.8., Ch.B. Medical staff, stipendiary: W. J. Barclay, M.D., F.R.C.S. (Edin.), D.P.H. Matron : J. Ewart. Localities from which patients came: 'Southland County, 390; Invercargill Borough, 217; South Invercargill, 22; Bluff, 48; Winton, 24; Wallace County, 28; Stewart Island County, 7; shipping, 8; outside districts, 8; Arrowtown, 1. Visited on 10th December, 1912. There were 25 males, 10 females, and 5 children. There were also 5 consumptives in the consumptive annexe. Plans have been drawn by the Board's architect for the future extensions necessary to this Hospital. An entirely new system of drainage is to be installed, which is designed as far as possible to suit the present building and future extensions. The sanitary annexes will also be structurally altered and brought up to date. The present insanitary arrangements will therefore shortly be a thing of the past. The Hospital was in good order. A reduction of £74 in the cost per occupied bed is distributed over " provisions," " domestic and establishment," and " salaries and wages." Kew Infectious-diseases Hospital. Medical staff, stipendiary: W. J. Barclay, M.D., F.R.C.S., D.P.H. Matron : M. Cown. Localities from which patients came: Southland County, 5; Invercargill Borough, 17; Queenstown, 2; Wyndham, 1; Winton, 1; Bluff, 2. Visited on 10th December, 1912. No patients. Hospital in good order. Arrow District Hospital. Medical staff, stipendiary : J. Bell Thomson, M.8., CM. Matron : Ellen Spring. Localities from which patients came: Arrowtown, 26; Arrow Junction, 2; Lake County, 43; Invercargill, 1. Visited on 17th March, 1913. There were 1 male patient and 2 female patients. Buildings were in the same condition as previously reported. The isolation block is certainly not fit for the treatment of acute cases. A new system of petrol-gas lighting is in progress of installation. The cost per bed has decreased in all departments, the total decrease, £358, being made up from "provisions," £4'B; "surgery and dispensary," £.r2 ; " domestic and establishment," £62; "salaries and wages," £197. Wakatipu Hospital. Medical staff, stipendiary: Alexander Stewart, M.8., CM. Matron : Alice McKercher. Localities from which patients came: Lake County, 35; Queenstown, 19; Christchurch, 1. Visited on 17th March, 1913.

105

H.-31

There were 3 female patients, all suffering from forms of gastritis; 3 males, all old, 1 being in five years with hemiplegia. The interior of the Hospital has been repainted, &c, and the outside is now being done. it is proposed to erect verandas on the north side of the Hospital for the accommodation of male and female patients. A new system of lighting by petrol gas had recently been installed and was giving satisfaction. The Hospital was in good order. Gore Hospital. Medical staff, stipendiary: J. E. Rogers, M.D., CM. Matron : Madeline M. Smaill. Localities from which patients came: Southland County, 90; Gore, 50; Mataura, 11; Wyndham, 5; outside districts, 5. Visited on 13th February, 1913. A small new ward has been erected suitable for the isolation of septic cases, &c. The Hospital and grounds were in excellent order. Increases of £11 per occupied bed in " salaries and wages," and of £4 in " provisions," and decreases of £2 in " surgery and dispensary," and £45 in " domestic and establishment," make a net increase of £9 in the total cost of maintenance per bed. Lome Farm Charitable Institution. Medical staff, stipendiary : W. J. Barclay, M.D. Master : Charles H. Cole. Matron : Mrs. C. H. Cole. Localities from which patients came: Southland County, 60; Invercargill, 69; Wallace County, 5; Bluff, 4; Gore, 3; Lake County, 2; Christchurch, 1; Dunedin, 1. Visited on 10th December, 1912. There were 99 inmates —36 men, 6 of whom were in the chronic ward; 9 women, 2 of whom were in the chronic ward; 19 girls, and 35 boys. A new laundry has been built, and the elder boys are now accommodated in the old laundry, which enables them to be kept apart from the old men. The buildings were in good order. The Board intends to make new arrangements by which the farm and grounds will be made more productive. Wallace and Fiord Hospital and Charitable Aid Board. Chairman : John McNaughton. Usual date of meeting : Thursday preceding third Friday of each month. Secretary : G. 0. Cassels. Public Health Inspector : R. Bleakley. Charitable Aid Inspector : G. 0. Cassels. Institution under the Board's control : Wallace and Fiord Hospital. Wallace and Fiord, Hospital, Riverton. Medical staff, stipendiary: W. G. Trotter, M.D., CM. (Edin.). Matron : Charlotte M. Burd. Localities from which patients came: Riverton Borough, 30; Wallace County, 207; Southland County, 1; Otago, 2; Dunedin, 1; Wellington, 1. Visited on 15th February, 1913. The extension of the old male ward has been completed, and the new ward just constructed provides a good up-to-date Hospital ward containing 18 beds. There was I male patient in side room and 13 in the main ward, 12 of whom were surgical cases. There were 7 female patients. In the old cottage there were 4 old men and 1 Chinaman. Considerable use has been made of the fever hospital during the year. There have been 20 cases, including cases of scarlet fever, measles, and diphtheria. The Hospital fees, 3s. 6d. per day, are too low. The provision of separate accommodation for the nursing staff should be the next consideration of the Board when funds are available. " Provisions " and " domestic and establishment " show small increases in the cost per bed, and " surgery and dispensary " and " salaries and wages " decreases, there being an increase of £6 per bed in maintenance. SEPARATE HOMES AND CHARITABLE INSTITUTIONS INSPECTED DURING YEAR. Oamaru Hospital. Chairman of Trustees : W. C. McDouall. Usual date of meeting of Hospital Trustees : Third Tuesday in each month. Medical staff, honorary: A. Douglas, M.B. ; J. Whitton, M.D.; R. G. S. Orbell, xM.D. ; K. McAdam, M.8., Ch.B. Medical staff, stipendiary: W. H. Hargreaves, M.D., M.R.C.S. (Eng.), L.R.C.P. (Lond.). Matron : A. G. Keddie. Localities from which patients came: Waitaki County, 89; Oamaru Borough, 124; Hampden Borough, 1: Southland, 1; South Canterbury, 3; North Canterbury, 1; no district, 1; Waipawa, 1.

14_H, 31.

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106

Visited on Bth February, 1913. The Matron was away on holiday leave, Sister Macann being in charge. There were 8 male patients, 4 of whom were surgical cases, 2 female patients, and 1 child in for removal of tonsils. An annexe has been erected for the accommodation of two chronic consumptive cases. If found necessary another annexe will be erected so that cases of both sexes can be accommodated. The Hospital and grounds were in good order. Children's Homes. Remuera Home. Visited on 12th July, 1912. There were 40 children in—ls girls and 25 boys; 4of these were charitable-aid cases. Five children were under six. The place was overcrowded. Sister Cecil's Children's Home, Ponsonby. Visited on 12th July, 1912. This charity is now carried on in a fairly suitable place at Ponsonby, which was formerly the Costley Boys' Home. There were 80 children in—B of them, babies, under three, and under the Infant Life Act. A dormintory wing with two wards of 20 beds has been added to the building. The place was in good order. Children's Homes, Hawke's Bay. Visited on 26th July, 1912. Girls'. There were 33 girls in the Home. Mrs. McGregor is still in charge. Boys'. A new Home is about to be erected. Miss Pollock is still in charge. There were only 10 boys in. St. Andrews Orphanage, Nelson. Visited on 16th June. There were 18 children in; of this number 6 were girls. The new Home has been opened since the last visit, and is a very great improvement on the old cottage. The children were away at the public school . Motueka. In this Home there were 19 boys and 5 girls. It is under new management since the last visit, Mr. and Mrs. Pike having been appointed after Mr. Haycock's death. The children looked well and happy. Karitane Harris Hospital for Babies, Dunedin. Visited on 16th November, 1912. There were 13 babies in. There were three trained nurses going through the course of training, and six probationers. The place was in excellent order. Other Homes. Home for the Aged Needy, Wellington. Visited on 12th March, 1913. There were 22 men and 17 women in. Everything was, as usual, in excellent order, and the inmates spoke very highly of the comfort of the Home and kindness of the managers. Salvation Army Paulina Homes, Wellington. Children's Home. Visited on 4th March, 1913. There were 52 children in. The Home is excellently managed, and the children are happy and well. They are taught. by a State-school instructress in the Home. Reformatory Home for Women. There were 30 women in, varying in age from sixteen to seventy-three. The Home was in good order. It is largely maintained by laundry-work. St. Mary's Home, Karori. Visited on 19th February, 1913. There were 24 girls in the main Home, and 13 in the Children's Home. A new laundry had been built, which is a great improvement, Everything was quite satisfactory.

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B. STATISTICAL. Table I. —Showing Receipts of Hospital and Charitable Aid Boards for the Year ended 31st March, 1913.

107

Governing Bodies. Balance Contributed «*! Govern- * ear - 1 ment. Contributed by Local : Voluntary Authorities: ContribuOrdinary i tions. Levies. I ttecoveries from those assisted (other than those included in Column 2). Payments on Account of Patients, Ac, made Tj»,. pin <, Charitable houlces - Aid Bodies or Local i Authorities. Rents, Interests, and Dividends. Total. ■»- Hospital and Charitable Aid Boards. Bay of Islands Marsden-Kaipara Auckland Waikato Thames Waihi Coromandel Bay of Plenty .. Cook Waiapu Hawko's Bay Wairoa Waipawa Taranaki Stratford Hawera Patea Wanganui Palmerston North Wellington Wairarapa Wairau Picton Nelson Westland Buller fnangahua Grey North Canterbury Ashburton South Canterbury Waifcaki ' Otago Vincent Maniototo Southland Wallace and Fiord £ 2,635 20 140 717 289 HI 390 31 98 2,935 34 1,097 725 149 1,729 2,024 10,097 2,374 862 434 3,007 £ 3,116 4,588 18,064 7,529 4,006 2,281 I 792 151 18,544 970 4,854 581 2,964 3,303 1,395 2,042 329 4,234 2,596 19,041 4,041 1,719 1,176 3,339 4,102 2,098 1,430 2,925 22,540 3,745 4,665 648 20,655 1,454 1,071 6,478 1,413 £ 1,578 2,587 15,779 5,832 1,925 1,000 375 819 16,917 550 7,607 792 3,566 2,401 1,374 2,282 656 3,472 2,257 15,708 5,692 2,064 653 3,000 2,689 1,709 1,150 2,334 23,755 4,525 5,500 669 16,293 986 482 6,078 1,226 £ 701 214 232 155 239 246 339 58 451 201 810 427 566 243 184 38 238 186 583 889 1,508 97 455 313 1,254 1,211 171 276 2,676 5 168 110 1,559 549 103 860 99 £ 49 7 2,157 278 36 68 43 71 24 5 1,356 £ 632 1,777 9,845 2,128 1,614 796 275 49 1,567 296 2,732 298 1,138 2,657 610 583 263 1,778 1,822 6,957 1,328 966 321 1,501 1,720 1,329 487 1,256 7,920 601 1,442 646 6,758 £ 133 115 1,236 250 129 19 16 i 82 55 43 10 39 £ 80 158 16,263 7 6) 37 3 5 11 228 12 52 221 24 7 12 74 3,032 167 13 44 40 £ 8,923 9,350 62,480 16,646 7,882 4,765 1,865 1,535 37,558 2,126 20,472 2,395 9,382 8,978 4,316 5,119 1,498 12,755 9,372 59,558 15,174 5,798 3,114 11,498 9,823 7,510 3,279 6,933 69,246 10,580 11,968 2,665 63,423 3,348 2,365 19,054 4,376 3,752 9 33 20 258 59 72 903 51 187 11,196 1,529 485 16,031 354 393 2,147 957 335 57 19 4 1,008 453 47 10 761 142 369 120 128 94 358 5 14 . 238 67 235 39 300 2,918 576 3 99 Totals 63,917 184,866 166,281 18,414 i I 9,992 67,886 3,501 22,272 537,130 Separate Institutions. Hospitals — Mercury Bay Oamaru 174 1,689 474 1,076 455 1,211 ; 24 j 1,020 182 425 12 9 1,322 5,430 Totals 1,864 1,550 1,666 1,044 607 21 6,752 Charitable, Institutions — Jubilee Home for the Blind Wellington Society for the Relief of the Aged Needy Wellington Ladies' Christian Association Wellington Convalescent Home St. Andrew's Orphanage, Nelson Reefton Ladies' Benevolent Society Hawke's Bay Children's Home i 686 5,689 2,188 321 4,134 243 998 213 1,347 676 15 2 9,378 7,144 594 I 73 550 18 1,235 93 160 112 16 76 457 87 174 204 925 7 1,398 256 122 103 7 488 1,319 J 886 504 J 114 457 4 3,284 Totals 8,725 3,925 5,850 1,366 3,490 28 23,383 Government Institutions. Maternity Homes — St. Helens Hospital— Auckland Wellington .. Christchurch Dunedin Consumptive Sanatorium — Cambridge 405 4,307 746 1,330 966 918 732 730 255 306 143 180 1,625 5,531 1,622 2,240 3,127 j 2,038 225 5,390 Totals 9,914 ' j I ! _ 5,385 .1,109 16,408 Grand totals .. i 74,506 200,256 166,281 25,930 I 12,402 77,369 3,501 23,429 583,673

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Table Ia.—Showing (a) Details of Voluntary Contributions and (b) Details of Recoveries from Persons assisted.

108

Voluntary Contributions. Recoveries from Persons assisted. Governing Bodies. Subscriptions and Donations. Hospital Net Proceeds CoUeS- Entertainments, Bequests. Total. Hospital Patients. District Nursing Fees. Charitable-aid Recipients. Total. CHARITABLE AlD BOARDS. Bay of Islands .. Marsden -Kaipara Auckland Waikato Thames Waihi Coromandel Bay of Plenty Cook .. Waiapu Hawke's Bay Wairoa Waipawa Taranaki Stratford Hawera Patea Wanganui Palmerston North Wellington Wairarapa Wairau Pioton Nelson Westland Bullor Inangahua Grey North Canterbury Ashburton South Canterbury Waitaki Otago Vincent Maniototo Southland Wallace and Fiord £ s. d. 619 5 6 80 19 9 111 14 10 155 8 7 239 6 11 44 2 6 313 1 0 50 11 5 200 11 3 118 18 8 48 5 10 294 16 4 215 8 6 26 9 0 37 13 10 165 18 5 49 19 8 421 8 2 86 11 3 44 12 1 429 0 7 112 3 0 1,253 16 6 1,210 17 5 171 5 2 276 9 2 163 10 10 5 2 0 48 11 7 101 5 5 1.146 12 0 548 13 10 103 2 6 585 8 5 98 15 1 £ s. d. 78 0 0 300 13 9 511 10 10 261 11 3 154 17 8 5 4 0 424 10 7 £ s. d. 81 11 3 132 17 1 •• 123 19 3 26 6 0 173 6 1 378 10 7 9 6 0 27 19 0 2 15 0 2 15 0 402 10 0 43 1 11 121 6 6 52 14 7 12 13 3 49 17 5 £ s. d. 120 0 0 57 16 10 100 0 0 6 0 0 234 15 8 20 0 0 125 '0 0 £ s. d. 700 16 9 213 16 10 231 14 10 155 8 7 239 6 11 246 1 9 339 7 0 57 16 10 451 5 2 200 11 3 809 15 7 426 16 5 565 13 7 243 7 6 184 1 8 37 13 10 237 10 8 185 18 5 582 13 8 889 0 8 1,507 17 9 97 6 8 455 5 10 312 17 9 1,253 16 6 1,210 17 5 171 5 2 276 9 2 2,675 14 7 5 2 0 168 5 1 110 2 1 1,558 16 7 548 13 10 103 2 6 860 8 5 98 15 1 £ s. d. 631 15 6 I 1,344 11 3 5,734 2 7 1,863 5 3 1.218 16 4 796 7 6 275 4 0 49 3 6 1,332 5 2 j 248 14 3 ! 1,882 13 1 297 17 9 1,137 12 2 1,871 5 6 607 18 9 583 0 3 263 3 7 1,361 15 3 ! 1,790 7 1 5,027 2 1 ! 1,046 15 0 I 682 16 5 267 14 9 S 887 18 7 I 1,669 12 8 ! 779 17 1 432 6 11 1,238 5 0 ! 5.375 3 2 600 15 2 941 4 2 645 19 7 4,504 3 10 £ s. d. 21 9 6 47 4 0 • ■ 13 7 6 66 19 11 22 14 0 53 10 0 £ s. d. j 432 2 8 i 4,111 0 11 264 13 1 395 12 9 213 1 4 849 0 U 785 15 9 2 15 416 13 4 31 12 3 1,916 13 1 214 8 8 260 12 3 £ s. d. 631 15 6 1,776 13 11 9,845 3 6 2,127 18 4 1,614 9 1 796 7 6 275 4 0 49 3 6 1,566 16 0 295 18 3 2,731 14 0 297 17 9 1,137 12 2 2,657 1 3 610 0 2 583 0 3 263 3 7 1,778 8 7 1,821 19 4 6,957 2 8 1,328 3 7 966 2 8 321 4 9 1,501 4 2 1,719 16 2 1,328 12 2 486 15 11 1,255 19 0 7,920 9 7 600 15 2 1,442 2 6 645 19 7 6,757 16 9 •• 1,300 0 0 13 12 0 613 5 7 50 3 6 548 15 1 54 9 0 17 14 0 2,545 6 5 15017 4 . 2,512 3 9 18 8 6 101 5 0 8 16 8 6 4 7 500 18 4 406 0 0 2,253 12 11 275 0 0 300 0 11 2,119 0 6 i 453 16 8 798 17 0 121 15 4 300 0 11 2,917 17 6 575 12 0 Totals 9,579 17 0 2,431 0 1 1,659 17 5 4,742 19 10 18,413 14 4 50,262 11 3 ! ; 225 4 a 17,398 5 7 67,886 1 9

109

fl,—3k

Separate Institutions. i Hospitals — Mercury Bay. . Oamaru Totals 455 5 8 67!) 19 7 1,135 5 3 22 2 6 508 16 9 j j 22 2 6 ' 508 16 9 ■ 455 5 8 I 1,210 18 10 j 182 6 1 425 2 4 .. 182 6 1 425 2 4 607 8 & 1,666 4 6 607 8 5 Charitable Institutions — Jubilee Institute for the Blind Wellington Society for the Relief of the Aged Needy Wellington Ladies' Christian Association Wellington Convalescent Home.. St. Andrew's Orphanage, Nelson Reefton Ladies' Benevolent Society Hawke's Bay Children's Home 4,133 12 8* 242 17 4* 550 0 0*! 112 6 3* 203 12 6* 102 19 3* 504 7 3* .. 4,133 12 8 242 17 4 550 0 0 112 6 3 203 12 6 102 19 3 504 7 3 .. 1,356 19 5 675 11 3 75 18 8 924 19 10 J 1,356 19 5 675 11 3 75 18 8 924 19 10 _ 456 14 7 456 14 7 ■ .. Totals 5,849 15 3* ! I 5,849 15 3 I ! 3,490 3 9 [ 3,490 8 9 Government Institutions. Maternity Homes — St. Helens Hospital, Auckland .. „ Wellington „ Christchurch ,, Dunedin Consumptive Sanatorium — Cambridge .. 965 10 4 918 6 6 732 9 3 730 7 6 965 10 4 918 6 6 732 9 3 730 7 6 . .. 2,038 7 1 5,385 0 8 56.255 1 4 ! 2,038 7 1 .. Totals I ■f 5,385 0 8 .. Grand totals 16,564 17 6 2,431 0 1 ! 1,681 19 11 ! 5,251 16 7 25,929 14 1 225 4 11 20,888 9 4 77,368 19 7 i I * Includes all other v< iluntary contributions

H.—Bl.

110

Table II.—Showing the Expenditure of Hospital and Charitable Aid Boards for the Year ending 31st March, 1913

Governing Bodies. Hospital Maintenance. Indoor Belief. Charitable Aid. Outdoor Belief. Charitable Aid. Total. Subsidies I Public M v? , District Administrations. Capital. Amounts paid to Hospital and other Charitable Aid Boards. Rents, Bates, and Interest. Other Expenses Total, Hospital and Chakitable Aid Boakds. Bay of Islands .. Marsden-Kaipara Auckland Waikato Thames Waihi Coromandel Bay of Plenty Cook .. Waiapu Hawke's Bay Wairoa Waipawa Taranaki Stratford Hawera Patea Wanganui Palmerston North Wellington .. Wairarapa Wairau Picton Nelson • • ■ ■ , ■ • Westland Buller Inangahua Grey North Canterbury Ashburton South Canterbury Waitaki Otago Vincent Maniototo Southland Wallace and Fiord £ 1,919 4,231 24,055 8,909 2,929 3,667 1,217 4,920 1,194 9,689 1,452 4,881 4,723 1,758 3,120 1,279 6,851 4,375 30,247 5,500 3,240 1.709 4,408 6.281 3,635 2,280 5,066 27,679* 1,977 6,775 £ 960 11,732 1,008 376 75 137 754 2,920 1,737 1,250 129 382 1,456 147 7,925 616 717 113 1,111 482 648 65 265 10,694 400 1,327 913 8,242 £ 495 872 7,208 380 505 354 138 308 617 83 i 388 298 241 206 88 • 215 720 2,053 1,069 304 65 1,668 637 303 480 820 3,527 150 1,417 537 3,247 346 196 692 161 £ 495 ; 1,832 18,939 1,388 I 882 354 212 137 1,062 3,537 83 2,124 1,548 370 588 88 1,672 866 9,979 1,685 1,022 179 2,779 1,119 951 545 1,085 14,221 550 2,744 1,450 11,489 346 196 3,629 539 £ 263 413 656 294 40 431 293 236 227 92 127 227 136 177 282 209 446 558 116 38 £ 523 151 19 35 270 19 125 50 60 220 193 78 £ 59 165 £ 267 443 1,904 665 693 324 101 179 401 107 707 80 322 517 195 410 106 637 490 2,755 733 164 96 458 826 242 157 344 2,646 648 658 181 2,474 190 112 778 200 £ 3,957 1,573 12,778 2.854 264 171 268 27 22,700 3 6.207 179 1,016 255 1.497 3,512 632 7,186 5,595 £ 143 127 76 100 432 195 22 •■ 6 28 33 89 81 £ 47 461 413 15 15 142 3 58 29 258 110 52 92 37 39 668 £ 6 66 2,901 525 12 3 129 I 26 54 250 24 272 49 103 13 21 2,678 281 28 2 101 £ 7,573 8,882 61,771 15,313 4,767 4,568 1,816 1,501 29,792 1,866 20,698 1,887 8,548 7,953 4,147 4,436 1,668 13,003 6,763 54,019 14,711 4,763 2,921 7,747 8,742 8.403 3,128 7,034 56,680 7,364 13,272 2,202 47,317 3,191 1,922 15,156 4,262 140 1 821 41 306 1,349 42 2,048 139 224 10,769 3,947 2,634 109 5,969 908 244 1,014 1,283 43 10 83 20 149 7 24,624* 1,589 1,171 8,710 2,187 295 749 82 285 130 493 88 70 260 50 94 183 20 55 142 50 148 76 50 73 304 382 18 48 252 85 78 1,941 21 2,936 378 .. 205 78 57 179 2 Totals 228,337 59,896 30,791 j 90,687 7,803 2,463 1,662 22,210 100,822 2,443 3,320 10.041 469,787 ! 1 I ! ! I ! j ! !

