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$1,200. Under the present arrangement, additional services are secured and the cost is definitely limited.

At Metlakahtla the Indian Service contributes $2,240 toward the salary of the physician This physician is, therefore, classed as a part-time physician, although his entire time is given to medical service to the Indians at Metlakahtla. town itself pays the balance of his salary of $4,040.

TRANSPORTATION OF PATIENTS

The

The transportation of natives to and from hospitals in Alaska is a great problem. Much of it must be by airplane, which is very expensive, and the patient in most instances is financially unable to bear the expense. The cost of furnishing this transportation is constantly increasing due to the growing tendency of the natives to seek hospitalization.

DENTAL SERVICES

Dental relief to the Office of Indian Affairs beneficiaries is rendered by 19 parttime dentists under the supervision of 1 full-time associate dentist. During this fiscal year all natives, except a very few in the most isolated places, have been able to avail themselves of dental relief at sometime during the year. The system of furnishing relief through contract dentists, which was inaugurated in 1936 by the employment of 13 dentists, has now expanded and the territory covered by each dentist reassigned until a maximum of service is being rendered to children of school and preschool age.

The 19 part-time dentists are not on a salary basis but are paid in accordance with an agreed schedule of fees based upon actual services rendered. Therefore they do not appear on the green sheets in the list of employees of the Alaska medical service under the Indian Office.

The services of the full-time associate dentist are divided between rendering actual relief, supervision over the contract operators, and as assistant to the medical director in the care of routine office matters during the absence of the director. The associate dental officer rendered actual relief in the towns of Ketchikan, Juneau, and the Eklutna Vocational School, as well as the lower Kuskokwim district, which, until the last of the fiscal year, was not covered by a contract operator. During the month of July the associate dentist assisted Dr. Donald Waugh in his study of the Eskimo diet and its relation to dental caries. The following table indicates the amount and type of relief during the year: Number of patients treated_

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2, 982

2, 824

816

39

1,069

2.812

12

5

12

16

2

121

10, 716

STATISTICAL REPORT

The following reports furnish in tabular form statistics with respect to the Alaska Medical Service for the fiscal year ended June 30, 1939:

Cost services rendered by contract hospitals and miscellaneous institutions, Alaska Medical Service, for fiscal year 1938-39

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Medical relief of natives of Alaska, fiscal year 1938-39, amount paid to private

Town:

Anchorage..

Cordova.

Petersburg

Seward.

Fairbanks

Valdez

Miscellaneous..

practitioners on fee basis

Amount Doctors' fees

$1, 215. 00

503. 50

710.50

322. 50

656. 00

458. 00

152. 00

4, 017. 50

Total....

Alaska medical service, cost of operation, fiscal year 1939

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Alaska medical service, cost of operation, fiscal year 1939-Continued

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Statistical report of the Alaska Medical Service for the fiscal year 1938-39

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Statistical report of the Alaska Medical Service for the fiscal year 1938-39—Continued

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