H.—7

4

Table showing Date upon which Epidemic Influenza first manifested itself in each Mental Hospital, and whether first among the Staff or Patients; also the Numbers (Staff and Patients together) under Treatment on each Saturday thereafter, together with some Explanatory and Supplementary Notes.

Notes. Auckland. —The, first cases were regarded as sporadic. The epidemic did not spread in a regular way, but as isolated cases in different wards. About half were of severe type. Among female, staff 2 cases were complicated by delirium and 2 (1 died) by pneumonia. Pneumonia supervened among a few female patients (with 1 death) and in 2 cases there was severe haemoptysis. One male attendant had pleurisy and pneumonia. The male cases were singularly free from complications. Christchurch. —First and last cases among the staff. Epidemic mild. Not included in above are 3 sporadic cases in August and September. Appeared simultaneously in many wards and followed no regular course. One male. patient, admitted in an advanced stage of pneumonic influenza from Christchurch General. Hospital, died. One, male, attendant died (pneumonic type) in his own house, 22nd November. Seacliff. —The first cases were among the staff, no patients being attacked till 15th November. Confined to one ward on male side at first : those attacked were isolated as completely as possible. The spread to separate-building wards was a week later. On the female side isolation was similarly carried out with similar results. The spread was more rapid among patients disturbed mentally who could not be so effectually isolated. Nature of epidemic—severe. Waitati. —First the gardener, then the cook in the main building was attacked. The epidemic was then in the main building and passed to the Epileptic Cottage, where 18 out of 23 patients were attacked. The Retreat (a separate cottage for parole patients) escaped, and so did the large women's ward, which was strictly isolated. No nurse or female patient was attacked. Nature of epidemic— severe. Hokitika. —Epidemic started with the female staff, and some members of the male staff were the, next victims. It was confined to the patients on the women's side till 16th November, when 2 male patients were attacked in separate wards. There, was no further cases among patients on the male side, but altogether 2 of the male staff were affected and 1 died. Nelson. —No male patients affected and only 1 female, a voluntary boarder. No deaths. Porirua. —Began among the staff, and believed to be first cases in district; then started in one ward, and within three days had spread to three others. The incidence was higher among the males, and the outside workers were first attackerl. The rapid spread and rapid decline were remarkable. There were practically no new cases after 7th December. The. type was on the whole severe. Tokanui. —On 17th September there was a sporadic case on the. women's side (patient), and again on the 9th October a nurse was attacked. There were no further oases till 6th November, whim the mailman contracted it after visiting a picture-show at Te Awamutu. It was at first confined to one ward for five days. There were no cases among the women patients, but 7 members of the female staff were attacked. The type was severe, 6 males having pneumonic complications. Among the 5 who died, 1 was alcoholic. Under section 38 of the Appropriation Act, 1918, the maximum chargeable for the maintenance of patients was increased to £2 2s. per week, and higher payments can- be received under special circumstances. The average cost of the maintenance of patients during 1.918 was £55 6s. 4|-d., exclusive of any allowance for accommodation. Taking this as equivalent to 5 per cent, on Public Works expenditure, £9 14s. would have to be added, making a total of £65 in round figures. Against the factor of depreciation is the expenditure on upkeep, both out of our own vote and the Public Works Consolidated Fund.

Mental Hospital Auc kland. Christ-* church. Dunei Seacliff. din. 1 Hokitika. Waitati. I Nelson. Porirua. ; Tokanui. 28th Sept. 8th Nov. 8th Nov. , I Date First Case 4th Oct. 5th Nov. 11th Nov. First Week h N Nov. Patient or Staff Patient. Nurse. Attendant. Gardener. Nurse. Nurse. Staff. M Mail " Messenger. Number under treatment on — October 5 .. 12 .. 19 .. 26 .. November 2 . . 9 .. M. F, T. 4 0 4 4 I. 5 10 2 12 23 20 43 18 8 26 18 8 26 18 8 26 1.5 12 27 3 27 30 0 21 21 0 12 12 I. 4 5 0 I 1 0 I I M. V. T. 0 I I 4 2 6 22 88 110 41 47 88 21 65 86 11 51 62 4 20 24 3 8 1.1 4 4 8 2 0 2 2 0 2 M. F. T. M. F. T. M. F. T. M. F. T. M. F. T. M, F. T. 16 .. 23 ... 30 .. December 7 .. 14 .. 21 .. 28 .. January 4 . . 11 .. 3 2 5 2 0 2 10 5 15 9 0 9 66 33 99120 0 20 104 48 15218 0 18 60 54 11415 0 15 25 47 72 7 0 7 9 8 17 3 0 3 (1 7 13 2 0 2 2 3 5 5 16 21 4 8 12 2 0 2 0 1 1 2 3 5 6 4 10 191 35 229 235 61 296 139 30 169 13 34 47 7 15 22 4 10 14 •1 10 14 3 0 3 2 0 2 1 0 1 6 0 6 39 2 41 21 7 28 9 4 13