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111

Separate Institutions. I ! Hospitals — Mercury Bay Oamaru 1,031 1,770 . 50 '• 33 120 150 2 37 1,115 2,076 .. Totals j ! 2,801 I j 169 183 i 39 3,191 Charitable Institutions — Jubilee Institute for the Blind Wellington Society for the Relief of the Aged Needy Wellington Ladies' Christian Association Wellington Convalescent Home St. Andrew's Orphanage, Nelson Reefton Ladies' Benevolent Society Hawke's Bay Children's Home ] 3,061 971 1 3,062 971 104 446 1,148 196 856 203 449 ■ 90 13 8 27 23 148 52 52 32 1,670 420 2,344 j I 1,282 '.'. 44 3 180 4,996 1,062 117 480 1,363 302 2,737 446 1,148 104 196 . . 856 Totals 6,482 301 6,784 I r 1,509 11,057 Government Institutions. Maternity Homes — St. Helens Hospital, Auckland .. ,, Wellington.. ,, Christchureh ,, Dunedin Consumptive Sanatorium — Cambridge j I 1,479 1.886 1,484 1,400 I 94 ... 75 3,570 82 16 75 765 53 '.'. 40 1,625 5.531 1,622 2,240 • 4,730 198 462 5,390 Totals 10,978 524 4,813 23,323 108,162 2,443 I I 93 3,320 I 11,682 16,408 500,444 Grand totals 242,116 66,378 31,092 97,470 j l_ j 7,803 2,463 1,662 I I * Also includes following ordinary expenditure: Christchureh Hospital (Pathological Department), £639 ; Christchurch Hospital (Dental Departmei it), £321; Tuberculosis Dis] iensary, £280.

H.—3]

112

Table IIa. —Showing Details of Capital Expenditure of Hospital and Charitable Aid Boards for the Year ended 31st March, 1913.

Board, and Details of Capital Expenditure. Amount. Total. Bay of Islands, — Hospital erection and equipment, Kawa,kawa Doctor's residence, Eawene Maternity ward, Hokianga Hospital .. ,, Mangomii Hospital . . £ s. d. 2,602 17 9 942 9 3 230 10 0 180 17 11 £ s, d. Marsden-Kaipara, — Additions, electric light, drainage, Cottage Home Drainage, hot-water service, North Wairoa Hospital Doctor's residence. X-ray installation, electric light, additions, Nurses' Home, drainage, domestic telephones, Whangarei Hospital Auckland, — Hospital buildings —-paid for out of income „ equipment —paid for out of income ,, „ miscellaneous—paid for out of income Alexandra Home Hospital Nurses' Home, kitchen and electric installation—paid for out of loan Costley Home buildings and plant—paid for out of income 3,956 14 11 91 10 34 0 1.447 10 (i 9 3 1,573 1 6 1,865 9 1,360 19 402 12 1 0 8,843 2 0 1 2 0 3 305 1 2 12,778 3 8 Waikato, — Hamilton Hospital—addition, Nurses' Home .. „ Bailey Ward (consumptives) „ equipment (£250), water-supply (£200) 1,108 1 11 1,295 14 9 450 0 0 Thames, — Thames Hospital —account, contract, new children's ward ,, destructor District Home —buildings and additions 2.853 16 8 175 0 0 51 10 0 37 2 10 263 12 10 Waihi,— New ward and extensions 171 8 6 Coromandel, — Part purchase of doctor's residence . . Land purchased Equipment .. .. .. .. .. • 250 0 15 8 2 19 0 7 3 268 7 10 Bay of Plenty, — Architect's fee, Opotiki Cottage Hospital 26 14 6 Cook, — Gisborne Hospital—land (£1,371 Is. 7d.), buildings (£20,739 14s.), equipment (£52 15s.), fencing (£153 15s. 6d.), survey fees (£35 11s.), law-costs (£76 0s. 8d.), reading (£31 10s.), grounds (£174 13s. 5d.), miscellaneous (£64 5s. 9d.) Waiapu, — Plans, &c. 22,699 6 11 22,699 6 11 Hawke's Bay, — Napier Hospital—land (£360), buildings (£5,027 6s. 10d.), equipment (£187 6s. lid.), other expenses (£444 18s. 9d.) Park Island Home —equipment (£76 14s. 2d.), motor-cycle (£75) . . Board office —equipment Wairoa Hospital—land purchase ,, nurses' cottage . . , ,, outside conveniences 6,019 12 6 3 4 0 151 14 2 36 I 0 100 0 0 75 0 0 4 0 0 6,386 7 8 Waipawa, — Waipukurau Hospital —hot-water service . . ,, buildings ,, alterations Dannevirke Hospital—land .. ,, buildings ,, equipment 60 0 0 15 0 0 37 14 11 210 17 2 468 11 2 223 11 9 1,015 15 0 Taranaki, — New Plymouth Hospital—-architect's and surveyor's commission .. ,, earthwork —new hospital site.. 4 18 250 0 o 254 18 6

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Table IIa.—Showing Details of Capital Expenditure of Hospital and Charitable Aid Boards for the Year Ended 31st March, 1913 — continued.

15— H. 31.

113

Board, and Details of Capital Expenditure. Amount. Total. Stratford, — Isolation building Furniture and equipment of isolation building Laying out grounds of isolation building £ s. 1,247 10 171 3 78 1 d. 0 5 3 £ s. d. Wanganui, — Wanganui Hospital—buildings, equipment, &c. Taihape Hospital-—buildings, equipment, &c. Public Health Inspector's motor-cycle 1,496 14 8 3,312 13 2 116 8 0 82 10 0 3,511 11 2 Palmerston North, —■ Old People's Home —man's cottage at Awapuni ,, water-supply at ,. Expenditure on grounds, &c, for Old People's Home at Awapuni .. Additions to consumptive annexe Furniture for new bedroom 74 0 0 30 3 0 39 7 2 471 0 0 17 8 3 631 18 5 Wellington, — Children's Hospital (£2,006 7s. 5d.), out-patients' building (£1,264 15s. 3d.), general additions (£1,405 13s. 4d.) Grounds (£6 8s. 9d.), equipment (£2,118 11s. 5d.) Cottage —Otaki 4,676 16 0 2,125 0 2 384 7 8 7,186 3 10 Wairarapa, —■ Masterton Hospital—buildings ,, equipment „ Nurses' Home and X-ray room Buchanan Home —building .. ,, equipment Board's offices —land ,, building and equipment 67 6 8 29 19 6 1,186 18 6 2,277 6 6 669 0 8 400 0 0 964 13 11 Wairau, — Nil. Picton, — On account purchase Maternity Home site On account furnishing home Balance on fever-ward contract 5,595 5 9 300 0 27 11 493 5 0 3 0 820 16 3 Nelson, — Nil. Westland, — Westland Hospital—reserve survey 41 13 4 Butter, — Nurses' Home building X-ray room and morgue 1,689 12 358 0 4 6 2,047 12 10 Inangahua, — Removal and renewing outbuildings, renovating and repairs, wards, &c. 138 14 6 Grey, —■ Erection of power-house North Canterbury, —■ Christchu ch Hospital —-new wards, steam pump, engine-house „ heating, fire-prevention, laundry-machines „ administration buildings „ isolation buildings 224 0 0 Sanatorium —-land, &c. ,, excavating terraces, shelters, &c. ,, septic-tank ,, Coronation Hospital ,, doctor's house Bottle Lake Hospital—surveying Kaikoura Hospital:—-building and equipment Tuarangi Home —electric motor Orphanage—furnishing 85 11 707 19 1,794 19 2,547 5 309 9 557 9 182 6 2,862 1 584 11 5 2 1,015 7 28 0 88 10 8 3 4 6 7 2 0 7 1 0 3 0 2 10,768 12 7

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114

Table IIa.—Showing Details of Capital Expenditure of Hospital and Charitable Aid Boards for the Year ended 31st March, 1913 — continued.

Board, and Details of Capital Expenditure. Amount. Total. Ashburton, — Buildings, hand ambulance and equipment £ s. d. £ s. d. 3,946 16 10 South Canterbury, — Waimate Hospital—-river-protection works Office safe and furniture Old Men's Home buildings Timaru Hospital—equipment 56 18 50 17 2,520 19 5 5 0 6 8 0 2,634 0 2 Waitaki, —■ Additions and improvements to Victoria Home 108 17 8 Otago, —■ Dunedin Hospital—Alterations to laundry and office ,, piano, electric bells, and furniture .. ,, Weighbridge, wood-paving, and fire-extinguisher ,, Nurses' Home cover-way „ building of cool stores and plant „ women's ward foundations .. „ new balconies „ sun-room lavatory Pleasant Valley Sanatorium —power-house, shelters, workshop, and two pianos Maternity Hospital—additions to buildings ,, furnishings Port Chalmers Hospital—ambulance litter and sterilizer Tapanui Hospital —building .. „ furniture, &c. .. .. ,, drainage, fencing, &c. ,, ambulance and architect's fees 139 18 158 19 274 14 63 13 268 6 1,328 7 832 16 30 0 680 0 6 2 8 0 0 1 0 0 7 5,968 17 9 591 12 39 3 47 15 924 8 208 0 150 0 231 3 1 6 3 0 7 0 4 Vincent, —■ Maternity ward at the Cromwell Hospital 908 1 0 Maniototo, —■ Infectious-diseases ward 243 11 6 Southland, — Southland Hospital—electric light (£344 11s. 3d.), telephone installation (£118 15s.), equipment (£56 6s. Id.) Gore Hospital—-isolationJward (£175), addition boiler-house and equipment (£48 3s.) Lome Farm—asphalting (£75 6s. 8d.), buildings (£68 10s. 9d.), septic-tank drainage (£27 3s. 8d.) Wallace and Fiord, — Extension Hospital, male ward Hospital operating-room Equipment 519 12 223 3 271 1 4 0 1 1,013 16 5 1,045 5 17 13 220 7 6 9 9

115

H.—3l

Table IIb.—Showing Details of Administration Expenditure of Hospital and Charitable Aid Boards (vide Table II).

Hospital and Charitable Aid Board. Board's Travellingexpeuses. Secretary's a.ud Assistantss Salaries. Office Printing aud Stationery. Postage, Telegrams, and Telephone. Office-rent. Advertising. Sundries. Total. Bay of Mands Marsden, Kaipara Auckland Waikato Thames Waihi Coromandel .. Bay of Plenty Cook Waiapu Hawke's Bay.. Wairoa Waipawa Taranaki Stratford Hawera Patea Wanganui Palmerston North Wellington Wairarapa Wairau Pioton Nelson Westland Bullet Inangahua Grey North Canterbury Ashburton South Canterbury Waitaki Otago Vincont Maniototo Southland Wallace and Fiord £ e. d. I 85 0 0 i 109 9 6 60 5 0 223 4 0 151 14 0 50 0 0 11 0 0 86 0 6 2 12 6 £ a. d. 97 18 4 216 0 0 1,176 11 5 300 0 0 406 10 0 186 0 0 60 0 0 40 0 0 200 0 0 50 0 0 416 18 0 54 3 3 202 0 0 303 8 4 100 0 0 175 0 0 75 0 0 364 0 0 350 0 0 2,107 1 3 447 4 2 125 0 0 51 0 0 283 0 0 272 15 6 139 14 0 75 0 0 175 0 0 1,853 13 7 164 11 8 300 0 0 121 0 0 1,577 9 0 102 10 0 45 0 0 379 13 4 125 0 0 £ s. d. 20 0 4 I 37 17 3 130 17 5 69 3 9 37 9 10 17 15 6 4 0 0 (*)33 12 9 70 5 3 5 14 5 55 0 4 6 14 3 25 3 9 20 4 8 6 17 2 18 4 6 1 17 4 43 3 2 24 5 8 143 10 8 51 15 5 6 12 9 2 11 0 18 17 6 57 1 4 25 0 1 14 9 6 (t)26 2 9 155 8 2 9 18 11 15 10 0 7 13 0 186 13 5 8 11 0 0 10 6 80 1 5 7 14 0 £ s. d. 21 5 0 30 1 6 210 3 8 39 4 4 31 10 8 ! 16 10 6 6 7 1 £ s. d. 13 0 0 49 15 0 £ s. d, 19 10 6 6 10 6 61 6 11 £ s. d. 22 19 0 29 15 6 215 10 2 33 6 8 60 17 2 22 17 2 19 5 4 19 16 1 18 1 4 37 5 4 38 2 8 15 0 £ s. d. 266 13 2 442 14 3 1,904 9 7 664 18 9 692 11 8 324 1 2 100 12 5 179 9 4 401 6 10 106 11 2 707 5 0 80 8 0 321 15 7 516 15 8 195 8 9 410 6 11 105 13 8 636 14 4 490 1 1 2,754 11 10 732 16 9 163 11 8 95 14 7 453 6 2 825 11 7 242 9 7 157 6 8 343 13 6 2,646 7 10 648 1 10 658 2 11 181 7 4 2,474 2 4 189 15 2 111 16 9 778 1 5 199 17 4 24 0 0 4 i6 0 6 18 0 ll" 5 6 49 14 3 81 6 6 35 5 0 50 10 0 45 5 2 58 7 10 86 10 9 40 4 8 24 13 2 13 11 5 55 10 3 6 6 9 30 9 10 34 0 10 5 8 9 21 15 5 6 9 4 26 18 5 31 7 9 181 2 1 76 13 1 17 13 5 15 18 3 3 0 0 75 17 4 28 8 9 4 10 0 65 0 0 64 7 0 44 0 0 14 0 0 25 0 0 5 0 0 65 0 0 20 14 7 60 1 3 11 18 9 14 7 9 9 7 6 6 9 9 11 1 6 35 3 4 6 2 0 24 7 10 27 8 1 108 15 6 17 7 0 57 4 3 19 17 10 86 7 1 72 17 5 11 17 0 21 13 4 47 2 2 99 5 1 0 10 0 15 16 2 45 17 3 425 14 0 384 11 8 96 0 8 4 17 4 290 11 6 26 6 1 16 8 11 156 15 8 150 6 0 24 1 0 20 i 0 2 8 6 4 12 0 106 6 6 281 2 9 33 11 3 6 2 0 96 13 6 114 4 11 34 6 0 59 17 0 4 10 4 231 11 3 9 6 0 24 2 0 77 7 1 48 18 0 95 14 11 j 20 17 4 164 0 3 9 7 8 163 13 8 12 13 7 3 11 7 48 3 11 15 0 4 25 0 0 22 15 0 26 0 0 39 9 7 15 5 6 41 9 0 1 12 3 8 16 3 4 io 0 7 19 0 24 3 6 25 18 6 22 3 9 36 0 0 ; 3 5 0 Totals ] 2,376 5 9 I 13,118 1 10 I 1 1,446 8 9 1,548 0 10 624 13 0 519 9 2 I 2,576 13 3 22,209 12 7 (*) Includes postages, &c, office rent, and advertisii g. (+) Includes postages, &c.

H.—3l

116

Table III.—Showing Hospital Statistics for Year ending 31st March, 1913.

Staff. 1 Number of Beds. 1 Is of Number of Patients under Treatment during Year. p is, •3 u I S 'I o II a 'art aas-g s> I Medical. Nursing. Domestic. 1 O Ho3pltali controlled by Boards. Stipendiary. g 1 lei o ■81 si an ■3 ■\ 8 I j o P. „ 8.-2 Sex. a 1 i 1 O z 1 a S 2 H c o 1 ® I H 3 1 Wellington Auckland Dunedin .. Christchurch Napier Waikato .. Wanganui Southland Cook Palmerston North .. Thames Timaru Nelson New Plymouth Waihi Whangarei Dannevirke Waipawa Westport Masterton 19 16 8 4 ' 6 13 • • 4 "] I 3 (6)4 (a)3 2 2 1 1 1 1 1 1 1 1 1 1 I 3 •• i 4 1 2 1 1 1 27 30 19 17 8 7 7 5 7 10 5 5 4 7 4 4 4 5 1 4 65 7!) 63 67 27 2:-? ■2(1 17 15 10 19 13 14 5 1 7 7 40 28 23 38 19 14 10 10 7 6 4 11 8 5 6 4 a 6 24 27 14 31 6 5 4 3 2 4 3 4 2 3 2 1 3 2 1 1 140 155 112 120 54 50 40' 34 32 28 22 40 27 28 20 12 18 14 14 18 118 163 102 89 54 65 42 37 50 27 40 43 34 28 34 14 24 30 20 24 112 92 92 94 34 30 23 18 20 28 18 34 20 19 19 6 14 20 . 20 75 20 .16 32 22 12 7 8 8 3 8 2 6 "2 3 2 1 2 43 44 24 ■{4 IS 12 4 8 19 6 6 20 22 6 6 "2 16 3481 319 234 215 124 120 84 67 86 77 64 91 76 75 59 28 41 52 31 62 295 271 221 168 98 86 72 57 55 53 52 52 45 43 35 26 23 23 20 19-7 3-2 2-5 2-7 2-0 2-8 2-9 2-7 2-6 2-5 2-7 3-2 2-2 2-6 2-0 2-7 3-3 2-5 3-8 2-5 1-8 2,3241 2,093: 1,349: 1,314: 659 821 549 484 496 463 427 444 260 285 277 242 149 201 173 179 1,737 1,327 1,089 1 ,075 381 428 329 269 248 358 288 234 137 214 199 135 73 133 85 131 4,061 P., 420 2,438 2,389 1,040 1,249 878] 753| 744| 821 1 715 678 397 499 476 377| 222 334! 258 310| 254 302 214 221 78 72 57 65 59 51 50 42 35 44 30 23 19 10 28 17 27 33 26 34 25 30 27 24 27 -<-l 31 27 25 37 28 23 £ 94-5 83-1 124-9 102-1 102-9 89-1 98-7 94-7 88-0 60-3! 97-6 101-5 115-8 112-9 111-1 113-3 107-4 153-3 147-4 £ 14-8 21-2 15-1 25-0 19-2 21-3 15-9 22-6 24-2 33-8 23-3 14-0 19-5 43-5 22-7 39-1 22-9 26-6 39-0 27-6 £ J 79-7 72-1 68-0 99-9 82-9 81-6 73-2 76-1 70-5! 54-2 37-0 83-6 82-0 72-3 90-2 72-0 90-4| 80-8! 114-3 119-81 £ a. d. 1 10 0 ] 11 6 1 15 0 2 2 0 18 0 1 15 0 1 1 0 1 15 0 1 8 0 £1/4/6 to £1/15 1 1 0 1 15 0 1 15 0 2 2 0 1 1 0 18 0 1 1 0 1 1 0 1 5 0 £1/1 to £3/3 14 6 £1/1 to £3/3 1 11 6 £1 to £2 2 2-0 18 0 2 2 0 1 15 0 2 2 0 1 10 0 15 0 15 0 15 0 1 11 6 1 1 0 1 15 0 £1/1 to £3/3 4,541 18,139 476 4,227 2,330111,879 554 1,422 197 852 971 1,871 830 2,283 275 2,625 305! 1,545 65i 286 Wallace and Fiord .. South Wairarapa .. f>1 1 1 3 3 6 5 4 5 1 3 14 15 20 14 10 44 18-4 15-0 2-0 1-9 150 127 92 39 242 166 15 12 28 33 125-3 117-2 24-7 16-8 100-6 100-4 27 60 . . Wairau Ashburton Hawera Northern Wairoa Stratford Gore Patea Otaki Waimate Naseby Wairoa Picton Taihape Rawene Pahiatua .. 1 1 1 1 ? ] 1 1 1 1 1 1 2 2 (<*)3 3 3 2 2 1 1 3 1 2 1 2 8 4 5 2 3 3 3 4 8 4 2 3 3 2 3 2 2 2 2 3 2 2 1 2 1 1 (<*)3 2 (d)l 1 1 1 1 1 16 10 14 8 8 9 8 7 9 6 8 7 8 6 7 22 18 19 10 9 9 13 9 13 10 12 10 6 6 9 7 12 7 5 8 7 6 12 10 6 9 4 8 5 2 4 2 1 2 2 1 2 2 10 10 6 6 6 42 39 39 18 22 19 27 17 39 24 18 31 11 15 19 14-8 14-5 13-9 12-1 12-0 10-7 10-4 10-1 9-3 9-2 9-1 7-8 7-6 7-1 6-9 1-5 2-4 1-7 2-4 2-4 2-1 2-1 3-0 1-9 2-3 2-3 2-0 1-9 2-3 3-4 167 147 149 109 127 112 94 87 107 58 145 81 84 40 104 74 67 91 46 64 49 42 58 71 1 55 62 76 : 21 36 42 241 214 240 155 191 161 136 145 178 113 207 157 105 76 146 19 17 14 8 9 20 6 9 7 16 10 6 4 4 6 2.1 29 23 24 28 20 30 l<) 18 20 3.3 17 201-2 144-8 252-1 139-6 161-1 132-2 133-0 135-6 169-7 137-2 165-5 230-6 130-1 140-0 156-0 40-5 41-4 39-8 25-5 50-1 42-0 25-3 17-9 15-1 32-6 32-7 34-4 28-6 49-2 36-3 160-7 103-4 212-3 114-1 111-0 90-2 107-7 117-7 154-6 104-6: 132-8 196-2 101-5 90-8 119-7 "8 30 16j 156 10 51 12 160 31 139 53 192 •• 12 4 5 1 4 3 1 3 2 2 2 2 1 1 1 10 1 1 1 3 •• 4

