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Malaria.-There were 311 cases treated with 101 deaths, i.e., 32.8%. In 1915 there were 451 cases with 17.9% mortality.

The following were the various types found: --

Malignant, ... 270 cases with 90 deaths. Benign tertian, ... 11 Quartan, ... 3 Malarial cachexia, ... 0 Mixed infection, ... 25 ... " 9 ... "" 2 ... * 2 ... 23

The usual routine as to treatment was observed.

Plague.--Ten cases with nine deaths were recorded. There were twelve cases with nine deaths in 1915.

OBSTETRICAL DEPARTMENT.

Cases of normal labour, 195 abnormal labour, 17 " Total.... 212 with no deaths.

CLASSIFICATION OF ABNORMAL LABOUR.

Delayed labour requiring forceps delivery, 6 Transverse presentation, 2 Breech presentation, 3 Persistent occipito-posterior, 1 Retained placenta, 2 Eclampsia, ... ... ... Abortion and miscarriage, ... ... ... Total,... 17

A steady advance has thus taken place in the work of this department. In 1914 there were 87 cases, in 1915 there were 172 cases, and in this year 212. All cases are treated by Western methods.

SURGICAL DEPARTMENT.

The progress and operative results have been satisfactory. There were 244 general operations with 7 deaths, i.e., 2.8%. This compares with 208 and 4.4% in 1915.

Eye Department.-This has been as in previous years under the care of Dr. Harston.

I append four tabular statements.

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