Contingent expenses, miscellaneous, Treasury Department_-_ Maintenance Hygienic Laboratory. Net expenditures chargeable to appropriation for purveying depot (in amount, $45,000). Salaries___ Operating expenses.. Total net expenditures.. Number of requisitions filled_. Number of packages shipped from depot--- Total weight of supplies shipped from depot (pounds) 79.61 74.66 51.25 48. 31 4. 33 3.00 5,000. 36 44, 961. 32 $6,849.33 7, 001. 78 51, 963. 10 816 2, 153 162, 412 283, 138 Total weight of supplies shipped direct to stations by contractors (pounds). Number of patients discharged during the year. Minimum number of patients during the year (June 30, 1916) Number of officers and attendants__ Number of patients who left against advice___ Number of patients who returned at their own expense_ Total number readmitted.. Number of patients discharged for causes affecting discipline_. Number of patients transferred to other station (dyspnoea). Average duration of stay of patients discharged, 1 year 5 months 9 days. Maximum stay, 7 years 7 months 9 days. Patients discharged during the year, with stage of disease and result of Favorable for prolongation of life by living under proper conditions_. Total__. CAUSE OF DEATH. 149 Of the 40 who died, 27 had been present more than one year and 3 less than one month. Thirty-four autopsies were performed. Six deaths were due to pulmonary hemorrhage, one to mania a potu shortly after admission, and one to malignant disease. Ten of the fatal cases had tuberculous complications of other vital organs besides lung involvement. Three additional deaths occurred among tuberculous attendants who were not patients. TREATMENT. Induced pneumothorax has been continued in 28 selected cases; in 18 others pleural adhesions prevented successful compression. The total number of such treatments given during the year was 897, the largest number to one patient was 59. Pyorrhea alveolaris studies were continued; 2,478 local treatments and 445 hypodermic injections of emetin were administered. The resident dentist rendered the usual institutional relief, which included 94 extractions, 108 fillings, and 426 other treatments. Eye, ear, nose, and throat treatments numbered 2,951. Fifty-four surgical operations were performed. The supervision of exercise and rest continues to rank first in importance in routine treatment. The work squads performed 4,789 man-hours of labor and the walking squads 1,106. The aggregate earnings of those privately employed amounted to $5,018.67, while those convalescent or recovered who worked as attendants received $12,153.34. More than 30 per cent of the salaries paid attendants went to patients or ex patients, and a total of $17,172 was earned by them. The laboratory work consisted chiefly of routine work, 2,264 specimens being examined. Thirty-two attendants were vaccinated against typhoid. The library issued 2,825 books and 4,722 maga zines. The weekly four-film moving-picture show was conducted, 52 regular and 9 special entertainments being given to an average attendance of 150. This and other amusements were provided, without expense to the Government and free to unemployed patients, by the Amusement Association, which collected and expended $1,126.46. ECONOMIES. Sixty gallons of liquid soap and 7,350 gallons of soft soap were made and used, waste tallow being chiefly used. Seventy-one quarts of flavoring extracts for use in bake shop and kitchens and most of the baking powder used were made in the dispensary. Powdered and solid extracts of drugs in stock were made up into tinctures needed, and an overstock of drugs, stains, and chemicals returned to the purveying depot for redistribution. Sixty-three pillows were remade; 150 suits of hospital pajamas and 80 kitchen aprons' were made by station labor. A property and stock accounting system has been developed in charge of the property clerk by which the location of any article and the amount on hand of all material, as well as the authority for the removal or issuing of the same, are readily ascertainable. COST OF MAINTENANCE. The cost per diem, $1.7982, shows an increase owing to higher prices and to extensive repairs. The purchased ration cost $0.3636 per capita, the total ration cost $0.6108, figuring beef and milk at cost of production, or $0.7132, figuring station products at market price. Repairs and renewals of equipment cost $31,130.56. This includes $11,600 for concreting the south reservoir, thus providing storage for a million gallons of water. Total expenditure.. Reimbursements from officers and others for subsistence supplies..... $1,941. 12 1,664. 11 Net expenditure.. 3,605.23 147,576. 05 .0439 1.7982 FARM AND HERD. Reckoning beef and milk at market prices, the range herd, dairy, alfalfa, and orchard have been operated at a considerable profit, and poultry, hogs, and garden at a loss. Without taking credit for increment in number of animals and without considering original investments and cost of repairs to farm buildings, all farming operations for the year show a credit of $9,703.38. All the adult dairy cattle, 125 in number, were given the periodical tuberculin test with uniformly negative results. Some vegetable poison, presumably frosted oak leaves, killed 33 yearling cattle, and an epidemic of ulcerative stomatitis among the swine caused a loss of 120 animals. The number of animals on hand varies with the natural increase and the number slaughtered or lost; on June 30, 1916, there were on hand 495 swine, 78 horses, mules, and colts, and 2,233 cattle, including 457 young calves, PERSONNEL. COMMISSIONED MEDICAL OFFICERS. At the commencement of the fiscal year, July 1, 1915, the commissioned corps consisted of the Surgeon General, 1 assistant surgeon general at large, 12 senior surgeons, 70 surgeons, 39 passed assistant surgeons, and 63 assistant surgeons. The changes during the fiscal year were as follows: One surgeon was promoted to grade of senior surgeon to fill a vacancy. Seven passed assistant surgeons were promoted to the grade of surgeon, 3 assistant surgeons to the grade of passed assistant surgeon, and 8 candidates who passed the examination required by the laws and regulations of the service were commissioned assistant surgeons. On account of physical disability, 3 surgeons and 2 passed assistant surgeons continued on waiting orders and 1 senior surgeon and 2 surgeons were placed on waiting orders. Of this number, 2 have died during the fiscal year. At the close of the fiscal year, the commissioned medical corps consisted of the Surgeon General, 1 assistant surgeon general at large, 13 senior surgeons, 72 surgeons, 37 passed assistant surgeons, and 63 assistant surgeons. One senior surgeon and five surgeons were upon detail in the bureau as assistant surgeons general, in accordance with the act approved July 1, 1902. Assignments. Among other assignments of commissioned medical officers during the fiscal year were the following: Twenty-seven were assigned to exclusive immigration duty, their services being supplemented by employment of acting assistant surgeons; 5 to the quarantine service of the Philippine Islands; 11 to vessels of the Revenue Cutter Service; 22 to the quarantine stations in the continental United States, Porto Rico, and the Hawaiian Islands; 3 to duty in foreign coutries to prevent the introduction of epidemic diseases into the United States. Special details.-One commissioned medical officer continued on detail duty under the Governor of the Panama Canal. Surg. John D. Long was continued as chief quarantine officer and director of health of the Philippine Islands. Field investigations of public health.-In accordance with the act of Congress approved August 14, 1912, authorizing the service to study and investigate the diseases of man, and conditions influencing the propagation and spread thereof-including sanitation and sewage, and the pollution either directly or indirectly of the navigable streams and lakes of the United States the following officers and 63887°-H. Doc. 1493, 64-2-23 351 |