117

H.—3l

Arrow Coromandel Tuapeka Mangonui .. Dunstan .. Taumarunui Waiapu Wakatipu Cromwell .. Denniston Otira Havelock .. Kaikoura(e) Akaroa Kaitangata Tapanui Port Chalmers Lyttelton Casualty Ward Bay of Islands 1 2 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 2 "2 "2 1 - ■• 2 1 1 2 2 1 2 1 2 2 2 1 1 1 1 1 2 1 1 1 1 1 1 4 4 5 4 5 5 3 4 3 2 2 2 2 1 2 1 2 5 6 15 19 6 6 4 3 10 6 4 5 4 6 4 6 4 4 4 6 5 4 9 6 4 2 3 6 3 1 2 3 4 4 1 1 1 4 " S 2 7 3 • * ! 17 24 28 14 10 7 8 23 12 5 7 7 10 8 10 7 4 9 5-6 5-1 5-0 4-7 4-6 4-2 3-6 2-5 2-2 1-9 1-9 (e) 1-1 1-4 5-1 1-6 4-7 1-6 2-1 3-6 2-5 2-2 1-9 1-9 (e) 1-1 62 60 53 31 68 57 35 47 32 42 31 34 17 23 7 7 20 11 24 29 36 11 19 11 20 7 3 6 2 11 6 4 6 1 86 89 89 42 87 68 55 .34 35 43 33 45 23 27 13 8 20 J8 9 10 9 5 7 3 1 4 2 22 L9 21 40 20 23 24 17 22 14 22 15 18 4 233-5 151-9 148-3 214-7 151-6 309-6 224-8 276-7 315-4 454-0 199-0 181-0 438-4 49-1 20-3 53-8 7-6 48-9 47-0 60-0 43-7 23-9 40-9 184-4 131-6 94-5 214-7 144-0 260-7 177-8 276-7 315-4 390-0 155-3 157-1 397-5 1 15 0 1 1 0 1 15 0 1 10 0 1 15 0 18 0 1 15 0 1 10 0 1 5 0 1 10 0 1 11 6 2 2 0 2 2 0 1 15 0 1 15 0 1 15 0 2 2 0 1 15 0 1,229 8 25 6 703 2,369 12 31 8 l^358 •■ i - 1 .. I 4 4 2 1 1 1 1 4 "2 2 1 17 17 1 2 I I I 1 "l 1 ■• •- 3 3 "2 1 1 * 7 4 1 3 ■• •- ■• -• -. Hospitals which are also Old Men's Homes — Grey River Westland Kumara Beefton Ross ■■ •• 1 1 1 1 5 2 1 1 1 9 5 3 4 7 4 4 4 1 4 3 1 1 1 25 14 8 10 2 60 37 31 30 15 17 13 7 5 5 2 •• "l 2 79 50 39 38 20 61-0 38-0 27-0 22-0 8-7 4-4 5-4 6-7 4-4 8-7 290 136 69 88 37 94 74 26 20 3 384 210 95 108 40 55 23 11 10 5 58 66 105 73 89 87-0 81-7 64-2 108-0 105-1 20-3 20-1 19-8 19-6 29-5 66-7 61-6 44-4 88-4 75-6 1 10 0 1 10 0 1 10 0 1 10 0 1 10 0 127 194 30 59 600 672 128 278 "l 1 Totals and averages 122 32 52 248 563 352 190 1,259 1,528 957 259 373 3,117 2,109-2 2-6 h—16,386 10295 26,681 2,055 28 105-5 2*2-4 83-1 1 10 0 13,108 51,40' I i I Special Hospitals. Infectious-disease Hospitals — Christchurch Dunedin Timaru Invercargill ■• 1 (e) 1 2 2 2 1 1 1 1 6 3 4 3 •• 42 12 22 12 42 12 22 12 13-4 5-0 3-8 2-9 4-4 1-6 58 23 15 16 89 24 22 12 147 47 37 28 •• 1 33 38 37 38 85-7 120-4 123-3 164-6 29-3 19-6 18-7 22-7 56-4 100-8 104-6 141-9 2 2 0 2 2 0 1 15 0 1 15 0 •• ■• •■ 1 1 •• 2-9 .. I Totals and averages .. 3 3 4 5 -1 16 I . 88 88 25-1 3-6 112 I 147 I 259 1 35 107-9 25-1 I 82-8 Consumptive Sanatoria — Palmerston South Christchurch Otaki — —I I j I 1 t I •• 1 1 3 1 7 4 6 3 4 6 (d)S 2 2 (d)4 14 13 9 20 22 15 22 23 19 •• 4 42 49 34 40-0 36-0 26-0 5-7 5-1 5-0 55 47 49 50 42 35 105 89 84 4 2 139 149 114 92-5 133-5 99-7 28-9 14-2 18-3 63-6 119-3 81-4 3 3 0 2 2 0 1 10 0 1 "l Totals and averages 1 2 I 13 j 13 8 I 36 57 64 4 125 102-0 5-0 I 151 127 278 6 135 108-8 21-0 87-8 Maternity Home^— Dunedin Medical School .. 1 I g (<J)2 7 13 13 6-6 1-3 145 145 7 4 130-4 41-1 89-3 1 10 0 2 •• Grand totals —Board's institutions 124 34 57 260 583 372 201 I 1,318 1,585 I 1,034 259 465 3,343 2,240-9 I '' ,| 16,649 I j 10714J I 27,363 J2,069 — 13,108 51,401 I ! i — Separate Institutions. 13 4 50 9 17-2 4-3 ! 2-1 1-4 122 I 48 99 ! 291 221 77 109-8 251-2 85-1 209-3 1 0 0 1 10 0 45 739 23( 1,87! Oamaru Mercury Bay 4 "l I 2 2 6 1 2 13 6 25 5 8 6 16 28 2} 24-7 41-9 .. I .. I (a) Also two dispensers. (6) Also one dis] >enser. M Suj •lied from Dunedin General Hos] lital. One iart time. [«) Kaikoura Hos] lital 01 >ened 1st June, 1912. From the Timaru General Hos] iiti ,1.

H.—3l.

Table IV.—Showing Hospital Expenditure for the Year ended 31st March, 1913.

118

Hospitals controlled by Boards. 'o'O ■< o lit Provisions ] Cost per Total I OecuCost. pled I Bed. Surgery and Dispensary. Cost per Total OccuCost. pied Bed. Domestic and Establishment. Cost per Total OccuOost. pied Bed. Cost per| Total OccuCost. pied Bed. J Salaries and Wages. Total Maintenance. Cost per Total OccuCost. pied Bed. Administration. Cost per Total OccuCost. pied Bed. Maintenance and Administration. Cost per Total Occu(J os . pied Bed. 6 H o a CO . © © Total. Wellington Auckland Dunodin Napier Waikato Wanganui Southland Cook.. Palmerston North Thames Timaru Nelson New Plymouth Waihi Whangarei Dannevirke Waipawa Westport Masterton Wallace and Fiord South Wairarapa Wairau Ashburton Hawera Northern Wairoa Stratford . Gore Patea Otaki Waimate Naseby Wairoa Picton Taihape Rawene Pahiatua Arrow Coromandel Tuapeka Mangonui 295-0 271-0 221-0 168-0 98-0 86-0 72-0 57-0 55-0 53-0 52-0 52-0 45-0 43-0 35-0 26-0 23-0 23-0 20-0 19-7 18-4 15-0 14-8 14-5 13-9 12-1 12-0 10-7 10-4 10-1 9-3 9-2 9-1 7-8 7-6 7-1 6-9 6-7 5-6 5-1 5-0 140 155 112 120 54 50 40 34 32 28 22 40 27 28 20 12 18 14 14 18 14 15 16 10 14 8 8 9 8 7 9 6 8 7 8 6 7 4 6 4 5 27 27 33 26 34 25 30 28 27 24 27 28 41 31 27 25 37 25 28 23 28 33 22 21 29 23 24 28 20 19 30 16 18 2(3 35 17 34 22 19 21 £ 6,712 6,019 3,830 5,080 2,499 2,551 1,596 1,292 887 1,042 747 894 952 1,173 898 604 661 470 593 712 597 381 552 396 471 315 371 245 292 287 335 230 307 241 229 207 164 172 216 193 119 £ 22-7 22-2 17-3 30-2 25-5 29-6 22-2 22-7 16-1 19-6 14-4 17-2 21-2 27-5 25-6 23-2 28-7 20-4 29-6 36-2 32-5 25-4 37-3 27-3 33-8 26-0 30-9 22-9 28-1 28-4 36-0 24-9 33-7 30-8 30-1 29-2 23-7 25-6 38-6 38-0 23-8 £ 2,703 2,247 1,886 2,031 1,439 731 743 590 459 511 335 657 450 965 287 364 228 147 360 264 162 145 248 157 284 97 93 79 137 28 120 40 75 179 53 54 34 32 139 17 32 £ 9-2 8-3 8-5 12-1 14-7 8-5 10-3 10-3 8-3 9-6 6-4 12-6 10-0 22-4 8-2 14-0 9-9 6-4 18-0 13-4 8-8 9-7 16-7 10-8 20-4 8-0 7-7 7-4 13-2 2-8 12-9 4-4 8-3 22-9 7-0 7-6 5-0 4-8 24-8 3-3 6-5 £ 6,688 7,090 5,464 4,989 2,429 1,710 1,651 1,392 1,322 1.285 659 1,404 1,259 945 845 620 597 651 728 583 471 419 952 529 1.293 428 387 241 255 228 448 245 407 552 139 239 229 146 212 177 202 £ 22-7 26-2 24-7 29-7 24-8 19-9 22-9 24-4 24-0 24-2 12-7 27-0 27-9 21-9 24-1 23-8 25-9 28-3 36-4 29-6 25-6 27-9 64-3 36-5 93-0 35-3 32-3 22-5 24-5 22-5 48-2 26-7 44-7 70-7 18-2 33-7 33-1 21-8 37-8 34-7 40-4 £ 10,454 8,700 6,826 7,667 3,322 3,254 1,953 2,130 2,252 1,536 1,187 1,904 1,747 1,640 1,637 1,159 1,028 1,099 1,287 1,230 957 753 1,129 895 1,072 735 907 786 594 727 587 656 663 737 489 460 586 416 651 361 362 £ 35-4 32-1 30-9 45-6 33-9 37-8 27-1 37-4 40-9 29-0 22-8 36-6 38-8 38-1 46-8 44-6 44-7 47-7 64-4 62-4 52-0 50-2 76-3 61-7 77-1 60-6 75-6 73-4 57-1 72-0 63-1 71-3 72-9 94-5 64-3 64-8 84-9 62-1 116-2 70-8 72-4 £ 26,557 24,055 18,006 19,768 9,689 8,245 5,942 5,403 4,920 4,375 2,929 4,859 4,408 4,723 3,667 2,747 2,514 2,366 2,969 2,789 2,187 1,698 2,881 1,977 3,120 1,575 1,758 1,352 1,279 1,271 1,491 1,171 1,452 1,709 910 961 1,013 767 1,217 748 715 £ 90-0 88-8 81-5 117-6 98-8 95-8 82-5 94 -S 89-4 82-5 56-3 93-4 97-9 109-8 104-8 105-6 109-;! 102-9 148-4 141-6 118-9 113-2 194-6 136-3 224-4 130-0 146-5 126-3 123-0 125-7 160-2 127-2 159-6 219-0 119-6 135-3 146-7 114-4 217-3 146-7 143-0 £ 1,318 1,220 360 1,224 322 608 478 226 289 290 209 218 163 255 286 142 89 104 98 116 119 60 98 124 385 L15 175 63 104 100 88 92 54 91 79 33 64 64 91 26 27 £ 4-5 4-5 1-6 7-3 3-2 7-1 6-6 3-9 5-2 5-5 4-0 4-2 3-6 5-9 8-1 5-5 3-9 4-5 4-9 5-8 6-4 4-0 6-6 8-5 27-7 9-5 14-6 5-9 10-0 9-9 9-5 10-0 5-9 11-6 10-4 4-7 9-3 9-5 16-2 5-2 5-3 £ 27,875 25,275 18,365 20,991 10,011 8,854 6,420 5,629 5,209 4,664 3,138 5,078 4,571 4,979 3,953 2,889 2,603 2,714 3,067 2,904 2,308 1,758 2,979 2,102 3,505 1,689 1,933 1,415 1,383 1,371 1,579 1,262 1,500 1,799 989 994 1,077 830 1,308 775 741 £ 94-5 93-3 83-1 124-9 102-1 102-9 89-1 98-7 94-7 88-0 60-3 97-6 101-5 115-8 112-9 111-1 113-3 107-4 153-3 147-4 125-3 117-2 201-2 144-8 252-1 139-6 161-1 132-2 133-0 135-6 169-7 137-2 165-5 230-6 130-1 140-0 156-0 123-9 233-5 151-9 148-3 £ 8,302 12,472 3,097 5,136 6,020 3,354 3,313 520 22,678 488 227 5 251 171 1,448 903 113 1,690 97 1,259 669 £ 1,134 223 505 438 76 131 22 66 101 12 31 30 123 12 £ 37,310 37,970 21,967 26,127 16,030 12,646 9,732 6,225 28,018 5,175 3,364 5,083 4,637 5,331 4,136 4,336 3,538 2,614 4,880 3,002 3,576 2,427 2,979 6,067 3,505 1,723 3,567 1,638 1,574 1,416 1,652 1,506 1,685 2,622 1,106 1,224 1,077 843 1,594 785 922 3,947 18 34 1,497 223 138 192 46 16 57 244 179 821 116 231 "2 268 12 18 10 181

H.—3)

119

Dunstan Taumarunui Waiapu Wakatipu Cromwell Denniston Otira Havelock Kaikoura .. .. Akaroa Kaitangata Tapanui Port Chalmers Lyttelton Casualty Ward Bay of Islands Grey River Westland Kumara Reef ton Ross 4-7 4-6 4-2 3-6 2-5 2-2 1-9 1-9 4 5 4 3 2 2 2 2 1 2 1 2 5 25 14 8 10 2 40 20 23 24 17 22 14 22 15 18 4 198 176 141 162 105 175 111 73 45 39 49 14 20 42 21 1,112 875 602 734 234 42-1 38-2 33-5 44-9 42-2 79-5 58-2 38-3 25-1 35-8 47 18 44 44 19 25 24 34 40 28 22 46 5 13 6 182 308 85 141 132 10-1 3-8 10-6 12-2 7-4 11-2 12-6 18-1 21-9 25-6 233 131 304 124 136 51 114 79 ' 76 184 33 49 41 111 151 1,912 .777 333 537 103 49-6 28-5 72-4 34-4 54-5 23-1 59-8 41-6 42-5 167-7 458 340 705 416 393 415 558 173 146 192 108 28 i 84 j 148 66 1,860 962 662 868 401 97-4 73-7 167-8 115-6 157-1 188-9 293-6 91-3 81-1 174-4 937 i 664 1,194 746 653 666 806 359 J 307 444 211 137 150 314 244 5,066 2,922 1,682 2,280 871 199-3 144-3 284-3 207-1 261-2 302-7 424-3 189-2 I 170-5 403-5 73 34 107 64 39 28 56 19 19 27 8 18 5 19 243 185 52 97 44 15-5 7-3 25-4 17-7 15-6 12-7 29-6 9-8 10-6 25-0 1,010 i 697 1,300 810 692 694 863 378 326 471 219 155 155 333 253 5,309 3,106 1,734 2,377 914 214-7 151-6 309-6 224-8 276-7 315-4 454-0 199-0 181-0 438-4 908 358 '27 2 1,010 697 1,328 811 1,600 1,052 863 378 1,341 471 219 1,670 203 334 2,856 5,533 3,148 1,734 2,523 914 1,015 i'-i 1,514 48 2 4 .. I [ •■ I 1 61-0 38-0 27-0 22-0 8-7 58 66 105 73 89 18-2 23-0 22-3 33-4 27-0 2-9 8-1 3-1 6-4 15-1 31-3 20-4 12-3 24-4 11-9 •• 30-5 25-3 24-5 39-5 46-1 83-0 76-9 62-3 103-6 100-1 4-0 4-8 1-9 4-4 5-0 87-0 81-7 64-2 108-0 105-1 2,603 224 42 139 7 Totals and averages 2,109 1,259 28 23-8* 20,866 9-9* 55,990 26-3* 85,518 I 40-2* 212,831 100-3 11,211 5-3* 224,043 105-5 86,859 3,393 314,294 50,457 Special Hospitals. Infectious-disease Hospitals — Christehurch Dunedin Timaru Invercargill I I j ! I 13-4 5-0 3-8 2-9 6 3 4 3 33 38 37 38 270 155 137 112 20-2 31-1 36-1 38-6 27 30 2 8 2-0 6-1 0-4 2-7 429 165 125 i 140 32-0 33-0 33-0 48-4 356 246 161 183 26-6 49-2 42-2 62-9 1,082 597 425 443 80-7 119-3 111-7 152-7 67 6 44 34 5-0 1-2 11-6 11-9 1,149 603 469 477 85-7 120-4 123-3 164-6 5 6 1,154 609 469 499 22 25 16 26-8 66 2-6 860 945 2,546 101-8 152 6-1 2,698 107-9 Totals and averages 35 675 34-4 37-8 11 22 2,731 Consumptive Sanatoria — Palmerston South Christchuroh Otaki j 40 36 26 14 13 9 139 149 114 1,584 1,686 867 39-6 46-8 33-3 138 134 33 3-4 3-7 1-4 882 1,563 599 22-0 43-4 23-0 967 1,143 921 24-2 31-7 35-4 3,572 4,526 2,419 89-3 125-7 93-1 128 280 173 3-2 7-8 6-6 3,699 4,806 2,593 92-5 133-5 99-7 680 4,496 384 •• 25 4,379 9,302 3,002 Totals and averages 102 36 135 41,38 40-5 29-7 10,517 581 ~^1 11,098 5,560 25 16,683 304 3-0 3,044 29-8 3,031 103-1 108-8 Maternity Home — ■ Dunedin Medical School I I 6-6 7 17 197 29-8 28 4-3 320 48-4 309 46-8 853 129-3 7 i-i 860 130-4 625 27 1,51. Grand totals, Boards' institutions 21,265 60,213 89,802 226,747 11,951 238,699 93,055 3,467 335, 220 55,467 i i I i Separate Institutions — Oamaru Mercury Bay 17-2 4-3 13 6* 28 21 345 247 20-0 57-4 124 12 7-2 2-8 529 127 30-7 29 5 773 645 44-9 149-9 1,770 1,031 102-8 239-6 119 50 7-0 11-5 1,890 1,080 109-8 251-2 150 33 37 2 2,07i 1,111 Totals 136 655 1,418 j 2,801 169 2,970 -38 3,191 591 -- -- .. 183 .. .. I • • • • * In arrivim lual co si per occupied bed, Kaikoura, aitangata, Tapai iui, Port Chalmers, Lyttelton, Casualty Ward, and Bay of Islands Hospitals' figures have- been ignored. at averai ;e am

H.—3l

120

Table IVa.—Showing Details of Item "Provisions" in Table IV.

Hospitals controlled by Boards. Average Number of Occupied Beds per Diem. Meat. Fish, Poultry, <fcc. Butter. Milk. Eggs. Bread and Flour, &c. Vegetables and Fruit. Grocery. Total Provisions. Wellington Auckland Dunedin Christchurch Napier Waikato Wanganui Southland Gisborne Palmerston North Thames Timaru Nelson New Plymouth .. Waihi .. Whangarei Dannevirke Waipawa Westport Masterton Wallace and Kord South Wairarapa Wairau Ashburton Hawera Northern Wairoa Stratford Gore Patea Otaki .. Waimate Maniototo Wairoa Picton Taihape Rawene Pabiatua Arrowtown Coromandel Tuapeka Manganui Dun stan Taumarunui Waiapu Wakatipu Cromwell Denniston Otira Cottage Havelock Kaikoura 295 271 221 168 98 86 72 57 55 53 52 52 45 43 35 26 23 23 20 197 18-4 150 14-8 14-5 13-9 121 12-0 10-7 10-4 10-1 9-3 9-2 91 7-8 7-6 7-1 6-9 6-7 5-6 51 5-0 4-7 4-6 4-2 3-6 2-5 2-2 1-9 1-9 1-8 £ s. d. 1,081 13 3 1,029 0 10 931 12 11 1,312 7 5 359 8 4 704 16 1O( 2 ) 368 18 1 284 12 5 175 6 1 280 1 10 98 3 8 191 12 2 217 6 11 201 1 4 157 10 11 140 9 3 160 16 7 103 13 5 132 12 7 163 19 1 174 3 9 £ s. d. 386 8 9 639 1 4 206 15 11 338 14 10 215 11 7 71 4 0 108 12 0 72 5 5 38 0 1 69 4 9 55 2 5 57 13 3 16 19 5 46 16 3( 6 ) 58 11 8 25 10 10 38 15 6( 10 ) 20 0 9 5 2 6 17 1 9 29 4 6( 18 ) £ s. d. 1,410 15 0 738 17 4 460 17 0 604 3 8 325 14 3 293 0 0 242 19 1 169 5 11 162 17 4 130 1 4 87 5 8 125 0 0 147 1 0 139 5 0 98 11 7 61 5 0 84 12 1 68 5 3 67 18 6 73 17 10 55 2 10 (20a) 76 17 0 40 12 10 76 18 10 44 9 3 53 19 8 32 9 5 £ s. d. 1,356 6 6 1,146 3 11 562 19 7 824 8 6 535 17 4 408 0 0 231 10 0 183 9 0 97 12 11 236 16 1( 3 ) 164 14 0 217 0 2 195 11 1 290 19 2( 7 ) 207 10 10 121 11 2 73 0 0(") 40 7 10( 14 ) 101 9 10 114 3 4 85 17 8 £ s. d. 118 11 2 388 16 9 307 13 7 387 14 8 212 8 5 74 10 0 74 2 10 55 12 3 2 15 2 14 16 8 29 14 10 31 9 0 40 16 0 75 14 8( 8 ) 25 11 4 10 15 5 16 0 0( 12 ) 21 9 0( 16 ) 47 8 3( 17 ) 14 13 8 20 0 0( 19 ) £ s. d. 501 18 1 553 17 2 314 4 6 379 8 9 161 17 2 200 17 8 124 12 1 102 15 1 126 16 0 76 10 6 59 6 6 76 0 0 70 1 2 85 12 7 56 1 3 53 0 1 50 16 9 55 2 9 40 19 7 76 12 0 59 8 0 £ s. d. 674 10 4 524 1 11 333 11 7 476 2 6(i) 295 0 1 82 0 0 138 16 6 131 10 3 56 15 5 75 16 7( 4 ) 120 3 8 75 1 8 77 18 4( 6 ) 115 13 0( 9 ) 69 11 2 8 14 3 117 4 10( 13 ) 41 4 3( 16 ) 16 13 11 64 19 6 52 9 1( 20 ) £ s. d. 1.181 15 8 998 14 11 712 3 0 757 6 6 393 3 7 716 3 5 306 4 7 292 1 5 226 7 9 158 3 10 132 14 7 120 11 3 186 11 5 217 12 8 224 12 5 182 19 11 119 13 8 119 7 11 180 8 9 187 1 9 120 16 8 £ s. d. 6,711 18 9 6,018 14 5 3,829 18 1 5,080 6 10 2,499 0 9 2,550 11 11 1,595 15 2 1,291 11 8 886 10 9 1,041 11 7 747 5 4 894 7 6 952 5 4 1,172 14 8 898 1 2' 604 5 11 660 19 5 469 11 2 592 13 11 712 8 11 597 2 3 380 12 7 551 18 11 396 0 3 470 13 11 314 11 2 370 17 6 245 4 10 292 1 8 287 4 2 335 4 3 229 15 8 306 19 0 240 12 4 228 19 3 207 6 10 163 15 3 172 1 5 216 7 8 193 2 4 118 18 2 197 18 9 175 10 4 140 11 3 161 14 3 105 0 11 174 18 2 110 12 9 72 14 10 45 3 2 96 7 3 92 5 5 101 6 6 64 6 4 64 16 1 48 15 6 14 14 5( 21 ) 26 11 8( 24 ) 14 16 0 19 0 8 0 0( 27 ) 10 9 1( 30 ) 104 14 8 78 16 6 68 1 6 42 19 3 59 13 1 38 4 6( 31 ) .. ( 34 ) 49 3 5( 36 ) 54 10 0( 41 ) 39 17 7 45 3 7 54 13 0 32 14 10 14 12 3 7 18 1( 22 ) 16 10 0( 26 ) 25 0 0( 26a ) 2 4 8 7 9 3( 28 ) 2 10 0( 32 ) •• ( 36 ) 6 10 0( 37 ) 14 0 0( 42 ) 8 17 0 9 15 0( 4i ) 54 2 8 24 16 4 45 7 5 33 9 6 33 15 7 31 10 10 44 12 3( 23 ) 55 17 2( 2e ) 7 5 5 30 12 11 38 17 6( 29 ) 20 6 0( 33 ) 152 12 7 60 10 4 131 18 3 95 0 3 104 6 4 60 19 6 48 2 10 64 1 6 42 15 2 74 17 5 50 5 1 50 16 1 48 2 5 40 9 5 50 7 2 42 5 9 88 8 4 28 3 9 40 9 5 26 15 7 16 14 5 44 10 0 15 1 1 22 9 6 19 9 10 13 4 7 8 18 3 10 0 10 18 6 4( 39 ) 13 5 10 0 0( 44 ) 6 2 6 10 0 6 2 7 0 7 14 7 1 11 5 5 16 9(* 8 ) 1 2 10 1 4 0 39 5 6 26 0 2( 40 ) 36 11 5 25 14 2 28 13 11 33 0 1 20 14 0 0 9 6 17 2 11 31 18 8 24 2 0 23 2 2 22 0 5 22 3 2 19 15 3 16 1 0 14 16 9 15 16 0 14 17 6 7 9 0 14 18 0 10 14 4 14 17 6 13 17 9 8 19 0 6 15 8 9 7 7 4 5 10 6 11 8 48 2 6( 38 ) 45 18 8(«) 17 8 6 54 0 5( 46 ) 22 14 3 10 19 5 8 2 4 7 0 0 3 0 0(«°) 7 19 0 6 13 8 20 11 1(«) 8 0 0 13 13 11 4 10 0 1 14 9 23 2 6 13 2 1 1 13 9 3 12 9 68 16 2 80 8 11 59 0 7 64 6 3 78 17 5 57 0 10 90 16 6 91 7 11(* 7 ) 42 8 1 71 15 2 29 7 0 58 4 5 54 19 2 70 13 7 70 19 4 36 18 10 18 15 3 71 19 9 34 4 5 34 4 11 11 3 4 20 7 9 30 5 6 17 17 4 13 12 0 20 10 0 17 0 0 7 9 7 17 16 8 28 2 3 36 6 9 22 17 10 3 11 4 39 13 11 31 6 10 15 15 6( 62 ) 39 7 3 60 0 0( 64 ) 26 1 11 13 17 9 8 9 3 7 13 4 7 8 0 11 1 9(* 9 ) 10 12 6 6 17 2 4 0 0 1 1 0( 53 ) 1 12 6 7 0 0 3 1 3 10 10 0 1 10 6 8 11 1 14 6 7 8 4 3 6 8 10 4 7 3 6 4 6 2 12 3 0 9 6 0 5 6 For references see next >age.

