r A.—3.

Au-vaine. —This useful organization continues its periodic tukaka, (inspection) of the villages and plantations. This involves a house-to-house inspection, both inside and outside, with a view to hygienic improvement, and attention is paid to proximity of pigs, wandering horses, &c. Schools. —These have been inspected from time to time for outbreaks of chicken-pox and influenza. It was necessary to close schools on four occasions 011 account of affection amongst the teaching staff. Pratique. —Twenty-nine vessels were inspected, of which three were not granted pratique. The trading schooners were inspected on departure for the outer and northern Groups and on arrival from the latter —in all nine times. Hospital — Totals. In-patients for the year .. .. .. • • ■ • 268 Major operations performed .. .. • • • • 14 Confinements .. .. . • • • • • • • 7 Minor operations performed .. .. . • • • 49 Local anaesthetics .. .. • • • • • • 47 General anaesthetics .. .. • ■ ■ • • • 21 NAB injections .. . • • • • • _ ■ • 8 Antitetanic serum injections (a case of retained afterbirth) .. 8 Out-patients for the year .. .. .. •• •• 17,376 Confinements .. .. .... • • • • 93 Minor operations .. .. • • ■ • • • 429 Local anaesthetics .. .. • • • • • • 161 General anaesthetics .. .. • • • • • • 2 NAB injections .. .. • • • • • • 173 Bicreol injections .. .. • • • • • • 102 Antitetanic serum injections .. .. . • • • 37 Asthma injections .. .. • • • • • • 42 Antityphoid injections (T.A.8.) .. .. . ■ 23 Antigonococcol vaccine injections .. .. .. 12 Venereal disease .. . • • • • • • • 15 Worm treatments .. .. • • • • • • 82 Visits 1 = 572 Aitutaki. Miss Pierard, Resident Nurse, has done splendid work, and her efforts in the interests of public health are commendable. With the help of a N.M.P. during the months from June to September an anti-mosquito and general hygenic campaign was carried out in the endeavour to reduce filariasis, which is reported to be growing worse. The Resident Agent gave much help in this campaign. The nurse has also given close attention to the 400-odd school-children. Mangaia. Nurse McGruther (part-time nurse) has, with the co-operation of her husband (Resident Agent), effected great changes on the Island. The housing has definitedly improved—the type of house, while conserving the best characteristics of old, is built to conform with modern ideas. The health returns prove, too, that the people are in every way improved. The reduced infantile death-rate is remarkable. ' They now begin to receive the benefit of years of preventive medicine and prophylactic injections. The figures available are as follows (six months only) : General attendances—April, 1,233 ; May, 871 ; June, 578 ; July, 1,230 ; August, 1,060 ; September, 1,518 : totals, 6,490. NAB injections, 29 ; bicreol injections 260. Atiu. The general health has been good, due chiefly to its isolation. It has chiefly been under the care of the Resident Agent, though during the months of March and April he was assisted by a N.M.P. Mauke. Health good. Radiograms received regarding cases of tetanus and accidents. This island is attended to chiefly by a Resident Agent, save for brief calls by an N.M.P. en route elsewhere. A progressive people anxious to avail themselves of modern treatment. They propose building themselves a dispensary and cottage hospital. Mitiaro. A N.M.P. visited the Island in May last and reported as follows : NAB injections, 147 ; bicreol injections, 100 ; local anaesthetics, 4 ; minor operations, 4 ; worm treatments, 14 ; confinement, 1 ; visits, 27. Yaws noticed during the visit of the N.Z.G.S. " Matai " has now been eliminated. Palmekston. Palmerston was well when seen in March. No further reports available.

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