121

H.—3l

Table IVa.—Showing Details of Item "Provisions" in Table IV— continued.

16—H, 31.

£ s. d. £ s. d. £ s. d. (1) Includes 90 12 7 Worth produced on premises. (24) Includes 8 10 0 worth produced on premises. (47) Includes expenditure on butter and eggs. (2) „ expenditure on poultry. (25) „ Iβ 10 0 ~ ~ (48) „ 3 0 0 worth produced on premises. (3) „ 118 15 6 worth produced on premises. (26) „ 47 5 6 „ „ (49) ~400 „ „ (4) „ 10 7 3 ~ ~ (26a) ~ 25 0 0 „ ~ (50) ~300 ~ ~ (5) „ 20 0 0 ~ „ (27)* ~200 „ (51) „ 10 0 0 „ (6) ~500 „ „ (28) ~500 „ „ (52) „ 15 15 6 (7) „ 290 10,, „ (29) ~ 15 0 0 „ „ (53) ~110 (8) ~ 10 9 3 ~ ~ (30) ~ 1 10 0 ~ „ (54) ~ expenditure on butter and eggs. (9) „ 60 0 0 „ „ (31) „ 20 0 0 „ ~ (55) „ expenditure on fish, poultry, butter and eggs. (10) ~500 ~ ~ (32) ~ 2 10 0 ~ ~ (56) „ 600 worth produced on premises. (11) „ 73 0 0 „ „ (33) ~700 „ „ (57) „ 20 0 0 „ „ (12) „ Iβ 0 0 „ „ (34) „ 11 0 0 „ ~ (58) „ 7 0 0 „ (13) „ 78 0 0 ~ „ (35) ~100 „ „ (59) „ 10 0 0 (14) „ 27 13 1 „ „ (36) „ 48 13 4 „ (60) ~260 (15) „ 15 3 0 „ „ (37) „ 6 10 0 „ .. (61) „ 1 15 0 (Iβ) „ 17 15 0 „ „ (38) „ 42 0 0 „ ' (62) „ 16 10 0 (17) „ 46 12 0 „ „ (39) ~ 15 0 0 „ „ (63) „ 145 14 1 (18) ~500 „ „ (40) „ 7 10 0 „ ~ (64) „ 219 00,, (19) „ 20 0 0 „ „ (41) ~ 54 10 0 „ „ (65) „ 39 0 0 (20) „ 40 0 0 „ „ (42) „ 14 0 0 „ ~ (66) „ 111 0 0,, (20A) Details not available. (43) ~ 45 0 0 „ „ (67) ~500 „ „ (21) „ 3 16 0 „ „ (44) „ 10 0 0 „ „ (68) „ 40 0 0 (22) ~500 „ „ (45) „ 9 15 0 „ „ (69) ~800 (23) ~800 „ „ (46) „ 14 0 5 „ „ (70) „ 10 0 0

Hospitals controlled by Boards. Average Number of Occupied Beds per Diem. Meat. Fish, Poultry, &c. Butter. Milk. Eggs. Bread and Flour, &c. Vegetables and Fruit. Grocery. Total Provisions. Akaroa Kaitangata Tapanui Port Chalmers Lyttelton Casualty Ward Bay of Islands ;. 11 £ s. d. 9 4 5 19 16 10 2 3 9 2 18 0 8 6 2 2 12 6 £ s. d. 0 11 6 0 12 3 0 58 £ s. d. 4 14 4 3 2 3 0 18 3 3 3 9 4 14 9 1 11 3 £ s. d. 5 8 0 5 4 0 0 12 7 3 8 0 6 11 3 0 8 1 £ s. d. 1 6 10 2 15 11 0 15 1 0 12 4 2 17 5 0 5 8 £ s. d. 4 9 4 2 12 6 14 0 3 2 3 2 3 10 £ s. d. 3 11 6 3 1 10 0 18 8 1 10 11 5 8 2 1 4 8 £ s. d. 10 2 5 11 13 9 7 12 3 5 8 8 11 10 8 14 10 9 £ s. d. 39 8 4 48 19 4 14 4 7 20 3 11 41 17 11 20 12 11 Hospitals which are also Old Men's Homes — Grey River Westland Kumara Reef ton Ross.. 61 38 27 22 8-7 358 15 6 255 17 4 100 15 6 186 8 1 63 2 9 15 19 6 3 14 8 7 3 0 0 17 6 96 3 7 95 14 8 64 16 6 27 7 1 270 0 3( 55 ) 118 13 6 133 13 7 152 4 6 48 9 3 26 9 9( 56 ) 9 13 3(' 8 ) 6 8 0 5 19 9 106 13 3 86 12 1 61 10 7 70 19 4 24 1 11 80 5 1 92 13 3( 67 ) 58 16 5( 58 ) 11 18 1 19 8 6( 60 ) 269 1 11 183 0 2 137 17 4 234 7 5 44 19 3 1,111 16 0 875 9 2 601 16 0 734 4 11 234 6 0 Special Hospitals. Christchurch Dunedin Timaru Invercargill 13-4 5 3-8 2-9 61 5 9 22 9 9 33 9 2 26 0 1 4 13 7 3 15 8 4 0 2 1 11 4 31 18 0 23 12 5 18 2 8 11 15 8 58 0 9 34 9 3 25 1 2 13 15 0 8 8 1 12 5 9 2 0 0 1 15 0( 61 ) 25 9 7 11 10 7 9 0 5 7 4 6 17 16 3 14 3 0 8 4 5 18 0 0( 62 ) 62 15 10 32 18 10 37 5 3 32 1 0 270 7 10 155 5 3 137 3 3 112 2 7 Consumptive Sanatoria — Palmerston South Christchurch Otaki 40 36 26 623 10 3 463 13 2 186 5 0 33 5 2 44 17 11 23 10 5 137 9 11 112 15 3 82 15 0 328 11 10 376 12 4 220 14 10( 64 ) 53 10 10 183 9 5 39 0 0( 65 ) 101 16 7 62 1 9 40 9 3 65 17 9 206 3 5( 63 ) 114 10 0(« 6 ) 240 5 8 236 9 11 160 0 1 1,584 8 0 1,686 3 2 867 5 ] Maternity Home — Dunedin Medical School 6-6 25 7 0 6 2 4 33 18 8 29 0 5 8 16 4 16 15 6 31 4 5 45 10 7 196 15 3 Separate Institutions. 17-2 4-3 109 6 6 65 13 4 18 1 1( 67 ) 4 0 0 41 10 9 18 0 0 40 12 0( 68 ) 9 14 6 8 0 Of") 5 2 6 32 19 9 34 1 9 32 19 6( 7 °) 14 19 9 61 1 8 95 5 6 344 11 3 246 17 4 Oamaru Mercury Bay

H.—3l.

Table IVb.—Showing Details of Item "Surgery and Dispensary" in Table IV.

122

Hospital, controlled by Boards. ffll Dre. ""M* Wi « irits . || §• g Disinfectants. Bandages, Ac. H ™« mm __J o Aerated Waters and Ice. Surgical Instruments and Appliances. Totals. Wellington Auckland .. Dunedin .. Christchuroh Napier Waikato 295 271 221 168 98 86 72 57 55 53 52 52 45 43 .'55 26 23 23 20 197 184 150 14-8 14-5 139 121 120 10-7 10-4 101 9-3 9-2 91 7-8 7-6 71 6-9 6-7 56 51 50 4-7 4-6 4-2 3-6 2-5 2-2 1-9 19 1-8 11 £ s. d. 1,501 1 2 713 2 11 904 14 5 857 15 5 625 19 1 498 8 5* 412 13 10 183 18 9 227 4 3 219 9 1 114 14 0 390 16 2 i 308 6 6 130 10 4 178 19 1 91 19 7 78 8 2 181 19 7 112 2 7 90 1 1 140 14 3$ 132 13 5 92 18 2 192 0 0 52 14 10 44 11 7 50 14 2 t 25 6 9 75 0 7§ 17 15 9 71 7 8 122 0 6 31 11 3 8 0 1 8 18 7 21 17 1 90 10 1.1 7 12 8 7 13 1 35 4 6 14 19 l(i 33 7 7 37 16 1 12 9 6 4 6 4 10 8 3 9 16 7 23 15 10 7 13 0 7 11 2 14 4 2 0 19 8 2 16 0 1 13 1! £ s. d. 419 0 7 778 5 4 301 5 10 211 14 9 305 2 1 £ s. d. 216 18 3 86 2 9 19 17 2 254 10 9 144 13 11 36 14 Of 57 7 8 17 7 6 15 2 0 37 7 :s 9 0 0 13 8 3 8 17 6 8 14 6 8 14 6 12 3 6 11 9 0 8 3 6 12 12 6 8 17 8 4 9 0 6 11 0 5 14 0 9 16 6 4 18 3 3 17 6 £ s. d. 21 11 0 78 19 2 61 19 3 103 19 11 103 3 8 £ s. d. 544 18 8 590 9 5 598 1 0 603 8 11 259 15 7 195 11 0 58 2 8 205 2 7 79 5 9 65 0 8 162 14 6 123 0 1 i 547 0 1 61 17 10 80 19 8 57 11 2 32 7 1 101 0 5 31 1 4 17 0 7 £ s. d. 2,703 9 8. 2,246 19 7 1,885 17 ' 8 2,031 9 9 1,438 14 4 730 13 5 742 14 2 589 13 0 458 18 2 511 7 5 334 19 7 657 9 7 450 6 5 964 13 5 287 9 6 363 16 4 228 7 3 146 15 1 360 8 0 264 0 2 161 14 4 145 3 3 247 10 8 157 4 3 283 15 4 97 9 11 92 11 1 79 7 0 137 9 1 28 7 7 120 8 11 40 1 2 75 10 2 178 16 5 53 0 10 53 17 1 34 5 5 32 6 0 138 11 4 17 0 4 32 3 11 47 7 4 17 12 2 44 9 5 43 15 8 18 10 6 24 12 2 24 0 11 34 6 9 39 10 2 28 2 '9 21 18 9 46 7 9 5 0 4 13 0 0 5 18 11 Wanganui Southland Gisborne .. Palmerston North Thames Timaru Nelson New Plymouth Waihi Whangarei Dannevirke Waipawa Westport ., Masterton Wallace and Fiord South Wairarapa Wairau Ashburton.. Hawera Northern Wairoa Stratford Gore Patea Otaki Waimate Maniototo Wairoa Pieton Taihape Rawene Pahiatua Arrow Coromandel Tuapeka .. Mangonui Dunstan Taumarunui Waiapu Wakatipu Cromwell Denniston Otira Cottage Havolock Kaikoura Akaroa Kaitangata Tapanui Port Chalmers Lyttelton Casualty Ward Bay of Islands 188 9 5 179 7 2 118 7 2 181 13 5 48 11 1 116 3 9 1" 97 T 8 4 85 4 4 95 3 1 66 11 0 23 1 10 9 4 6 106 6 9 45 4 0 26 0 7 3 17 0 18 19 0 7 17 0 14 i 4 3 1 0 1 2 6 0 '2 0 1 9 0 1 17 0 0 11 0 80 10 7 41 1 9 23 6 8 25 6 6 32 5 10 7 6 7 t 11 io 0 16 5 8 17 10 4 58 12 2 14 10 4 11 16 2 20 11 3 t 2 6 1 39 10 1 11 12 11 0 4 6 15 10 0 9 19 10 15 16 5 i' 0 is 0 0 14 9 0 12 6 9 11 6 5 5 9 1 1 0 3 18 0 1 0 0 40 5 11 11 9 9 26 14 1 14 16 10 5 2 9 27 19 0 9 5 2 16 10 7 4 1 4 3 6 6 1 5 0 3 12 0 0 10 0 4 J 2 16 9 5 0 2 6 8 0 3 5 19 6 1 17 7 7 2} 2 7 4 1 13 3 3 5 0 6 2 9 2 19 0 11 13 4 1 0 3 1 12 11 3 14 6 4 9 1 1 13 5 1 17 6 0 16 0 0 15 6 3 19 9 1 19 0 2 16 0 1 6 0 2 14 0 11 9 1 3 12 8 9 11 JO 10 10 7 18 16 10 10 13 1 26 10 6 2 7 3 ■8 6 6 3 19 0 7 1 0 0 10 0 4 3 6 2 15 0 1 'i 0 0 3 0 0 6 0 Hospitals which are also Old Men's Homes — Grey River Wostland Kumara Reefton Ross 61 38 27 22 8-7 59 1 9 141 13 8 42 9 4 59 11 7 71 18 6 20 9 9 71 8 4 1.7 1 10 33 16 3 16 1 0 25 12 0 39 11 0 12 11 0 3 17 0 22 2 5 9 17 0 0 id 0 3 13 6 66 17 11 55 5 0 12 5 4 39 13 1 21 12 2 181 18 5 307 18 0 84 17 6 140 11 5 131 14 1 Special Hospitals. Infectious-diseases Hospitals — Christohurch Dunedin Timaru Invercargill 13-4 50 3-8 2-9 22 18 6 18 12 4 1 10 2 3 4 11 0 11 10 0 9 4 0 4 0 4 18 7 1 10 0 4 10 1 7 0 3 4 5 26 11 6 30 9 7 1 10 0 7 17 2 0 5 9 3 IO 5 Consumptive Sanatoria — Palmerston South . .. Christchuroh Otaki .. 40 36 26 117 4 6 75 7 3 28 12 6 13 4 7 16 15 6 0 5 0 0 4 11 1 16 0 2 14 3 0 10 0 5 14 6 38 8 10 3 9 7 138 4 7 133 10 9 32 12 1 Maternity Home — Dunedin Medical School 6-6 18 14 7 0 14 11 8 11 2 28 0 8 Special Institutions. 17-2 43 40 4 0 4 18 2 37 18 8 16 6 44 5 6 123 14 8 12 0 8 Oamaru Mercury Bay 7 2 6 • Includes expenditure on dressinj ■anditure on dressings, surgical insti ;s, &c. •umentSj t Includes expej 50. II Inolui iditure on aerated waters and ice. lea expenditure on dressings. J Details not available. § Includes

123

H.—3l.

Table IVc.—Showing Details of Item "Domestic and Establishment" in Table IV.

Hospitals controlled by Boards. Pa III 03 O O OO •5-s Kenewaland "SKSfiS* Sura Bed B cS°nen, Eurniture. an d Drapery. Eenewal and llepair of Hardware, &c. Laundry. Cleaning and Chandlery. £ s. d. 309 8 9 107 0 10 143 11 9 175 15 9 13 18 9 212 0 6 75 0 7 62 18 5 74 15 1 110 10 1 67 17 5 66 2 0 68 5 4 77 12 5 1 0 0 49 9 0 35 15 0 84 9 0 74 1 2 8 5 6 11 6 11 *83 2 6 101 18 9 17 0 71 16 11 32 19 10 5 1 7 £ s. d. 1,100 8 9 512 6 0 710 3 7 333 16 7 243 11 10 291 10 5 163 17 7 175 11 2 117 9 8 135 3 2 52 13 5 171 15 8 145 19 10 100 2 1 40 4 8 153 11 2 60 3 10 79 12 0 71 18 11 77 5 2 56 12 0 £ s. d. 467 10 2 163 5 5 185 12 5 373 6 3 91 10 7 £ s. d. £ s. d. 128 5 0 243 11 11 387 2 4 304 7 11 187 2 3 20 0 0 96 13 0 89 9 5 56 13 10 106 6 0 100 12 8 84 9 5 45 5 4 213 2 1 55 3 0 1 10 3 28 2 2 23 16 6 8 19 3 44 5 1 25 7 1 Wellington Auckland Dunedin Christchurch Napier .. Waikato 295 271 221 168 98 86 72 57 55 53 52 52 45 43 35 26 23 23 20 19 7 18-4 150 14-8 14-5 13-9 121 120 10-7 10-4 10 1 93 9-2 91 7-8 7-6 71 6-9 6-7 5-6 51 50 4-7 4-6 4-2 3-6 2-5 2-2 1-9 1-9 1-8 11 885 i6 3 232 5 3 Wanganui Southland Gisborne Palmerston North Thames Timaru Nelson New Plymouth . . Waihi Whangarei Dannevirke Waipawa Westport Masterton Wallace and Fiord South Wairarapa Wairau Ashburton .. .. Hawera Northern Wairoa Stratford Gore Patoa Otaki Waimate Maniototo Wairoa Picton Taihape Rawene Pahiatua Arrow Coromandel Tuapeka Mangonui Dunstan Taumarunui Waiapu Wakatipu Cromwell Denniston Otira Cottage Havolock Kaikoura Akaroa Kaitangata Tapanui Port Chalmers Lyttelton Casualty Ward Bay of Islands 88 16 10 124 17 3 93 19 5 26 16 9 32 9 0 89 15 11 30 19 10 51 13 3 27 16 0 68 13 0 3 16 11 1 13 0 13 0 20 17 8 13 14 11 24 0 6 15 8 0 38 13 3 24 0 1 0 10 6 9 8 7 22 18 7 5 16 3 47 16 6 73 15 6 20 14 9 88 3 9 59 8 4 10 19 4 13 12 9 14 18 5 16 15 3 19 17 11 21 14 0 43 11 6 131 18 0 4 19 2 48 11 7 32 11 3 13 19 5 6 18 0 7 6 7 28 2 11 31 10 10 1 10 7 10 10 2 38 8 2 10 2 6 13 14 3 63 6 4 2 15 0 35 18 10 18 2 1 4 4 7 21 2 2 0 12 6 2 2 8 34 4 0 15 2 11 9 17 1 5 15 1 11 7 5 6 7 9 4 13 9 5 0 5 13 14 9 3 0 9 0 11 6 2 0 3 10 0 0 ■7 16 1 5 3 1 5 4 8 0 13 0 7 16 L0 3 3 0 4 6 0 4 11 10 4 18 10 6 6 11 3 10 4 3 10 0 3 5 10 30 19 8 *53 11 5 0 3 6 20 1 8 9 10 11 6 0 0 5 5 11 13 17 2 7 14 6 3 9 9 6 7 3 6 5 21 16 10 31 6 0 12 10 3 10 16 3 3 13 0 6 10 8 6 2 4 20 11 5 3 7 1 4 12 9 20 7 6 8 6 7 1 11 2 3 13 10 12 19 8 9 5 0 10 1 2 18 8 0 1 15 0 0 11 0 6 13 3 2 17 3 3 10 5 6 2 0 1 11 3 10 14 2 1 3 5 3 5 2 15 1 7 15 i9 0 27 0 0 12 2 14 19 1 0 13 6 3 1 6 1 0 0 26 3 11 2 2 0 15 7 10 11 4 7 13 10 0 0 17 10 17 12 9 12 17 2 Hospitals which are also Old Men's Homes — Grey River Westland .. .. Kumara Reef ton Ross 61 38 27 22 8-7 25 6 0 38 1,8 0 138 17 6 67 16 0 9 19 8 49 12 9 10 1 3 87 18 4 26 14 11 14 7 2 23 18 9 4 11 7 15 0 2 10 1 7 23 4 4 20 16 0 11 12 5 40 0 0 4 10 2 37 17 5 2 19 0 13 7 4 Special Hospitals. Infectious-diseases Hospitals — Christchurch Dunedin Timaru Invercargill 13-4 50 3-8 2-9 I 12 6 6 19 11 7 3 2 4 14 8 2 12 8 10 8 9 8 7 4 2 18 11 8 8 6 23 12 7 10 8 8 8 19 4 10 8 5 Consumptive Sanatoria — Palmerston South Christchurch Otaki 40 36 26 18 0 9 55 0 5 10 18 9 77 12 7 103 4 10 43 3 6 61 2 11 37 15 3 24 3 1 60 1 1 52 5 8 4 2 2 Maternity Homes — Dunedin Medical School 6-6 26 9 9 35 11 4 20 18 1 29 2 1] Special Institutions. 17-2 4-3 25 7 0 15 12 4 36 0 2 5 13 4 16 5 11 6 14 3 24 6 10 5 11 9 Oamaru Mercury Bay * Includes bedding, &c, and hardware.

EL—3l

124

Table IVc. —Showing Details of Item "Domestic and Establishment" in Table IV — continued.

Fuel and Light. Hospitals controlled by Boards. Average Number of Occupied Beds per D eim. Water. Wood. Gas. Coal. Electric Light. Oil, Candles, &c. £ s. d. 420 16 3 395 8 9 152 6 6 £ s. d. 1,488 7 7 1,291 2 9 1,639 17 6 1,627 0 2 425 2 9 330 17 4 159 5 11 309 15 0 82 9 1 206 15 0 *94 13 1 315 0 6 72 5 0 139 12 8 232 4 11 41 10 0 97 0 2 80 17 4 78 9 0 §125 18 10 100 8 1 II 86 17 6 97 10 10 99 17 6 66 15 2 76 19 1 53 13 5 *99 19 0 56 6 8 63 1 4 66 8 6 51 4 6 *72 3 8 40 4 6 £ s. d. £ s. d. 305 9 0 811 16 10 £ s. d. 388 8 3 237 15 2 j 258 5 4 10 11 4 23 19 3 £ s. d. i 43 3 3 20 7 8 14 6 1 8 8 11 Wellington Auckland Dunedin Christchurch Napier Waikato Wanganui Southland Gisbome Palmerston North Thames Timaru Nelson New Plymouth.. Waihi.. Whangarei Dannevirke Waipawa Westport Masterton Wallace and Fiord South Wairarapa Wairau Ashburton Hawera Northern Wairoa Stratford Gore .. Patea Otaki Waimate Maniototo Wairoa Pioton Taihape Rawene Pahiatua Arrow Coromandel Tuapeka Mangonui Dunstan 295 271 221 168 98 86 72 57 35 53 52 52 45 43 35 26 23 23 20 19-7 18-4 150 14-8 14-5 139 12-1 120 10-7 10-4 10 1 9-3 9-2 91 7-8 7-6 71 6-9 6-7 5-6 51 50 4-7 4-6 4-2 3-6 2-5 2-2 1-9 1-9 1-8 11 85 7 6 139 3 11 179 12 0 47 17 0 23 13 10 10 2 0 82 11 6 17 0 0 28 0 0 5 0 0 7 6 0 15 0 0 20 0 0 13 16 8 78 8 5 II 2 0 9 21 0 0 4 1 3 7 17 9 6 0 0 9 i3 6 536 5 0 4 0 0 10 0 0 46 19 0 20 5 6 74 14 11 47 4 0 36 2 0 2 9 6 106 10 2 59 5 2 2 16 0 13 2 0 II 154 15 0 50 4 0 17 2 4 7 3 6 13 7 6 7 13 3 40 3 7 550 14 3 324 15 5 229 3 1 123 2 9 331 1 1 206 17 9 •f-167 19 8 135 6 6 253 15 10 171 18 4 182 6 8 77 8 1 87 14 6 89 12 4 108 12 9 133 13 10 71 11 3 95 3 0 164 11 8 56 3 0 153 io 10 44 8 3 6 i5 7 }144"8 7 27i2 3 II 7 2 8 191 5 4 18"6 5 47 7 0 26 17 0 2 14 5 4 18 0 5 16 11 7 7 5 6 15 1 22 2 9 4 3 0 10 14 7 5 3 2 1 17 0 9 3 7 24 3 0 II 11 8 0 2 7 7 11 3 0 15 1 0 2 16 5 21 16 0 2 5 10 20 0 0 8 0 0 42 0 7 3 10 0 22 12 0 70 il 6 12 6 0 55 19 6 7 2 6 24 17 0 f48 4 7 13 io 3 14 15 10 8 5 7 18 8 6 14 2 1 9 19 5 15 6 6 *50 2 2 51 19 9 48 16 0 56 12 9 15 6 0 16 1.7 9 Taumarunui Waiapu Wakatipu Cromwell Denniston Otira Cottage Havelock Kaikoura Akaroa Kaitangata Tapanui Port Chalmers Lyttelton Casualty Ward Bay of Islands 14 0 35 17 6 29 3 3 69 6 10 52 13 0 15 10 0 9 10 3 *50 9 6 11 5 6 10 14 8 3 0 1 5 "i 5 3 16 3 19 6 3 IO 0 19 0 0 21 10 8 8 13 9 6 17 1 15 14 1 14 5 0 0 15 0 15 io 0 4 - 3 0 13 6 11 3 16 7 8 0 3 0 4 6 5 9 2 3 12 8 4 i6 0 7 8 10 3 12 6 8 5 0 0 14 Hospitals which are also Old Men's Homes — Grey River Westland Kumara Reef ton Ross 61 38 27 22 8-7 1f394 13 9 *217 5 4 *163 9 6 93 5 0 *33 13 1 104 2 10 745 18 6 77i6 3 17 10 0 16 3 7 2 13 9 7 19 10 14 15 0 Special Hospitals. Infectious-diseases Hospitals — Christchurch Dunedin Timaru Invercargill 13-4 50 3-8 2-9 55 5 8 42 16 2 40 10 6 26 2 1 15 4 10 10 16 8 28 5 0 5 2 0 3 2 11 Consumptive Sanatoria — Palmerston South Christchurch Otaki 40 36 26 147 14 0 191 19 1 213 3 4 23 0 0 217"6 6 114 9 2 8 5 10 5 14 4 0 7 0 Maternity Home — Dunedin Medical School 6-6 51 3 10 8 0 0 72 4 6 1 19 2 Sbpabatb Institutions. Oamaru Mercury Bay .. 17-2 4-3 109 19 8 5 6 7 0 17 6 5 1 0 41 4 3 3 16 8 18 4 3 * Includes expenditure on wood. § Includes expenditure on coke. || t Inc •etails not :ludes expend: available. iture on oil, cand Tf Wood and gas les, &c. I Includes expi jnditure on electric fuel.

H.—3l

125

Table IVc.—Showing Details of Item "Domestic and Establishment" in Table IV — contd.

Hospitals controlled by Boards. Average Number of Occupied Beds per Diem. Total Fuel and Light. Uniforms. Repairs to Buildings. Grounds. Printing and Stationery. Wellington Auckland^ Dunedin Christehurch Napier Waikato Wanganui Southland Gisborne Palmerston North Thames Timaru Nelson New Plymouth Waihi .. Whangarei Dannevirke Waipa'wa Westport Masterton Wallace and Fiord South Wairarapa Wairau Aahburton Hawera Northern Wairoa Stratford Gore Patea Otaki Waimate Maniototo Wairoa Picton Taihape Rawene Pahiatua Arrow .. Coromandel Tuapeka Mangonui Dunstan Taumarunui .. .. Wa.ij.pu Wakatipu Cromwell Denniston Otira Cottage Havelock Kaikoura Akaroa Kaitangata Tapanui Port Chalmers Lyttolton Casualty Ward Bay of Islands 295 271 221 168 98 86 72 57 55 53 52 52 45 43 35 26 23 23 20 19-7 18-4 150 14-8 14-5 13-9 121 12-0 10 7 10-4 101 93 9-2 91 7-8 7-6 7-1 6-9 6-7 5-6 51 5-0 4-7 4-6 4-2 3-6 2-5 2-2 1-9 1-9 1-8 11 £ s. d. 2,182 4 10 2,393 11 6 2,454 15 6 1,692 1 2 1,012 5 2 665 12 9 593 16 10 503 8 5 423 2 7 495 2 9 262 12 9 457 2 7 373 4 10 514 4 4 418 14 7 159 14 5 296 8 0 231 11 10 187 1 9 271 12 3 137 13 1 133 19 10 324 11 9 252 8 1 472 16 10 141 4 8 123 14 0 108 13 8 126 16 0 59 gl 1 136||9 3 88 4 6 88 X 8 4 128""3 2 60 17 3 39 12 10 98 6 9 75 5 4 67 4 6 70 14 10 26 17 2 51 4 0 39 17 11 83 12 5 58 0 5 19 6 3 9 10 3 63 16 5 19 6 7 27 0 3 25 18 2 14 2 11 10 9 9 23 2 11 17 18 10 13 10 0 £ s. d. 221 12 9 3 17 6 87 6 9 64 13 5 21 6 2 94"9 8 21 8 1 13 15 9 10 19 0 43 6 11 18 12 1 12 19 9 25 19 11 8 7 11 13 5 2 55 18 7 45 13 8 4 13 2 26 16 3 13 9 5 8 16 4 £ s. d. 1,043 19 6 674 0 9 491 5 2 836 7 0 289 15 8 94 6 4 133 8 6 129 6 7 153 19 11 109 7 4 25 1 11 104 11 3 286 15 8 30 11 0 48 15 11 48 12 6 28 16 9 47 4 2 287 13 9 17 11 1 29 2 3 102 15 4 49 1 10 29 5 11 474 13 6 62 9 7 12 5 9 5 17 5 72 10 4 19 19 9 75 19 6 15 15 3 67 3 3 169 16 1 9 16 11 14 10 6 34 12 10 12 0 0 £ s. d. 552 11 8 801 3 3 280 12 4 521 14 9 231 16 10 120 9 1 166 3 0 95 10 9 150 16 10 99 11 9 29 6 3 168 17 4 133 12 3 150 2 8 15 18 2 45 19 10 95 0 1 5 17 6 7 6 9 78 6 2 3 17 6 209 16 0 98 5 5 83 15 11 43 14 11 123 1 5 23 2 7 1 14 6 41 15 4 37 1 6 38 3 11 44 7 9 124 5 4 7 5 6 20 19 9 £ s. d. 188 18 1 105 4 2 143 13 11 236 14 8 ■ 37 14 1 30 7 6 28 5 3 8 6 9 24 17 5 0 12 8 61 14 8 60 0 4 2 8 4 20 4 1 4 0 6 2 10 9 8 13 0 12 4 0 11 13 6 12 0 6 8 18 0 5 5 2 2 11 0 1 12 11 16 12 0 6 5 0 18 14 5 1 6 9 120 0 2 il 4 11 0 6 3 5 0 2 9 6 l"l 5 6~io 3 0 i9 0 3 0 4 111 6 6 87 19 6 3 17 6 3 0 0 4 3 6 79 16 4 6 5 11 8 14 0 8 10 6 1 15 0 69 9 11 14 18 6 25 5 3 5 16 2 115 18 11 5 9 11 5 17 8 0"5 0 5 11 0 18 0 0 15 0 9 0 0 o'i2 9 1 17 6 0 12 0 12 8 6 2 14 0 2 0 0 0 12 1 1 19 0 87 10 10 0 10 0 0 0 9 4 8 11 0 3 7 0 2 0 1 18 6 0 8 0 43 10 9 2 10 11 2"9 5 3 14 9 48'i8 0 1 11 9 0 4 6 Hospitals which are also Old Men's Homes — Grey River Westland Kumara Reefton Ross 61 38 27 22 8-7 1,140 12 3 338 18 2 179 13 1 188 10 0 41 12 11 12 7 4 65 12 5 109 12 3 60 0 6 17 6 10 6 12 6 160 13 2 53 14 6 28 1 8 101 13 3 0 15 0 68 16 1 4 11 3 Special Hospitals. Infectious-diseases Hospitals — Christehurch Dunedin Timaru Invercargill 13-4 50 3-8 2-9 66 2 4 58 1 0 68 15 6 34 7 0 59 2 4 24 11 3 13 14 2 55 5 2 3 15 10 1 12 2 46 12 7 3 5 3 0 7 0 l'*6 0 Consumptive Sanatoria — Palmerston South Christehurch Otaki 40 36 26 290 17 6 409 12 7 221 9 2 4"o 0 48 19 9 197 18 11 37 9 11 172 8 5 497 15 11 151 18 7 1 13 8 23 2 6 5 10 9 Maternity Home — Dunedin Medical School 6-6 133 7 6 33 7 7 17 13 8 6 3 9 Separate Institutions. Oamaru Mercury Bay 17-2 4-3 155 18 1 28 11 10 7 3 0 149 8 3 50 7 8 63 18 8 6 7 10

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Table IVc. —Showing Details of Item "Domestic and Establishment" in Table IV — contd.

126

Hospitals controlled by Boards. as ■ -Is it Insurance. Annual Burial Cleaning. Expenses. Ambulance. Sundries. Totals. Wellington Auckland Dunedin Christchuroh Napier Waikato Wanganui Southland .. Gisborne Palmerston North Thames Timaru Nelson New Plymouth Waihi Whangarei .. Dannevirke Waipawa Wostport Masterton Wallace and Fiord South Wairarapa Wairau Ashburton Hawera Northern Wairoa Stratford Gore Patea Otaki Waimate Maniototo Wairoa Picton Taihape Rawene Pahiatua Arrow Coromandel Tuapeka Mangonui Dunstan Taumarunui Waiapu Wakatipu Cromwell Denniston Otira Cottage Havelock Kaikoura Akaroa Kaitangata Tapanui Port Chalmers Lyttolton Casualty Ward Bay of Islands 295 271 221 168 98 86 72 57 55 53 52 52 45 43 35 26 23 23 20 19-7 18-4 150 14-8 14-5 13-9 121 120 10 7 10-4 10 1 93 9-2 91 7-8 7-6 71 6-9 6-7 5-6 51 50 4-7 4-6 4-2 3-6 2-5 2-2 19 19 1-8 11 £ s. d. 144 12 5 105 4 8 93 19 8 85 0 0 97 1 6 43 16 10 29 12 4 44 1 3 62 12 6 76 19 4 47 8 0 41 6 0 29 10 10 29 4 6 40 14 11 23 3 8 33 15 9 40 11 0 10 10 0 26 9 10 19 17 9 28 10 6 30 12 1 14 1 7 27 7 1 13 5 0 16 3 6 10 9 1 13 8 0 22 0 6 12 16 0 9 6 6 11 3 7 14 7 0 15 19 5 9 0 8 3 13 2 10 7 0 10 6 6 4 18 6 7 15 0 9 0 10 7 12 9 11 12 0 11 7 5 8 18 11 8 6 9 3 17 10 3 8 8 6 18 4 2 8 4 7 4 8 5 10 0 3 11 11 0 15 10 8 14 0 £ s. d. 13 i6 0 7 3 0 £ s. d. 16 16 6 35 18 3 30 0 0 61 18 6 7 3 0 10 0 0 31 11 3 9 7 6 9 15 4 2 0 0 2 19 0 33 16 0 3 0 0 6 0 0 19 5 4 17 0 0 9 ii 0 7 0 0 3 10 0 1 0 0 15 0 0 £ s. d. 33 0 10 247 19 3 0 15 0 9 7 11 115 8 2 26 18 6 8 0 0 37 0 6 14 1 0 4 7 6 4 0 0 12 i.4 3 0 5 0 0 10 6 £ s. d. 99 3 7 197 18 4 147 14 6 270 2 0 73 14 7 0 10 0 61 17 2 32 13 8 64 13 7 9 2 9 20 12 10 47 9 6 28 12 5 15 18 4 34 4 0 58 8 11 21 1 6 13 18 0 11 9 11 30 9 2 5 0 0 33 13 8 12 3 9 22 16 5 36 17 10 24 10 4 14 7 2 18 2 8 5 18 11 36 17 8 18 12 4 16 8 5 36 2 3 £ s. d. 6,687 15 10 7,039 16 1 5,463 15 6 4,988 11 8 2,428 12 2 1,710 1 0 1,650 11 6 1,392 8 11 1,322 9 10 1,285 7 3 659 4 3 1,403 12 7 1,258 13 8 *945 9 2 844 16 2 619 10 11 596 14 5 651*5 6 728 7 2 582 10 9 470 17 7 419 0 10 952 4 5 529 0 4 1,293 7 4 427 13 8 387 4 3 241 4 1 254 11 9 228 6 0 448 18 245 1 0 406 16 5 552 1 6 138 14 5 239 1 1 228 15 11 145 18 0 211 14 I 177 3 8 202 2 2 233 8 3 131 4 1 304 5 10 123 19 6 136 1 7 50 18 9 113 14 0 78 19 2 76 9 11 184 9 10 32 10 11 48 19 8 41 0 8 111 9 9 150 13 8 6 0 0 23 7 6 3 10 0 3 15 0 16 8 9 29 8 7 17 18 2 7 15 0 18 9 9 0 5 1 21 11 3 3 19 0 8 7 7 33 11 2 9 18 2 10 0 3 1 12 6 10 2 6 2 5 0 12 15 6 21 5 11 21 8 3 1 19 3 11 10 11 2 6 6 .12 0 1 32 1 8 Hospitals which are also Old Men's Homes — Grey River Westland Kumara Reefton Ross 61 38 27 22 8-7 30 16 10 34 14 2 4 7 5 14 18 1 9 0 1 1 14 0 14 15 0 15 0 0 36 12 0 5 0 0 2 6 8 115 8 7 11 7 0 1,912 2 0 776 11 5 333 3 6 536 14 3 103 8 10 18 i 6 8 3 8 Special Hospitals. Infectious-diseases Hospitals — Christchurch Dunedin Timaru .. Invercargill 134 50 3-8 2-9 6 19 8 6 1 10 4 6 8 6 4 7 67 4 0 17 5 6 14 0 11 16 1 0 147 0 11 7 0 3 2 18 0 5 5 0 428 18 8 164 17 10 125 8 8 140 7 8 Consumptive Sanatoria — Palmerston South Christchurch Otaki 40 36 26 22 18 4 32 10 5 17 6 0 i 1 17 6 119 4 2 98 3 3 82 16 7 881 17 2 1,562 14 9 598 18 6 Maternity Home — Dunedin Medical School 6-6 5 6 7 1 ■ 11 11 0 319 12 2 Separate Institutions. Oamaru Mercury Bay 17-2 4-3 10 0 8 6 4 5 4 4 0 8 3 4 528 10 8 126 18 11 ♦Recoveries from grounds exceeded expenditure thereon by £162 5s. 9d., which amount has been deducted from totals, "Domestic and Establishment."

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Table IVd.—Showing Details of "Salaries and Wages" Expenditure in Table IV.

127

Hospitals controlled by Boards. S-gfn > a &k < 3 5 °> o Medical. Dispensers. Nursing. Engineers, Porters, &c. Domestic Staff. Totals. Wellington Auckland Dunedin Christchurch Napier Waikato Wanganni Southland Gisborne Palmerston North Thames Timaru Nelson New Plymouth Waihi Whangarei .. Darmevirke Waipawa Wostport Masterton Wallace and Fiord South Wairarapa Wairau Ashburton .. Hawera Northern Wairoa Stratford Gore Patea Otaki Waimato Maniototo Wairoa Pioton Taihapo Raweno Pahiatua Arrow Coromandel Tuapeka Mangonui .. .. Dunatan Taumarunui Waiapu Wakatipu Cromwell Denniston Otira Cottage Havelock Kaikoura Akaroa Kaitangata .. Tapanui Port Chalmers Lyttelton Casualty Ward Bay of Islands 295 271 221 168 98 86 72 57 55 53 52 52 45 43 35 26 23 23 20 197 184 150 14-8 14'5 13 9 121 120 10-7 10-4 101 9-3 9-2 91 7-8 7-6 71 6-9 6-7 5-6 51 50 4-7 4-6 4-2 3-6 2-5 2-2 1-9 1-9 1-8 10 £ s. d. 1,700 0 0 1,300 4 8 1,249 14 8 844 17 5 630 16 4 1,176 15 0 415 19 7 442 8 4 604 12 0 280 5 0 435 17 0 356 10 10 540 11 11 368 7 4 561 10 0 556 19 0 229 0 0 253 3 0 550 19 6 250 0 0 353 11 0 t 379 17 0 243 10 0 270 0 0 308 8 0 431 8 6 272 17 0 170 18 0 162 14 9 212 12 0 344 2 0 290 6 0 250 0 0 132 11 0 212 14 10 168 17 0 200 0 0 351 1 0 200 0 0 112 10 0 250 0 0 103 3 0 350 0 0 200 0 0 27 10 0 193 16 8 400 0 0 60 0 0 10 10 0 50 0 0 14 14 0 £ s. d. 330 0 0 173 0 0 120 0 0 187 15 5 112 7 7 100 0 0 88 0 0 t £ s. d. 3,659 0 0 3,853 18 11 2,812 1 6 2,782 2 11 1,245 16 3 1,010 0 0 905 6 9 929 13 2 1,134 7 5 855 16 5 557 6 6 703 19 5 621 18 9 869 9 8 666 4 6 360 3 0 406 19 11 449 2 0 424 7 4 606 2 2 412 6 7 t 397 9 8 371 17 7 486 6 8 241 7 0 273 19 4 313 11 4 232 15 6 335 0 0 194 6 4 192 12 8 258 1 10 275 15 6 ■185 7 3 129 14 10 263 5 10 89 2 10 182 13 4 45 0 0 141 9 8 97 2 10 148 9 2 240 10 10 100 0 0 89 6 11 110 0 0 91 14 6 85 10 0 111 13 4 102 5 2 93 0 2 27 12 4 83 10 2 77 19 5 35 14 8 £ a. d. 410 0 0 1,619 1 11 1 ,243 8 2 1,778 6 8 371 7 8 312 0 0 135 4 3 j 163 15 4 87 17 10 52 10 0 55 19 1 240 12 2 484 10 5 120 7 6 75 18 8 84 16 0 78 0 0 112 12 4 101 10 0 t 48 3 4 87 14 6 78"4 10 £ a. d. 4,354 16 8 1,753 7 7 1,400 18 1 2,074 4 0 1,074 9 5 755 1 8 496 2 6 481 6 0 424 19 5 347 15 1 137 19 2 603 2 2 * 194 1 2 333 0 8 156 19 5 314 4 10 283 16 8 311 19 0 272 3 5 191 9 1 t 303 16 6 191 15 4 315 7 8 106 16 1 201 11 10 122 19 10 120 10 4 129 0 3 94 0 0 101 17 6 144 15 2 211 9 1 120 16 7 56 18 2 80 4 4 65 13 0 117 0 0 116 0 0 42 11 8 78 0 0 10 0 0 114 0 8 54 0 4 74 11 6 111 12 10 66 3 0 27 18 0 23 11 5 39 10 0 £ s. d. 10,453 16 8 8,699 13 1 6,826 2 5 7,667 6 5 3,322 9 8 3,253 16 8 1,952 13 1 2,129 10 5 2,251 16 8 1,536 6 6 1,187 1 9 1,904 4 7 1,747 0 3 1,640 5 8 1,636 13 10 1,158 17 5 1,028 4 9 1,098 14 0 1,287 5 10 1,229 15 7 957 6 8 753 6 4 1,129 6 6 894 17 5 1,071 14 4 734 15 11 906 19 8 785 18 2 594 3 10 726 15 0 587 2 4 655 13 11 663 3 0 737 4 7 488 18 5 460 6 4 585 16 10 416 8 10 650 14 4 361 0 0 361 11 4 457 19 10 339 12 2 704 11 6 416 5 2 393 1 9 415 9 6 557 17 6 173 8 0 145 14 9 191 15 2 107 14 2 27 12 4 83 10 2 147 11 8 66 9 4 76 10 0 70 0 0 100 0 0 86 4 0 17 1 9 50 3 7 60 18 6 73 9 8 61 13 0 65 0 0 32 17 0 78 0 0 62" \ 10 35 "0 0 25 "o 0 34'i2 3 5 14 8 Hospitals which are also Old Men's Homes — Grey River Westland Kumara Reef ton Ross 81 38 27 22 8-7 502 0 0 380 17 0 300 0 0 271 16 0 270 15 0 640 15 9 303 5 9 169 7 8 254 10 4 82 11 0 227 18 8 75 10 0 489 9 2 202 5 0 192 19 0 234 0 0 48 0 0 1,860 3 7 961 17 9 662 6 8 868 6 4 401 6 0 108 "o 0 Special Hospitals. Infectious-diseases Hospitals — Christchurch Dunedin Timaru Invereargill 13-4 50 3-8 2-9 54 3 4 57 7 0 126 11 8 120 3 3 60 13 4 61 12 0 48 2 3 126 19 3 68 12 0 100 0 0 70 19 4 355 16 6 246 2 3 160 13 4 182 11 4 50 0 0 Consumptive Sanatoria — Palmeraton South Christchurch Otaki 40 36 26 375 4 7 420 12 0 152 18 0 241 17 3 271 12 0 340 0 0 32 7 0 92 0 0 205 0 0 317 14 3 359 1 11 222 15 6 967 3 1 1,143 5 11 920 13 6 Maternity Home — Dunedin Medical School 6-6 75 0 0 152 17 3 80 14 4 308 11 7 Separate Institutions. 17-2 4-3 236 8 8 366 13 4 306 5 2 150 0 0 31 15 8 26 0 0 198 11 0 102 4 0 773 0 6 644 17 4 Oamaru Mercury Bay * Included under " Bnj [ineers, Porters, &c." t Details not available.

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128

Table V.—Statistics of Government Hospitals.

Staff. ft ISU! ,ber >f Bet Is. © 03 Number of Patients under Treatment during Year. > q gg.9 slog HI °a" a g 5ftfH Outpatients. Government Institutions. 'Stipendiary. a © o 3 Z 'edical. Nursing. CD .2 5 H i Ph Dome! ■a a a III o itie. <D * Oβ 1 •si 3 5 So c "a b I "o w cd O g ■Sg« 3(3a> as sx. 6 c6 ID X. a a a a 0 © a O o 3 CD - o c fa EG B ft q 1 o laternity Homes — St. Helens, Wellington „ Auckland Christchurch .. „ Dunedin •• •• i 1 1 1 1 4 3 ■ 14 2 i 12 3 I 11 3 ; io 11 i 47 I 4 j 2 5 3 ! ~ u 1 1 5 22 17 17 16 72 I '■ I •• s •■ I ! j 30 14 18 16 I 11-6 10-3 10-2 90 0-7 0-7 0-7 07 ■■ 233 244 270 212 233 .. 244 i 2 270 I 1 212 ! 1 j 959 ! 4 18 15 14 15 90-0 59 1 81-7 827 I J £1 to £1 10s. £1 to £1 10s. 88 217 108 41 454 Totals 78 41-1 0-7 959 16 78-5 'onsumptive Sanatorium — Cambridge I 1 ' I 1 i 5 14 25 I 83 23 ! 56 I 37-0 61 85 63 ; j 91 98-1 £1 to £3 3s. ! 148 6 Tα: 1LE VI. — Shi iwing Expend: :tueb op Hospitals contboi iLbd by Government foe ti e Yeae ende: 31st March, 1913. Government Institutions. If •Si Pi gll •-so Provisic c 1>DS. 3 o Surgery and Dis - pensary. Eh i o P< Domestic and Establishment. c En a o Salaries and Wages. o o o Total Maiateaance. c c 3 Administration. C 1 Eh 3 s O ft o Maintenance and Administration. O i "o Spq S"a c> Capital Expenditure. Other Expenditure. Total. Maternity Homes — St. Helens, Wellington „ Auckland „ Christchurch ... „ Dunedin 116; 10-3! in-2 9-0 411 22 17 17 16 72 18 15 15 16 £ 670 485 460 397 2,012 £ 57-8 47'1 451 441 48-9 110 98 89 37 364 £ 121 9-6 8 8 41 8-9 £ 481 274 453 406 414 26-6 44-4 45-0 £ 591 621 482 560 £ 51-2 60-3 47'2 63-3 54-9 £ 1,886 1,479 1,484 1,400 6,249 £ 162-6 143-5 145-5 155-5 152-0 j £ 75 94 82 75 326 £ 6-5 91 8-0 8-3 1,961 1,573 1,566 1,475 6,575 £ 169-1 152-7 15:3-5 163-8 159-9 £ 3,570 -16 765 4,351 £ 53 40 5,531 1,625 1,621 2,240 11,017 Totals 1,614 I 39'3 2,257 93 Sanatorium for Consumptives — Cambridge ... 37 25 91 1,865 3,877 504 245 I 609 66 1,317 2,931 35-6 1,302 3,559 3V2 4,730 j 10,979 127-8 193 524 5-6 4,928 11,503 j 133-1 402 4,813 93 5,390 16,407 Totals... ... ...

129

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Table VII. —Prices paid for some of the Principal Articles consumed in various Hospitals during the Year 1912-13.

17— H. 31.

Hospitals controlled by Boards. Meat. Fresh Beef. Corned Beef. Per lb. Per lb. Meat. Mutton. Perlb. Fish. Per lb. Fowls. Butter. Milk. Per lb. Per Gallon. Wellington Auckland Dunedin Christchurch Napier Waikato 4d. 4d. 4d. S|d. to 3d. 4d. 3Jd. 3£d. to 4d. 4d. 4d. 8|d. 5d. 8£d. 4d. 3Jd. SJd. to 4d. 4d. 4d. 4d. 4d. 2Jd.to 4d. 4d. 3Jd. 2Jd. and3^d. 3d. and 6d. 4d. and2Jd. 3d. 3d. 2Jd. to 5d. 3ja. to 7d. 3d 3d. to 8d. 2s. 9d. per pair 8Jd. perlb. 3s. per pair 4s. 6d. per pair 5s. per pair 4s.l0d.perpaii 5s. per pair 2s. 3d. per pair lOJd. to 12£d. Is. Id. Is. OJd. Is. OJd. Is. Id. Is. Is. ljd. Current rates, less 15 per cent". Is. 3d. Is. 2d. Is. OJd. Is. Id. 10d. and Is. ljd. Is. Id. 9d. lOJfl. 8d. 8d. 8d. 8d. 9d. 8Jd. Wanganui Southland Gisborne Palmerston North Thames Timaru Nelson New Plymouth 3d. 4£d. 5d. 4Jd. 3d. 3Jd. 3d. 4Jd. 4d. 4d. 3d. 3Jd. 3d. 4Jd. 3JJ. 3d. 3d. 3gd. 3d. 3*d. 3d. 4s. 6d. per pair 3s. 4d. per pair 6s. per pair 10*d. lid. 9Jd. lid. 9d. Own cows. ljd. to 6d. Is. 9d. and 2s. per pair Waihi .. Whangarei Dannevirke Waipawa Westport Masterton Wallace and Fiord Wairau Ashburton Hawera Northern Wairoa Stratford Gore Patea .. Otaki .. Waimate Maniototo Wairoa.. Picton Taihape Rawene Pahiatua Arrow Coromandel Tuapeka Mangonui Dunstan Taumarunui Waiapu Wakatipu Cromwell Denniston Otira .. Havelook Kaikoura Akaroa Bay of Islands Grey River Westland Kumara Reefton Ross 5d. 5d. 4Jd. 3|d. 4Jd. 3|d. 5Jd. 4d. 5Jd. to 8d. 3d. to4£d. 4Jd. 5Jd. 5d. and 6d. 4d. 5d. ■ 4Jd. 6d. 4*d. 5d. 6d. 5d. 4Jd. 6d. and 7d. 6d. 7Jd. 5d. 5Jd. 5d. 5d. 6d. and 7d. 4d. and 8d. 7d. 6d. 4Jd. 4Jd. 5d. 6d. 4Jd. 4d. 4|d. 4Jd. 6d. 4d. 5d. 4Jd. 3d. 4Jd. 3fd. 5Jd. 4d. 4d. to 5Jd. 4d. 4Jd. 3Jd. to 6d. 4d. 4Jd. 6d. 4d. 5d. 6d. m4|d. 6d. and 7d. 5d. 7Jd. 4d. It 2Jd to 4Jd. 5d. 3d. to 4Jd. 3d. 4£d. 3|d. 5d. 4d. 8Jd. to 5d. 2d. to 4d. 4Jd. 5Jd. 3d. to 5d. 4ja. 5d. 4Jd. 5d. 3Jd. 4d. 6d. 5d. 4Jd. 5d. to 6d. 5Ad. 6d. 5d. 4*d. to 5d. 5d. 2Jd, 4Jd. and 5d. 4d. and 5d. 6d. 6d. 4*d. 3Jd. 3Jd. 6d. HA4Jd. 4|d. 5d. 5Jd. 4d. 4d. Is. per bundle id. 3d. and6d. 4d. per lb. Is. per bundle 5s. per pair Own produce 3s. 9d. per pair 5s. per pair Market rates Is. Id. Is. Is. Is. to Is. 3d. Is. ljd. 10d. to Is. Is. Id. 8d. to Is. 2Jd. 10d. to Is. 2d. Is. 2d. Is. Is. Id. IOd. to Is. 3d. • Is. Market rates IOd. Is. 2d. Is. Id. Is. 2Jd. Is. 2d. Is. 3d. 9d. to Is. Is. to Is. 4d. Is. 3d. Is. 2d. Is. 2d. Is. 2Jd. Is. 2d. Is. 4d. IOd. and Is. 2Jd. la. Is. Own produce. Iβ. 2d. Is. 9d. Is. 2d. IOd . Is. 10d. Is. 3d. lOfd 10d. 8d. Market rates. Is. 3d. Is. Is. Is. 2d. Is. 2s. Is. 2d. 10d. 8d. Is. 8d. Is. 6d. 3d. Is. 5s. per pair 6s. per pair 5d. and 6d. 4d. 6d. 6d. 4Jd. 5d. 4£d. 6d. 4*d. 3d. 4§d. da. 5d. 2b. 5d. Is. 4s. per pair 4s. 6d. per pair 4s. 6d. per pair 6s. per pair Is. 2d. Is. 2d. Is. 4d. Is. 2d. Is. 3d. Is. Id. Is. Is. 4d. Is. Is. 2d. Is. 8d. 2s. Is. 4d. Is. 4d. Is. Is. Is. 9d. 3s. Is. 2d. Is. 2d. 3d. 4s. per pair Special Hospitals. Infectious-diseases Hospitals— Christchurch Dunedin Timaru Invercargill 5id. 4d. 4Jd. 2Jd. to 4d. 5d. 3Jd. 4d. 3Jd. to 4d. 4d. 4d. 3d. 2Jd. to 3Jd. 3d. 3d. 4s. 6d. per pair Is. OJd. Is. 0|d. Is. Id. Current rates, less 15 per cent. lid. 8d. Is. Id. Is. 3d. to 8d. 6s. per pair Consumptive Sanatoria — Palmerston South Christchurch Otaki Maternity Home — Dunedin Medical Sohool 6d. 5|d. 5d. 6d. 5d. 4d. 4Jd. 4d. 5d. 3d. 3d. 3d. and 6d. 4s. 6d. per pair Is. Id. Is. OJd. 8|d. lid. 4d. 3Jd. 4d. 3d. Is. OJd. 8d. Separate Institutions. Oamaru Mercury Bay 4Jd. 4Jd. 4Jd. 4|d. BJd. 4£d. 3d. 2d. 3s. per pair Is. 2Jd. Is. 2d. Is. Is. 8d.

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130

Table VII. —Prices paid for some of the Principal Articles consumed in various Hospitals during the Year 1912-13— continued.

Hospitals controlled by Boards. Eggs. Per Dozen. Bread. Per 41b. Loaf. Flour. Pei- 1001b. Sugar. Per Cwt. Oatmeal. Per 1001b. Tea. Bice. Perlb. Per Cwt. Wellington ls.4d. tols.6d. j Made on premises Aid. 8s. 6d. 17s. 9d. 12s. lid. 16s. Auckland Is. Id. 10s. 9cl. 19s. Cd. 14s. Is. OJd. £1 15s. Dunedin .. ,. Ghristchurch Napier Waikato .. Wanganui .. Southland .. Is. 2Jd. Is. 2d. Is. to 2a. 6d. Is. 3d. Is. 2d. Current rates (less 15 p.c.) 4fd. 4jd. ii&. 5|d. 5d. 4Jd. 9s. 9s. 3d. 9s. 6d. 10s. 6d. 10s. 8s. 9a. 17s. 9d. 19s. 4d. 19s. £1 Os. 10d. 17s. 6d. 18s. 3d. 12s. 2d. 13s. 3d. 13s. 9d. lls. 8d. 12s. 13s. lid. Is. 3d. Is. 3d. Is. 3d. Is. Is. 7d. 16s. 16s. 17s. 17s. 18s. 8d. 13s. 7d. Gisborne Palmerston North Thames Tiraaru Nelson New Plymouth Waihi .. Whangarei Dannevirke Waipawa Westport Masterton Wallace and Fiord . Wairau Ashburton Hawera Northern Wairoa Stratford Gore Patea Otaki .. .. ... Waimate Maniototo Wairoa.. Is. 3d. Is. Is. Is. 4d. It. 2d. Is. Is. Own supply Is. 2s. 10d. Is. 8d. Is. 2d. 7d. 4|d. 51d. 5|d. 5gd. 7d. 6d. SJd. SJd. 6d. (less 2J p.c.) 6'. 4d. 6Jd. 5|d. 4d. (less2J p.c.) 6d. (less 2 p.c) 7d. 6d. 6d. (less 2Jp.c.) 6d. 3d. 7d. 7Jd. 6d. 10s. 9d. lls. 6d. 10s. 10d. 9s. 4s. 8d. 10s. 12s. lls. 10s. 6d. lls. 6d. lls. 12s. 12s. 12s. 8s. 9d. 12s. 9s. 6d. 9s. 9d. 10s. 6d. lls. 19s. 9d. £1 2s. 18s. 6d. 8s. 10d. 18s. to 19s. £1 19-*. 6d. 19s. 6d. £1 Is. 9s. 6d. 19s. 6d. £1 Os. 6d. £1 03. id. £1 Os. IOd. £1 lls. 15s. 9d. £1 Is. £1 Is. 6d. 9s. 3d. 14s. 7d. 17s. 4d. 14s. 8d. 12s. 8d. 12s. 8d. 13s. 6d. 15s. 15s. 15s. 6d. 14s. 13s. 6d. 15s. 14s. 16s. 13s. 14s. 13s. 6d. 13s. Is. 3Jd. Is. 6d. Is. 2d. Is. 2d. lljd.tols.5d. Is. Is. 4d. Is. 3Jd. 2s. Is. 5d. Is. Id. Is. 6d. Is. 7d. Is. to Is. 8d. Is. 2d. Is. 8d. Is. 3d. Is. 4 : . Is. 3d. Is. 9d. lljd. Is. 2d. Is. 3d. Is. 7d. 18s. 8d. £1 Is. 16s. 4d. 18s. 8d. 16s. 4d. 17s. 17s. 14s. 17s. £1 3s. 18s. 8d. 16s. 4d. 18s. 8d. lid. Is. 3d. 9.1. to lid. Is. 6d. £1 3s. 15s. Iβ?. 16s. 4d. 9s. 4d. £1 Is. 18s. 8d. 19s. 17s. Is. 4d. Raised on premises 10d. Is. 4d. Is. to 2a. 3d. 9s. 6d. 10s. lls. 6d. £1 Os. 6d. £1 Is. 19s. 14s. 15s. 16s. Picton Taihape Eawene Pahiatua Arrow Goromandel Tuapeka Mangonui 5d. 10s. 10s. 6d. 13s. 10s. 6d. 10s. 6d. 12s. 10s. 6d. 13s. to 14s. £1 18s. £1 Is. 18s. 8d. £1 2s. 6d. 183. 6d. £1 Is. 18s. 14s. 13s. 16s. 13s. 12-!. 6d. 13s. 6d. 15s. 16s. Is. 4d. Is. Id. la.6d.tols.9d. Is. 6d. 2s. Is. 6d. Is. 4d. Is. 7d. £1 3s. 4d 18s. 8d. £1 5s. 18s. 8d. 19s. 8d. 14s. 6d. 18s. 18s. Is. Is. 3d. Is. 2Jd. 9d. 6d. 8d. 7d. 6d. Dunstan Taumarunui Waiapu Wakatipu .. Cromwell .. Denniston Otira Havelock Kaikoura Akaroa Bay of Islands Grey River .. ... Westland Kumara Reefton Is. to 2s. Is. 9d. lid. to Is. Id. 2s. 2s. 7d. to Is. 9d. Is. Is. 2s. 3d. Is. Is. 6d. Made on premises 7d. 8d. Id. 6d. 8d. 7d. 7d. 7d. 6d. 7d. 8d. Sd. (less 3} p.c.) 7d. 7d. 8d. 8d. 10s. lls. 6d. 13s. 6d. 9s. 6d. 13s. 12s. 12s. 12a. lls. lls. lls. 9s. £1 2s. 3s. 10s. 5d. lid. £1 Is. IOd. £1 2s. £1 12s. £1 2s. £1 4s. £1 £1 2s. £1 Is. £1 2s. £1 Is. 6d. £1 Is. 6d. 18s. £1 Os. 6d. 12s. 18s. £1 2s. 13s. £1 13s. 15s. 15s. 16s. 15s. 6d. 18s. 15s. 15s. 12s. 14s. 6d. 16s. lls. 16s. Is. 8d. Is. 6d. Is. 9d. Is. 8d. Is. 8d. to 2s. Is. 2d. Is. 6d. 2s. Is. 3d. Is. 3d. Is. 3d. Is. Is. 5Jd. Is. 6d. Is. 8d. Is. 8d. £1 Is. 12s, 6d. 13s. 8d. £1 8s. £1 2s. lid. 19s. 6d. £1 2s. lid. 19s. 6d. £1 3s. 4d. £1 3s. 4d. 16s. 18s. 6d. £1 8s. lls. 8d. £1 rid. Is. 6d. Special Hospitals. Infectious - diseases Hospitals— Ohrisichurch Dunedin Invercargill Is. 2d. Is. 2^d. 5Jd. 5|d. 5Jd. 9s. 3d. 9s. 8s. 9d. 19s. 4(1. 17s. 9d. 18s. 3d. 13s. 3d. 12s. 2d. 13s. Is. 3d. lid. Is. 7d. 16s. 16s. 13s. 7d. Consumptive Sanatoria — Palmerston South Ohristchuroh Otaki Dunedin Medical School Is.' 2d. Current rates Is. 2Jd. 6d. 4£d. 3d. 5|d. 9s. 9s. 3d. Current rates 9s. 17s. 9d. 19s. 4d. 12s. 2d. 13s. 3d. lid. Is. 3d. Hid. lid. 16s. 16s. £1 Is. 16s. 17s. 9d. 12s." 2d. Separate Institutions. Oarnaru Mercury Bay 10d. Is. 5d. 8d. 9s. 3d. lls. 6d. 19s. 6d. £1 13s. 16s. Is. Is. 3d. 17s. £1 3s. ii.

131

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Table VII.—Prices paid for some of the Principal Articles consumed in various Hospitals during the Year 1912-13 — continued.

Hospitals controlled by Boards. Potatoes. Per Cwt. Coal. Coke. Per Bag. Kerosene. Per Case. Gas. ! Electric Current. Per 1,000 ft. ■ Per Unit. Less Discount, j Less Discount. Per Ton Wellington Auckland 5s. 6d. 7s. £1 5s. £1 6s. 7d. Is. 2Jd. £1 8s. 6d. per ton £1 8s. 6d. per ton 7s. 4d. 5s. 5d. 3s. 5d. 3d. 6£d. Dunedin .. 5s. 9s. lid. to £1 5s. 9d. 7s. 6d. 5s. Christohurch Napier Waikato Wanganui Southland .. Market prices 7s. 6d. 7s. lid. 4s. Current rates, less 15 per cent. 8s. 6s. 6d. 6s. 3d. £4 10s. per ton. 5s. 6d. Market prices Market prices 5s. 6d. Market prices Market prices 7s. 6s. 6d. 5s. 4s. to 6s. £1 8s. £1 14s. £1 2s. £1 10s. £1 to £1 5s. Iβ. 9d. Is. 5id. Is. 9d. 8s. 6d. 8-. 2d. 5s. 9d. 4s. 2.1. 8s. 4d. 5?. 9<J. 5s. 10d. 2d. and 6d. 8s. 6d. 6s. 9d. 5Jd. Gisborne Palmerston North Thames Timaru Nelson New Plymouth Waihi Whangarei Dannivirke Waipawa Westport Masterton Wallace and Fiord Wairau Ashburton Hawera Northern Wairoa Stratford £1 15s £1 9s. £1 9s. 10d. £1 10s. to £1 15s. £1 11-. to £1 14a. £1 18s. £1 10s. 16s. £2 5s. 6d. £114s. lid. to £119s. lid. £1 Is. £1 19s. 16s. £1 19s. £2 to £2 4s. 6d.,£l li.6d. £2 4s. £1 15s. £1 12s. 19s. 6d. to £1 2s. £1 15s. Do £2 5s. £1 4s. £1 7s. to £1 19s. 2s. 9d. Is. 5d. £1 14s. per ton Is. 8--, ltd. 11s. 7s. lid. 7s. 8d. 4s. 3d. Cs. 3d. 5s.5d.to6s.9d. 7s. 6d. 5s. 6d. 5s. 10d. 6s. 8d. 7s. 9s. 7s. 6d. 4s. 6d. 1 Id. Is. 8(i. Is. per gal. 9a. 6s. 9d. 9s. 9s. 3d. 8s. 9d. 8s. 9d. 8s. 9d. 8s. 9s. 7s. 6-". 6d. 9a. 6d. 9s. 8s. 9d. 7s. 7s. 9d. lla. 6d. 9s. 6d. 2d. and 6d. Is. 6d. Is. Is. Is. 5s. 5d. ls."6d. 7s. 6d. 6>. 9d. 8d. 5s. 6d. 5s. 6s. 4s. 6d. 9s. 6d. Market rates 2s. 9J. 6d. Gore Patea Otaki .. Waimate Maniototo Wairoa Pioton Taihape Rawene Pahiatua Arrowtown Coromandel £1 Is. per ton 10s. 6s. 17s. 8s. 5s. 9s. to 10s. 6s. 6d. 4s. 9s. £2 17s. 6d, £1 18s. £1 19s. 10s. 9s. 6d. 9s. Us. >,)«. 6d. 8d. £1 17s. 6d. lo £2 2 . 6d. £1 15s. £1 16s. Is. £1 14s. 6d. per ton 7s. 6d. Tuapeka Mangonui Dunstan Taumarunui Waiapu Wakatipu Cromwell Denniston Otira .. Havelook Kaikoura Akaroa Bay of Islands Grey Eiver Westland 9s. 7s. to 16s. 9s. 6d. 12s. 4s. 6d. 7s. 10s. 11s. 6d. 6*. 8d. 7s. £1 5s. 6d. 9s. 8s. 6d. 10s. 17s. to £1 9s. 6d. £1 4s. £3 15s. £1 Is. 8d. £1 2s. 12s. 6d. £2 2s. •• •• 11s. 10s. 6d. 12s. 10s. 11s. 9s. 6d. 9s. 6d. 9s. 9s. (id. 9s. 6d. 8s. 9d. 9s. 7-\ lid. 10s. • • £2 7s. 6d. £2 2s. £1 be. 17s. £1 3s. 3d. 19s. 18s. £1 4s. . .. Kumara Reefton Ross 9s. 5s. 7s. 6d. 10s. 6s. lid. 10s. 6d. 6d. 5s. 10d. 10s. Special Hospitals. Infectious - diseases Hospitals— Christchureh Dunedin Inveroargill 7s. 5s. Current rates, less 15 per r:ent. £1 11s. 3d. £1 6s. 6d. £1 4s. to £1 9s. I 8-. 6.1. 7s. 9d. 6s. 9d. i Consumptive Sanatoria — Palmerston South Christohurch. Otaki Dunedin Medical School 5s. 7s. Market rates 5s. £1 10s. £1 13s. 3d. £1 4s. £1 6s. 6d. £1 19s. per ton I 8s. 6d. 8s. 6d. 7s. 7s. 9d. 5s.'9d. ,5s. £1 9s. per ton Sepabatb Institutions. Oamaru Mercury Bay 5s. 7s. 6d. £19s. £1 15s. 8s. 3d. 8s. 7d. 7s. 6d.

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132

Table VII.—Prices paid for some of the Principal Articles consumed in various Hospitals during the Year 1912-13— continued.

Cotton Wool. Lint. Chloroform. Hospitals controlled by Boards. P.D. Per lb. B.W. Per lb. Clinical Thermometers. Disinfectants. Ordinary. Per lb. Interleaved. Per lb. Plain. Per lb. Medicated. Per lb. D.F. Per lb. Wellington Auckland Dunedin Christchurch .. Napier Waikato Wanganui Southland 9|d. 11 Jd. lid. Is. Id. Is. 2d. Is. Id. Is. 4d. Is. 4d. Is. 3Jd. Is. 4d. Is. 6d. Is. 8d. Is. 6d. Is. lid. ls.'fjjd. 3s. 5d. peroz. 4s. 9d. 3s." *5d. 7s. 7s. 15s. 12s. 9d. Is. 3d. 15s. £1 3s. 15s. 14s. 6d. Crude carbolic, 3s. 9d. per lb.; cresolene, 6s. 6d. Formalin, 14s. 2d. per gal.; carbolic acid, 10s. per gal. Jeyes' fluid, 6s. 6d. per gal.; lysol, 18s. 4d. per gal. Lysol, 12s. per gal.; soldis, 2s. 6d. per gal. Carbozone, 3s. 2d. ; K.P. fluid, 4s. 6d. per gal.; lysol, 10s. 6d. per gal. Lysol, 10s. per gal. ; carbolic acid, Is. per lb. Jeyes' fluid, 6s. 7d. per gal. Lysol, 9s. 8d. per gal. Lysol, 9s. 6d. per gal. ; formalin, Is. per lb.; Jeyes' fluid, 6s. 6d. per gal. Bedol, 2s. 6d. per gal. ; lysol, 7s. 6d. per gal. Kreso, 4s. 6d. per ga). ; cresylene, 11s. per tin. Is. Id. 6d. Is. 2Jd. ls.'ejd. 3s. to 9?. 8s." 9d. 8s. 6d. Gisborne Palmetston North Thames Timaru Is. la. 6d. Is. Id. lOJd. Is. 4d. Is. 9d. 2s. Is. 7d. Is. 6d. 2s. 5s. 3d. 9s. 6d. 8s. 10d. 9s. £1 10s. 2s. 6d. and 4s. 6d. 2s. 3Jd. 9s. 6d. .. 5s. Nelson New Plymouth 9d. 9Jd. 10d. Is. 4d. 2s. 4d. and 2s. 6d. Is. 8d. Is. 9d. 4s. 18s. Waihi Whangarei Dannevirke Waipawa Westport Masterton Wallace and Fiord Wairau Is. Is. Id. 9d. Is. Id. Is. 7d. lid. Is. 6d. Is. 6d. lid. 4s. 6s. 3s.* 4s. 3d. 4s. Id. 8s. 6d. 16s. Is. 6d. 18s. Disinfectal, 7s. 6d. Jeyes' fluid, 5s. 6d. per gal. Lysol, 11s. per gal. Is. 6d. 2s. 6d. Is. 6d. Is. 6d. 2s. 3d. Is. 9d. 4s. 9d. 5s. 6d. 6s. 8s. 9s. 6d. 18s. £1 16s. Jeyes' fluid, 5s. per gal. Jeyes' fluid, 5s. 9d. per gal.; lysol, 9s. 9d. per gal. Carbolic, Is. 3d. per lb. ; lysol, 11s. per gal. ; Little's dip, 5s. per gal. Lysol, 13s. per gal.; Condy's, 2s. per gal.; carbolic, 6s. per gal. Lysol, 2s. per bottle ; Jeyes' fluid, 7s. 6d. per gal. Ashburton Is. 3d. and Iβ. 6d. Is. 4d. Is. 9d. Is. Id. Is. 2d. Is. 10d. 6s. 9s. 9d. £1 Hawera Northern Wairoa Stratford Gore .. Patea Otaki Waimate 2s.'6a. Is. 9d. lid. Is. 9d. 2s. 6d. Is. 9d. 2s. 6d. Is. 4d. Is. 10d. to2s. ■• 3s. Id. 3s. 6d. 9s. 6d. 10s. 6d. 9s. 10s. 7s. 3s. £1 4s. 18s. 3s. 6d. 7s. Lysol, 14s. per gal. 9Jd. Is. 2d. Lysol, 13s. per gal. 4s. Lysol, 11s. per gal. Maniototo Wairoa Pioton Taihape Rawene Pahiatua Is. 6d. Is. 6d. Is. 7d. Is. 9d. Is. 8d. Is. Id. 2s. 2s. Is. 6d. Is. 9d. 4s. lis. 8s.' 9d. £1 10s. £1 4s. 15s. HI 10s. £1 16s. Formaldehyde. Lysol, £1 4s. per gal. Lysol, 12s. per gal. ; soldis, 2s. per gal. Lysol, 10s. 6d. per gal. Carbolic acid, Is. 9d. perlb. ; Jeyes' fluid, 7s. per gal.; lysol, 10s. 8d. per gal. K.P. fluid, 6s. per gal. ; lysol, Is. 6Jd. per quart. 4s.'6d.f 10s. 2d. Arrowtown Is. 4Jd. 2s. 4d. 4s. 9d. 6s. 10d. 9s. 6d. * Merck's. + Smith's.

133

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Table VII.—Prices paid for some of the Principal Articles consumed in various Hospitals during the Year 1912-13— continued.

Hospitals controlled by Boards. Cotton Wool. Plain. Per lb. Lint. Medicated. Perlb. C P.D. Per lb. Chloroform. Chloroform. B.W. Per lb. l. D.F. Per lb. Clinical Thermometers. Disinfectants. Ordinary. Per lb. Interleaved. Per lb. Coromandel Mangonui Dunstan Taumarunui Waiapu Wakatipu Denniston Otira Havelook Kaikoura Akaroa Bay of Islands Grey River Westland Kumara Beef ton Ross Is. 3d. Is. 6d. Is. 6d. Is. Id. Is. 3d. Is. 4Jd. Is. 4d. Is. 2d. 2s. 2s. Is. 8d. Is. 10d. 2s. 4d. Is. 9d. Is. 9d. la. 9d. 2s. 3d. 2s. 3d. Is. 6d. Is. 6d. 2s. Is. 5Jd. 2s. 4s.'6d.t 10s. 9s. £1 10s. £1 4s. £1 3s. 15s. Formalin, 11s. 6d. per gal. Lysol, 10s. 6d. per gal. K.P. fluid, 5s. per gal. Jeyes' fluid, 6s. 6d. per gal. ; lysol, 18s. 4d. per gal. Jeyes' fluid, 6s. per gal. Lysol, Is. 6|d. per quart. Lysol, 9s. per gal. Jeyes' fluid, 5s. 6d. per gal. Lysol, Is. 3d. per lb.; carbolic, Is. 3d. per lb. Kerol, 5s. per gal. Lysol, 2s. per bottle. Lysol, 10s. per gal. Creoline, 2s. per gal. Jeyes' fluid, 5s. per gal. Jeyes' fluid. 5s. per gal. Lyaol, 11s. 6d. per gal. Jeyes' fluid, 5s. 6d. per gal. 4s. 9d. 6s.'ioa. 9s. 6d. 10s. 6d. 9s. 2s. 6d. Is. 3d. Is. 6d. 2s. 2s. 6s. 6s. 6d. each £1 4s. 6s. each Is. 8d. Is. 8d. Is. Id. Is. Id. Is. 3d. Is. 9d. 9d.t Ss. 9s. 9s. 6d. 9s. 3e. 6d. each. Is. 8Jd. Is. 3d. Is. 3d. Is. 3d. Is. 9d. Is. 9d. Is. 9d. 2s. 6d. 2s. 3s.* 2s. 9s'. 5s. 6d. Is. 4d. 2s. £1 4s. Special Hospitals. Infectious-diseases Hospitals — Christchuroh Invercargill Is. Is. 4d. Is. 6d. Kerol, 5s. per gal. K.P. fluid, 4s. 6d. per gal. Consumptive Sanatoria— Ghristehuroh Otaki lljd. 9|d. lid. Is. 4d. Is. 4d. Is. 3d. 7s. Kerol, 5s. per gal. Separate Institutions. Oamaru Mercury Bay Is. 8d. Is. 9d. Is. 8d. Is.' 9d. 5s. 6d. £1 4s. Jeyes' fluid, 5s. 6d. per'gal. Jeyee' fluid, 6s. 6d. per'gal. ; lysol, 11s. per gal. *Mer< :k'B. + Smith's. t D. Flock's.

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134

Table VIII.—Showing Average Annual Expenditure per Occupied Bed on Principal Items of Expenditure for the Three Years ended 31st March, 1913, in Hospitals divided into Classes, and the Average Expenditure for each Class.

Average Number Average Aunual Expenditure per Occupied led. Hospitals. Occupied Surgery Domestic Beds per Provisions. and „ ft ,. , Diem. ! Dispensary. Estabhshr ' ment. Salaries ai.d Wages Total Maintenance. Uass 1 — Over 100 occupied beds daily — Wellington Auckland Dunedin .. Christchurch 267 258 170 155 £ 21-4 21-3 21-2 26-9 £ 7-5 8-3 10-2 10-9 £ 22-5 27-7 31-0 31-8 £ 35-1 30-0 37-0 43-5 £ 86-5 87-3 99-5 113-2 Average for class 22-4 8-6 27-8 35-2 94-0 'lass II — 40 to 99 occupied beds daily — Napier Waikato Wanganui Southland Nelson Palmerston North Gisborne .. .. "77~ Timaru Thames .. 82 77 72 53 48 47 47 47 45 25-9 28-2 21-1 26-4 20 : 7 20-0 20-3 19-9 13-7 14-5 8-9 10-6 10-4 7-7 101 9-1 12-4 5-5 26-9 21-2 23-0 29-2 23-8 27-8 26-4 28-0 131 34-3 36-9 26-5 41-9 35-6 32-1 42-7 371 26-1 101-7 95-4 81-2 107-9 87-8 90-0 98-6 97-4 58-4 Average for class 22-2 10-1 24-1 34-2 90-7 ■lass III — 30 to 39 occupied beds daily — Waihi New Plymouth Dannevirke Westport Masterton Waipawa 38 38 24 22 21 21 23-7 28-1 25-2 28-2 30-6 24-9 10-5 18-1 8-2 14-0 13-2 8-8 25-4 30-5 18-8 26-9 28-5 27-3 42-6 43-8 40-1 54-8 53-1 53-9 102-0 120-6 96-6 124-0 125-5 114-9 I I Average for class. . 26-6 12-5 27-1 46-9 113-2 ■lass IV — 20 to 19 occupied beds daily — Wallace and Fiord Oamaru Wairau Whangarei Hawera Ashburton Gore Stratford North Wairoa 18-3 17-4 17-3 17-1 15-2 14-5 11-6 10-9 10-0 28-2 20-9 321 22-4 31-3 26-5 20-2 28-5 32-2 9-1 8-0 14-3 12-0 160 10-0 8-4 9-7 15-6 22-5 27-1 47-3 24-4 58-9 38-8 25-9 33-3 45-0 50-3 41-1 60-4 60-2 67-0 55-7 61-2 77-2 74-5 110-0 97-2 154-2 119-2 173-2 1310 115-8 148-8 167-1 Average for class 26-8 11-4 43-0 51-6 132-8

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135

Table VIII.—Showing Average Annual Expenditure per Occupied Bed, etc. — continued.

Average Number of Occupied Beds per Diem. Avei ■age Annual Expenditure ier Occupied led. HoRpitals. Provisions. Salaries and Wages. Total Maintenance. Olass V — 10 to 19 occupied beds daily — Waimate Otaki South Wairarapa Patea Picton Wairoa Naseby Fahiatua Arrowtown Mercury Bay Coromandel Tuapeka Wakatipu Dunstan Rawene Mangonui Waiapu Cromwell Akaroa Havelock 9-9 9-6 9-7 8-7 8-4 8-1 7-2 6-6 5-8 5-6 5-5 5-4 5-4 51 4-5 4-1 3-5 2-9 2-0 1-7 39-3 29-7 25-3 3L-7 29-3 31-5 26-1 30-0 27-2 42-5 43-2 32-0 28-9 33-8 33-5 301 46-2 29-7 31-8 30-7 13-9 3-9 9-2 14-8 16-9 9-4 6-1 5-2 6-7 21-9 34-8 3-0 6-9 10-0 8-2 10-8 9-7 8-7 12-6 11-8 48-5 28-3 28-3 33-6 53-1 36-3 28-0 29-9 22-9 24-2 39-0 55-2 28-0 37-3 46-5 34-4 90-4 59-5 61-4 33-5 59-7 77-6 63-6 65-6 80-3 69-6 88-8 85-7 72-7 123-0 126-6 63-3 75-4 91-7 85-9 87-9 . 203-8 148-8 103-6 90-9 161-5 139-5 126-4 145-9 179-6 146-8 149-0 150-9 129-6 211-7 243-7 153-4 139-2 172-9 174-3 163-2 350-0 246-7 209-6 167-0 Average for class 31-3 11-2 37-2 79-8 159-4 Hospitals which are also used as Old Men's Homes — Grey River . . Westland Kumara • Reefton Ross 60 38 26 26 9-4 20-4 19-9 22-4 27-2 23-6 5-0 7-2 3-1 7-3 9-5 27-8 24-6 17-1 21-3 18-0 28-2 23-7 25-0 34-5 42-0 81-5 75-4 67-6 90-4 93-2 Average for class 21-8 5-8 23-7 28-5 79-9

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Table IX.—Charitable Institutions: Statistical.

136

Staff. ■a I A Number of Inmates during Year. I 1* s Governing Hospital and Charitable; Aid Boards. Institutions. Medical. Non-resident. >, I I "el Domestic. 4 II g 11 Il III I is 3 B || Jf CD O -{I o <D II a i i 1 s Auckland Otago Wellington Southland North Canterbury Hawke's Bay North Canterbury Taranaki Nelson South Canterbury Waitaki.. Wanganui Thames Marsden-Kaipara Buller Cook Waikato Wairarapa Costley Home, Auckland Otago Benevolent Institution, Dunedin .. Ohiro Home, Wellington Lome Farm, Inveroargill Tuarangi Home, Ashburton Old People's Home, Park Island Memorial Home, Woolston Old People's Home, New Plymouth Old People's Home, Nelson Old Men's Home, Timaru North Otago Benevolent Institution, Oamaru Jubilee Home, Aramoho District Home, Taruru Cottage Home, Whangarei Old People's Home, Westport Old People's Home, Gisborne Old Men's Home, Hamilton Renall Solway Home, Masterton l< 1 ) 1 1 1 1 1 1 1 12 I •• 1 3 5 1 1 1 1 I( 2 ) 1( 2 ) 1 1 1 1 1 1( 2 ) 1( 2 ) 1 1 1 1 1 1 1 1 10 3 4 11 4 2 6 2 4 2 2 2 1 1 1 1 13 3 3 2 3 6 2 30 6 9 16 12 10 13 5 6 4 4 5 7 4 3 3 3 1 279 200 147 148 107 108 99 57 54 37 48 38 38 31 30 26 21 15 246 117 113 96 81 78 69 36 34 32 30 29 24 23 21 15-5 14-9 8-9 319 148 225 101 125 157 9 56 43 92 47 40 35 57 36 29 42 20 92 76 45 44 8 92 13 6 3 12 7 6 3 411 224 270 145 125 165 101 69 49 95 59 47 41 60 38 32 42 20 73 5 10 8 13 "s 17 5 2 5 5 4 3 219 192 , 152 240 236 172 248 191 254 123 186 226 214 142 ! 207 J 174 129 182 £ 38-6 300 25-7 29-6 45-4 29-8 46-1 39-3 36-5 26-4 26-0 10/-15/ 8/-12/6 10/ 10/ 8/3 1 1 1 1 1 1 1 1 1 1 1 1 1 I i' 12/ 10/ 8/6 8/9 10/ 10/ 10/ 15/ i • • 3 1 52.1 44-1 29-6 48-6 453 41-6 ■' : ■• 2 "% 10/ 14/ ■• I I ■• Totals and averages i . i ! 21 18 58 I 40 141 1,483 1,068 412 1,993 162 196 j \ u 13 1,581 North Canterbury ■ ' i i I i North Canterbury Children's Home — Waltham Orphanage Female Refuge — Linwood Refuge Home Casual Ward — Armagh Street Depot, Christchurch Convalescent Home — ■ Alexandra Convalescent Home, Auckland 1 1 1 1 1(2) 2 2 3 3 21 37 16-6J 31 10 9 64 19 64 318 176 22-3 36-0 I North Canterbury Auckland 1 1 1 ■" 2 16 6-2 59 59 39 44- 1 1 .. 1 1(3) 2 1 4 13 9-6 5 i 144 i 149 23 61-5 1/1/0 (1) Resident and whole time, and Master of Home. (2) Registered nurse. (3) Of the Auckland Hospital.

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Table X.—Showing Expenditure of Charitable Institutions under the Control of Hospital and Charitable Aid Boards for the Year ended 31st March, 1913.

18— H. 31.

137

Governing Hospital and Charitable Aid Board. Institutions. || Provisions. and f^ COM S Co" 13 SPgE Total »§,« Total S 53 g Cost. «g pg Cost. 4j*ft_ 8§ T-ery Domesti pensary. Establisl J.tJ o-'Sts Total -Sgg Cost. 3<D lie and hment. 4.T3 CO CO '•£. t> CO 88 Total Cost. Sala and V iries Vages. ■w a it So Auckland Otago Wellington Southland North Canterbury Hawke's Bay North Canterbury Taranaki Nelson South Canterbury Waitaki Wanganui Thames Marsden, Kaipara Buller Cook Waikato Wairarapa Old People's Homes— Costley Homo, Auckland Otago Benevolent Institution, Dunedin .. Ohiro Home, Wellington Lome Farm, Invercargill Tuarangi Home, Ashburton Old People's Home, Park Island Memorial Home, Woolston Old People's Home, New Plymouth Old People's Home, Nelson Old Men's Home, Timaru North Otago Benevolent Institution, Oamaru Jubilee Home, Aromoho District Home, Taruru. . Cottage Home, Whangarei Old People's Home, Westport Old People's Home, Gisborne Old Men's Home, Hamilton Renall-Solway Home, Masterton £ £ £ 246 3,564 14-5 315 117 1,586 13-5 18 113 1,220 10-8 25 96 1,1.14 11-6 9 81 1,232 15-2 167 78 935 12-0 41 69 913 13-2 ! Ill 36 590 16-4 j 28 34 567 16-7 32 348 10-9 30 335 11-2 12 29 406 14-0 24 479 19-9 15 23 355 15-4 19 21 296 14-1 6 15-5 259 16-7 3 14-9 318 21-3 8-9 126 14-2 6 £ £ 1-3 3,570 0-2 1,353 0-2 759 0-1 ' 851 2-1 1,242 0-5 538 1-6 1,103 0-8 403 323 219 0-4 137 407 0.6 329 0-9 224 0-3 132 0-2 277 148 0-7 114 £ 14-5 11-5 6-7 8-9 15-3 6-9 16-0 11-2 9-4 6-8 4-6 14-0 13-7 9-7 6-3 17-8 9-9 12-8 £ 1,924 539 710 752 827 641 873 230 262 191 218 262 330 324 161 143 180 93 £ 7-9 4-6 6-3 7-8 10-2 8-2 12-6 6-4 7-7 6-0 7-3 9-0 13-8 14-1 7-7 9-2 12-1 ■ 10-4 Totals and averages 106-8 14,644 .. 776 .. 12,127 8,660 North Canterbury Children's Home — Waltham Orphanage Female Refuge — Linwood Refuge Home Casual Ward— Armagh Street Depot, Christchurch Convalescent Home — Alexandra Convalescent Home, Auckland 16-6 149 5-9 1 0-1 171 6-8 206 8-2 North Canterbury 31 437 14-1 14 0-4 283 9-1 319 10-2 North Canterbury 6-2 128 20-6 6 10 84 13-5 40 6-3 Auckland 9-6 206 21-5 4 0-5 194 20-2 156 16-3 Totals 920 26 733 721

Governing Hospital and Charitable Aid Board. Institutions. <a 33 Total Cost. "S g (a 8§ Total Maintenance. Administration. co o Total n 'S-a Cost. g o pq Maintenance and Administration. Total a 'S-d Cost. «§(5 8S CO a "■3 a p. S x o si l| £ w Total. Auckland Otago Wellington Southland North Canterbury Hawke's Bay North Canterbury Taranaki Nelson South Canterbury Waitaki Wanganui Thames Marsden, Kaipara Buller Cook .. Waikato Wairarapa Old People's Homes — Costley Home, Auckland Otago Benevolent Institution, Dunedin . . Ohiro Home, Wellington Lome Farm, Invercargill Tuarangi Home, Ashburton Old People's Home, Park Island Memorial Home, Woolston Old People's Home, New Plymouth Old People's Home, Nelson. Old Men's Home, Timaru North Otago Benevolent Institution, Oamaru Jubilee Home, Aromoho District Home, Taruru.. Cottage Home, Whangarei Old People's Home, Westport Old People's Home, Gisborne Old Men's Home, Hamilton Renall-Solway Home, Masterton £ 9,373 3,496 2,714 2,726 3,468 2,155 3,000 1,250 1,153 758 703 1,075 1,153 922 595 682 . 646 340 £ 38-1 29-9 24-0 28-4 42-8 27-6 43-4 34-7 33-9 23-7 23-4 37-1 48-0 40-1 28-4 44-0 43-3 38-1 £ 113 11 192 116 215 168 186 166 88 88 77 79 .100 93 26 72 30 31 £ 0-5 0-1 1-7 1-2 2-6 2-2 2-7 4-6 2-6 2-7 2-6 2-7 4-1 4-0 1-2 4-6 2-0 3-4 £ 9,486 3,507 2,906 2,843 3,682 2.323 3,185 1,416 1.241 846 780 1, 154 1,253 1,01.5 621 754 676 370 £ 38-6 30-0 25-7 29-6 45-4 29-8 46-1 39-3 36-5 26-4 26-0 39-8 52-1 44-1 29-6 48-6 45-3 41-6 £ 305 161 271 28 152 4 2,521 109 £ 253 453 64 92 396 35 £ 10,044 4,120 2,970 3,206 3,710 2.475 3,185 1,816 1 .276 3,367 889 I , 154 I , 330 1,107 621 798 676 370 37 92 40 11 32 Totals and averages 36,208 1,851 38,058 3,690 1,365 43,113 North Canterbury Children's Home — Waltham Orphanage Female Refuge— Linwood Refuge Home Casual Ward— Armagh Street Depot, Christchurch Convalescent Home — Alexandra Convalescent Home, Auckland 527 21-0 33 1-3 560 22-3 89 648 North Canterbury 1,054 33-9 65 2-1 1,119 36-0 1 ,119 North Canterbury 258 41-4 16 2-6 274 44-1 274 Auckland 561 58-5 29 3-1 591 61-5 1 592 Totals . . 2,400 143 2,543 90 2,633

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138

Table XI.—Number of Old-age Pensioners maintained in Homes and Hospitals on the 31st March, 1913, together with the Amounts paid to such Institutions during the Year.

Governing Body. Location. Number of Pensioners in Institution. ," ,'„ Institution on lear 191-2-13. 31st Mar0U] 1913. Institution. Amount handed t° Pensioners after Deduction of Maintenance. Marsden-Kaipara Hospital and Charitable Aid Board Auckland Thames Waikato Cook , \ \ Hawke's Bay T.Tanaki Wanganui Wellington Wellington Society for the Belief of the Aged Needy Wellington Hospital and Charitable Aid Board .. Wairarapa Nelson Wairau North Canterbury Whangarei Auckland Thames Hamilton Gisborne Napier New Plymouth Wanganui Wellington .. Masierton .. Greytown .. .. .. Neison .. Blenheim .. Christchurch £ S. d. Old Men's Cottage Home .. .. 388 10 8 18 Costley Home.. .. .. ..! 2,822 6 2 103 Old Men's Home .. .. .. J 327 2 2 13 229 13 4 13 .. i 184 3 4 7 Refuge, Park Island .. .. .. 978 14 1 42 Old People's Home .. .. .. 430 14 2 20 Jubilee Home .. .. .. '369 6 5 17 Ohiro Home .. .. .. .. 594 9 5 22 Home for Aged Needy .. .. .. I 763 7 4 28 Home for Incurables' .. .. .. 241 12 0 11 Renall-Solway Home .. .. .. 182 0 0 6 Buchanan Home .. . . .. 16 0 1 1 Alexandra Home .. .. .. 703 13 6 26 Old Men's Home .. .. .. 255 16 7 12 Jubilee Home .. .. .. 959 12 5 41 Armagh Street Depot .. .. .. 6 10 0 1 Female Refuge, Linwood .. .. 4 6 8 Tuarangi Home .. .. .. ! 890 19 8 35 Old Men's Home .. .. .. 546 15 1 19 Old People's Home .. .. .. 619 0 9 22 Hospital .. .. .. .. 167 10 8 8 906 0 2 37 599 14 0 24 .. ! 197 0 6 9 484 2 0 19 Victoria Home .. .. .. 659 3 2 30 Otago Benevolent Institution .. .. 1,784 3 5 69 Lome Farm .. .. .. .. 597 17 4 21 4s. uer month. 6s. 6d. 5s. 4s. Is. per week. 7s. 4d. per month. 10s. 5s. 2s. to 6s. 7s. 7d. 6s. Nil. 2s. per week. 8s. 8d. per month. Is. per week. South Canterbury Buller Inangahua Grey . „ ...'. Westland Ashburton Timaru Westport .. .. Reefton Greymouth Hokitika Rosa .. Oam aru Dunedin Is. per week. 6s. 6d.per month. 8s. 10s. 10s. 10s. 13s. 4d. 13s. 4d. 6s. 2s. per week. j 4s. 6d. per mon. |8s.6d. V i, .... Waitaki „ .... Otago „ .... Southland „ Invercargili 16,910 5 1 674 Hospital Patients only .. .. 1,725 17 6 40 Totals .. .. .. £18,636 2 7 714 Numl vr of Military Pensioners maintain Auckland Napier 714 ■ed in Homes and Hospitals as above. 6 3 Auckland Hospital and Charitable Aid Board Hawke's Bay , .... Costley Home.. .. .. .. 39 0 0 6 Refuge, Park island .. .. .. 18 0 0 3 57 0 0 9 In hospital .. .. ... .. 600 1 57 0 0 6 0 0 9 1 Totals.. .. .. 63 0 0 10 63 0 0 10 Note. —The hospitals included in the above list serve the purpose of old people's homes in the districts named.

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139

Table XII.—Showing Estimated Expenditure of Hospital and Charitable Aid Boards for 1913-14, and the Amount of such Expenditure to be raised by Levies on Local Authorities and by Government Subsidy.

Hospital and Charitable Aid Board. Population. Rateable Capital Value. Net Amount per Head of the Population required for Expenditure other than Capital Expenditure. Expel tditure other than Capital Expenditure. Bate of Subsidy in Accordance with Fourth Schedule of Act. ipital Expenditure. imrant tn k. Amount to be Net Estimated ,f£°,™ n £ o cal ! olaimed as Expenditure. 'Xthorities 8ubsidy at 20s - Authorities. in thf) £^ Estimated Expenditure. Estimated Receipts. Net Estimated Expenditure. Amount to be levied on Local Authorities. Amount to be claimed as Subsidy. Estimated Expenditure. Estimated Receipts. Bay of Islands Marsden-Kaipara Auckland Waikato Thames Waihi Coromandel Bay of Plenty Cook Waiapu Wairoa Hawke's Bay Waipawa .. Taranaki Stratford Hawera Patea Wanganui .. Palmerston North .. Wellington.. Wairarapa Wairau Picton Nelson Westland Buller Inangahua Grey North Canterbury .. Ashburton South Canterbury Waitaki Otago Vincent Maniototo Southland Wallace and Fiord .. 19,351 22,567 149,641 : 56,367 16,067 6,740 3,359 14,165 21,116 4,767 5,772 29,317 I 20,798 25,262 9,976 15,186 4,952 40,767 34,654 102,507 31,365 11,754 3,768 23,934 8,417 11,985 4,715 14,155 ! 133,586 ! 15,690 ! 37,789 \ 16,054 111,195 5,331 3,269 53,764 11,214 £ 1,924,405 3,679,395 134,242,236 14,691,914 1,361,927 395,695 223,357 2,772,533 9,712,217 1,646,760 2,648.335 110,535,508 10,677,358 .6,224,081 2,993.610 5,465,365 2,325,145 12,431.538 13,576,939 28,393,553 14,245,280 4,244,308 1,127,898 4,119,022 659,413 1,221,219 368,545 1,298,270 38,175,453 8,157,208 13,235,085 4,547,268 20,223,217 689.894 770,712 12,072,168 2,660,489 s. d. 3 1 6 2J 5 9J 3 4| 4 8J 10 4i 2 11| 2 8| 6 6J 8 4| 1 n i 7 0 5 n 5 Of 4 7| 4 6| 3 5J 1 10|- "' 14 4 10* 6 9§ 4 7 5 2| 9 llf 5 0 9 14 7 8f 5 2i 3 8J 3 10| 6 6 4 2f 3 H 3 ll| £ s. d. 5,530 0 0 8,814 0 0 64,079 11 11 14,600 0 0 6,107 5 9 4,700 0 0 1,773 7 1 1.400 0 0 8.401 0 0 2,500 0 0 1,930 0 0 14,670 0 0 8,144 0' 0 11,000 0 0 2,812 6 3 3,959 0 0 2,019 0 0 10,097 16 6 6,794 3 1 46,624 0 0 11,087 0 0 4,800 0 0 2,000 0 0 i 8,262 10 0 8,115 0 0 5,140 0 0 3,160 17 1 7,110 0 0 48,400 0 0 4,055 0 0 9.432 16 9 2,515 8 2 36,160 0 0 2,503 0 0 1,225 2 0 16,000 0 0 3,070 0 0 £ s. d. 2,535 0 0 1,814 0 0 20,807 17 8 5,000 0 0 2,338 2 5 1,200 0 0 1,273 7 1 1.002 15 0 1,520 0 0 500 0 0 1,358 11 5 j 4,404 0 0 2,734 0 0 4,620 8 0 500 0 0 500 0 0 499 0 0 3,083 14 4 3,550 12 7 10,124 0 0 3,438 0 0 794 5 0 1,134 0 0 2,000 0 0 3,915 0 0 I 2,140 0 0 I 1,010 17 1 j 1,640 0 0 13,692 0 0 1,165 0 0 2,129 0 0 1,224 8 2 6,660 0 0 771 0 0 532 4 10 7,581 14 8 850 0 0 I £ s. d. 2,995 0 0 7,000 0 0 43,271 14 3 9,600 0 0 3,769 3 4 3,500 0 0 500 0 0 397 5 0 6,881 0 0 2,000 0 0 571 8 7 10,266 0 0 5,410 0 0 6,379 12 0 2,312 6 3 3,459 0 0 1,520 0 0 7,014 2 2-| 3,243 10 6 36,500 0 0 7,649 0 0 4,005 15 0 866 0 0 I 6,262 10 0 4,200 0 0 3,000 0 0 2,150 0 0 5,470 0 0 34,708 0 0 i 2,890 0 0 i I 7,303 16 9 1,291 0 0 29,500 0 0 j 1,732 0 0 692 17 2 [ 8.418 5 4 i 2,220 0 0 £ s. d. 1,353 13 5 3,353 5 11 21,237 13 0 4,770 3 9 1,713 5 2 1,739 2 7 225 19 9 188 1 0 4,018 2 0 1,134 15 0 315 5 5 5,664 0 0 3,026 11 6 3,112 0 0 1,185 16 0 1,820 10 6 887 11 8 3.574 1 4 1,695 19 6 19,084 19 4 4,279 3 3 2,210 1 6 433 0 0 3,000 0 0 2,087 19 2 1,395 7 0 1,068 6 6 2,589 7 0 17,463 2 11 1,605 11 1 3,819 0 0 641 9 10 14,131 14 8 819 17 8 337 19 7 4,081 11 8 1,076 7 3 £ s. d. ! 1,641 6 7 3,646 14 1 22.034 1 3 4,829 16 3 2,055 18 2 I 1,760 17 5 1 274 0 3 209 4 0 2,862 18 0 j 865 5 0 256 3 2 4,602 0 0 2,383 8 6 3,267 12 0 1,126 10 3 1,638 9 6 632 8 4 3,440 0 10 ! 1,547 u 0 17,415 0 8 3,369 16 9 1,795 13 6 433 0 0 3.262 10 0 2,112 0 10 1,604 13 0 1 1.081 13 6 \ 2,880 13 0 i 17,244 17 1 J 1,284 8 11 ; ] 3,484 16 9 649 10 2 '. 15,368 5 4 912 2 4 354 17 7 4,336 13 8 1,143 12 9 J137.808 10 5 £ s. d. ' 14 3 1 1 9 i 10 9 10 3 14 0 1 0 3 14 3 12 3: 0 14 3 ! 0 15 3 0 16 3 0 16 3 0 15 9 IIO: 0 19 0 0 18 0 0 14 3 0 19 3 0 18 3 0 18 3 0 15 9 0 16 3 10 0 119 10 3 130 10 3 123 0 19 9 0 16 0 0 18 3 1 0 3 1 1 9 12 3 110 113 113 0 19 6jj £ s. d. ' £ s. d. £ s. d. 500 0 0 .. 500 0 0 4.000 0 0 I .. 4,000 0 0 1,425 0 0! .. 1,425 0 0 2,000 0 0 I .. 2,000 0 0 4,812 3 1 i 3,571 9 5 1,240 13 8 1,000 0 0 .. 1,000 0 0 176 18 9 I 76 18 9 100 0 0 2,644 0 0 j 1,893 14 10 750 5 2 31,313 0 0 7,824 0 0 23,489 0 0 : 169 13 0 169 i3 0 '.'. 4,180 15 4 i .. ! 4,180 15 4 1,000 0 0! .. : 1.000 0 0 33,000 0 0! .. : 33,000 0 0 ! 335 0 0 I 210 4 0 124 16 0 115,872 15 2 ! 2,954 2 8 ! 12,918 12 6 12,990 0 0 ! 8,720 0 0 " 4,270 0 0 1,590 0 0! 720 0 0 870 0 0 14,552 0 0 I 3,500 0 0 j 11,052 0 0 800 0 0 400 0 0 I 400 0 0 500 0 0 500 0 0 I 1,400 0 0 .. ! 1,400 0 0 £ s. d. £ s. d. 250 0 0 j 250 0 0 2,000 0 0 2,000 0 0 712 10 0 712 10 0 1,000 0 0 1,000 0 0 620 6 10 620 6 10 500 0 0 500 0 0 50 0 0 50 0 0 375 2 7 375 2 7 11,744 10 0 11,744 10 0 .. 2,090 7 8 2,090 7 8 500 0 0 • 500 ■ 0 0 16.500 0 0 16,500 0 0 62 8 0 62 8 0 6,459 6 3 J 6,459 6 3 2,135 0 0 i 2,135 0 0 435 0 0 ! 435 0 0 5,526 0 0 5,526 0 0 200 0 0 200 0 C 700"0 0 7O6' 0 0 40,003 0 0 25,893 0 0 14,110 0 0 250 0 0 .. 250 0 0 1,381 0 0 200 0 0 1,181 0 0 60 0 0 I .. 60 0 0 3,500 0 0; .. ! 3,500 0 0 50 0 0 .. 50 0 0 3.000 0 0 600 0 0 2,400 0 0 550 0 0 .. 550 0 0 Jl83,055 5 4 57.233 2 8 jl25,822 2 8 1 7,055 0 0 7,055 0 0 125 0 0 I 125 0 fl 590 10 0 J 590 10 C 30 0 0 30 0 C 1,750 0 0 1,750 0 C 25 0 0 I 25 0 ( 1,200 0 0 ! 1,200 0 ( 275 0 0 ! 275 0 ( Totals 1,131,316 293,739,260 4 11J J398,992 4 7 I 120,042 18 3 I ! 1278,949 6 4 141,140 15 11 162,911 I 4 ,62,911 1 4

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Table XIII. —Constitution of District Hospital and Charitable Aid Boards.

140

Boards. Contributory District. Representation on Board. Contributions for Year 1912-13. Approximate Bate per Pound on Rateable Capital Value. Bay of Islands .. Mangoiiui County Whangaroa County Bay of Islands County Hokianga County Members. 2 1 ;j 2 £ 362 79 449 688 d. l-4th Mars Jen-Kaipara Whangarei County Hikurangi Town District.. Hobson County Otamatea County Whangarei Borough Dargaville Borough I 5 for combined district j 909 32 580 466 422 177 l-4th Auckland 2 3 2 1 Rodney County Warkworth Town District Waitemata County New Lynn Town District Helensville Town District Birkenhead Borough Northcote Borough Devonport Borough Road Districts in Eden County Auckland City Mount Albert Borough Newmarket Borough Onehunga Borough Mount Eden Borough Ellerslie Town District Grey Lynn Borough Franklin County Otahuhu Borough Manakau County Papakura Town District .. Pukekohe Borough 1 ■ • ■ f > 1 for combined district <( I - 1 ■ ■ ! 305 36 869 40 51 190 106 713 2,814 5,903 640 258 402 978 115 655 2-13th 2,739 26 51 SVaikato Waikato County Hantly Town District Hamilton Borough Waipa County .. Ngaruawahia Town District Te Awa-nutu Town District Frankton Town District .. • Cambridge Borough Morrinsville Town District Te Aroha Borough Piako County Raglan County Waitomo County Te Kuiti Borough Ohura County Kawhia County Awakino County Taupo East County Taupo West County Kaitieke County Taumarunui Borough Matamata County Rotorua County Rotorua Town } • - ( ) r S- 2 for oombined district 4 i i r j> 2 for combined district J. J I I 1 { I 1 { I 1 i J 1 ., ( 644 71 336 771 97 92 29 35 590 811 402 103 181 184 282 142 99 129 57 534 43 217 1-lOtli 1* Thames Thames County Thames Borough Ohinemuri County 3 2 4 692 243 989 l-4th Waihi Waihi Borough 9 1,000 2-3rds Coromandel Coromandel County 8 500 5-8ths Hay of Plenty .. Whakatane County Opotiki County Opotiki Borough Tauranga County Tauranga Borough 2 2 1 3 1 191 237 50 216 33 1 l-12th Cook Cook County Gisbornc 'Borough Waikohu County 5 4 2 7,126 3,191 3,410 } l-3rd Waiapu Waiapu County 8 550 1-12th * A] tointed b; the Governor.

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Table XIII.—Constitution of District Hospital and Charitable Aid Boards — continued.

141

Boards. Contributory Districts. Representation on Board. Coiitiibutions for Year 1912-13. Approximate Bate per Pound on Rateable Capital Value. iVairoa .. Wairoa County .. Wairoa Borough Members. 6 2 £ 725 67 I f ~1 d. l-14th ilawke's Bay .. Iiawke'» Bay County Napier South Town District Taradale Town District .. ' Napier Borough Hastings Borough I 5 for combined district J 5,608 115 1,460 1,276 I I i-eth 3 2 A'aipawa .. Waipawa County Waipawa Borough Waipukurau Borough Dannevirke County Weber County Patangata County Waipukurau County WoodviUe County Woodville Borough Dannevirke Borough 2 727 68 62 661 162 1,113 157 354 33 228 L 1 for combined district j I 3 { I » " I h - ! I l-12th i J 1 I l-10th Taranaki L'aranaki .. Clifton County Taranaki County New Plymouth Borough .. Inglewood Borough Waitara Borough Egmont County. . i 4 3 398 824 542 60 78 568 Stratford I 1 for combined district - 2 Stratford .. Stratford County Stratford Borough Whangamomona County .. 5 2 1 974 158 231 \ J l-9th Hawera rlawera .. Hawera County Hawera Borough Waimate West County Manaia Town District Eltham County Eltham Borough 3 1 840 195 496 26 658 125 I l-10tfa I 2 for combined district J 2 1 Patea .. :"atea .. .. Patea County Waverley Town District .. Patea Borough .. 7 1 1 600 26 30 } 1 -18th Wanganui iVanganui .. Wanganui County Waimarino County Ohakune Borough Waitotara County Gonville Town District Castleoliff Town District .. Rangitikei County Hunterville Town District Mangaweka Town District Bull's Town District Marton Borough Taihape Borough Wanganui Borough 2 507 233 11 441 78 21 1,224 21 12 14 39 51 820 I 1 for combined district \ 1 - 1 for combined district j 4 1 / f 1-15th }■ 1 foi , combined district -{ J Palmerstou North Kiwitea County Pohangina County Oroua County Feilding Borough Manawatu County Foxton Borough Kairanga County Palmerston North Borough 'almerston North 4 l 1 1 1 t 2 for combined district 618 368 627 245 l-14th 605 2 659 639 Wellington .. Horowhenua County Levin Borough Hutt County Upper Hutt Town District Petone Borough Lower Hutt Borough Eastbourne Borough Wellington City Miramar Borough Karori Borough Makara Cpunty Johnsonville Town District Onslow Borough ellington I 2 for combined district J }. .. 1,408 145 879 116 667 751 97 10,078 439 288 425 126 269 I 1 7th 1 [ 1 for combined district \ [-14 „ \ I- : l

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Table XIII. —Constitution of District Hospital and Charitable Aid Boards — continued.

142

Boards. Contributory Districts. Representation on Board. Approximate Contributions for K,ate per Pound Year 1012-13. on Rateable Capita! Value. Wairarapa Pahiatua County Pahiatua Borough Eketahuna Borough Akitio County Eketahuna County Maurioeville County Masterton County Castlepoint County Masterton Borough .. - Wairarapa South County Carterton Borough Greytown Borough Featherston County Martinborough Town District Featherston Town District Members. 2 £ a. 716 r (54 :ili 293 177 1,394 247 : y 1-1lth 457 636 107 79 995 37 45 j [ 1 for combined district 1 I 2 for combined district j \< 1 ■ 2 ■2 I 1 for combined district j 2 I 1 for combined district j airau Pelorus Road District Havelook Town District Spring Creek Road District Omaka Road District Wairau Road District Awatere Road District Blenheim Borough I 2 „ { 1 2 ! 2 3 240 11 • 202 288 r I -8th 398 585 339 'icton Sounds County Picton Borough. . Picton Road District ;)* 3 2 318 1 141 I l-6th 183 J lelson Waimea County Murchison County Motueka Borough Richmond Borough Nelson City Collingwood County Takaka County 1 . r > 4 for combined district-^ J I. I..: _ ( I 1 1 1,423 "I 159 120 93 I l-6th 792 146 267 J Vestland Westland County Hokitika Borough Kumara Borough Ross Borough 5 3 \ I for combined district j 1,748 1 103 \ I"."** 80 j Buller Buller County .. Westport Borough 4 4 856 I 853 j lSvd Inangahua Inangahua County 8 1,150 4-5ths 3rey Grey County Greymouth Borough Brunner Borough Runanga Borough 5 3 !■ 1 for combined district •. 971 "J 1,435 I 1-half 43 j North Canterbury Amuri County Kaikoura County . Cheviot County Akaroa County Akaroa Borough Mount Herbert County Wairewa County Selwyn County Malvern County Tawera County Ellesmcre County Springs County Halswell County Spreydon Borough Heathcote County Paparoa County Waimari County Riccarton Borough Christchurch City Lyttelton Borough New Brighton Borough Woolston Borough Sumnor Borough Rangiora County Kowai County Oxford County Eyre County Ashley County '.. Amberley Town District Kaiapoi Borough Rangiora Borough Waipara County 1,145 1 618 602 1,025 60 246 517 744 1,016 215 1,430 470 383 274 608 1,035 >> l-8th 1,847 1 I 1 for combined district j }' " !■ : i }. .. { 7 > 1 for oombined district < \ 2 6,803 203 137 24! 265 645 585 338 535 376 109 145 1,629 i 1 * Appointed by the Governor.

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Table XIII. —Constitution of District Hospital and Charitable Aid Boards — continued.

Approximate Cost of Paper. —Preparation not given ; printing {1,500 copies, including illustrations), £165.

By Authority : John Mackay, Government Printer, Wellington.—l9l3.

Price, Us. 6d.]

143

Boards. " Contributory Districts. Representation on Board. Approximate Contributions for Rate per Pound Year 1912-13. on Rateable Capital Value. I ishburton Ashburton County Ashburton Borough Hampstead Town District Tinwald Town District Members. 6 1 £ 4,151 250 82 47 d. South Canterbury I 1 for combined district j I-7th Geraldine County Temuka Borough Geraldine Borough Mackenzie County Levels County .. Pleasant Point Town District Timaru Borough Waimate County Waimate Borough 2 I 1 for combined district \ 1 I 2 for combined district j 1,081 77 48 631 989 23 877 1,668 105 l-9th 3 I 3 for combined district j l-29th Waitaki Waitaki County Hampden Borough Oamaru Borough l 6 for combined district j 556 3 110 Otago 2 Waihemo County Waikouaiti County Port Chalmers Borough Palmerston South Borough Waikouaiti Borough Road Districts in Peninsula County Bay Town District St. Kilda Borough Green Island Borough West Harbour Borough Mornington Borough Maori Rill Borough Dunedin City Taieri County Mosgiel Borough Bruce County Milton Borough Kaitangata Borough Tuapeka County Lawrence Borough Roxburgh Borough Tapanui Borough Clutha County Balclutha Borough 1 ! > 1 for combined district h ) i i' : I 1 f J I 467 610 228 60 66 396 201 448 157 148 429 222 7,343 1,325 157 1,072 127 79 1,169 78 25 23 1,306 136 1 -5th 6 I 1 for combined district j !' ■ S - ! }. „ ( I-4th Vincent Vincent County Cromwell Borough Alexandra Borough 6 1 1 756 84 110 Maniototo Maniototo County Naseby Borough 7 1 449 18 1 -7th Southland Lake County AiTOwtown Borough Q.ucenstown Borough Southland County Wyndham Town District Gore Borough Mataura Borough Invercargill Borough Invercargill South Borough • .. Campbelltown Borough Winton Borough .. • .. Stewart Island County Wallace County Fiord County Riverton Borough Otautau Town District J> 1 for combined district-j J 6 l 157 7 23 3,324 24 224 63 1,072 55 103 31 18 1,155 J> 1 for combined district <{ J I | a .. { ! ■ ■ I l-10th 7 l-8th Wallace and Fiord t 1 for combined district \ 33 39