.. ..B . (~eal th and sanitation ) n 1 October 19481 ( CAD Hospital and -Dhpensarie. )

Ponape Diet.

(a) The main dispensary 18 located in Oolonta. Seriously ill patients from allparts of this and other islands are hospitalized there.

(b) The OAD Dispensary consists of t~o wards of r ough lumber construction, anoperating room and a ward in a sixty-eight (68) foot quonset . Out-buildings, consistof a bulk storehouse. galley, messhall. showers. heads, sanitation and laundry.Ward one, male ward. has a capacity of thirteen beds with three one-bed and one twe­bed quiet rooms adjoining. Ward two. the female ward. has a capaci ty of eighteenbeds, Bed capacity, however, is some~at elastic since extra beds are set up onverandas as required.

Oonstruction of a new dispensary building was begun dUring the quarter. Onlybasic foundations and instillations have been completed to de.te.

1019

OLASS VII ORAL AND NASALCatarrhal FeTerPneumonia. :Broncho

t

OLASS VII GENITO*URINARY SYSTEMUreteral Oolic 1Sterility 1

2

222

CLASS III DIGESTIVEGastritis, AcuteDiarrheaGaatro-Entritt8, Acute

~

(c ) Number of Natives Hospitalizedl ~.

(1) Medical (B,y disease)

OLASS II..QI ROULATORYPhlebitis

· B-1 1 October 1948 · Ponape Dis t •

Hemorrhoid 1Obstruction, Inte8tinal 1Enteritis, Acute 1

Chicken P x 1Pneumonia , Lobar 13Tracheobronehitis, Acute 1

CLASS IX INTESTINAL DISCHARGESDysentery, ~alantidic 1

CLASS XXIV FEMALE DISEASESAbortion 2D78menorrhea 2Pregnancy 1Endometrit is , Septic 2Salpingitis, Acute 1

~s XI MERCULOS!.§.Tuberculosi8 , Otherwise Unclassified 5T~, Pul., Pr imar,y, Act! ve 1TB, Pul., Reinf., Act ., Mod. Aiiv. 3TB, Pul., Rein!., Act ., Minimal 1

CLASS , EAR, NOSE, THROATOtitis Media, Acute 1Angina , Ludwig' 8 1

C~ASS VI EYE DISEASESPanopthalniti. 1Iridocyclitis 3Pter,ygium 1Iritis 1

gLASS XIII INFECTIOUS TYPEAbsces., Unclassified 13Cellulitis 9Yaws, ~one 4Leprosy 3Carbuncle 1

CLASS XI.!. LYMPHATIC SYSTEML¥mphadenitis 1

CLASS nUl TUMORSCarcinomaCyst~phosarcoma

121

" :B-1 · 1 October 1948 Ponape ·Dist.

CLASS XVI MOTOR SISTEMOsteomyelitis 1Temos7!lovitis, Acute 1MYositis, Acute 1Arthritis, Acute 2

QLASS XVII DRYOUS SYSTEMEncephalitis, Acute 18Epilepsy 1

CLASS pIn BEPIllA.TORY SYSTiMPleuri~, Serofibrinous 1Pleurisy 1

CLASS XXV INJURIESLacerationOontusion, MultipleFracture, SimpleWound, LaceratedAmputation, Fingers,Wound, IntectedSprain, Join t:BurnHematoma, TraumaticV.und. InchedStrainCompre.sion

2151

Traumatic2412111

1

CLASS XXI MI SCELLANEOUS DISEASESHydrocele 1Diagnosis Undetermined 26Ulcer 1Deformity. Acquired 2

CLASS XXII PARASITIC DISEASESAmebiasis 1

(2 ) Surgical (Major and Minor)

CLASS XXVI POISONINGPoisoning, Therapeutic , Acute 1

gASS XXVII DENTAL DISEASES & CONDITI(JInfection, Focal, Tooth 1Caries, Teeth 3

Append.ct olll7 1 Incision and DrainageW

11

1 Oct ber 1948

Asp1rati onBi opsy. Lymph llodeCast AppliedCleansed and SuturedCystectomyForeign B~. Removal

Ponape Diet.

1 Laporot~ 111 Lipoma, Removal of 222 Oophorec t amy. Partial III15 Pinch Graft (Skin) 11

2 Procaine Inf'lltration 11of 1 Spinal Puncture 11

(3) Dental Treatments - Extre.ctions - ~ J'lll1ngs - ~GingiVitis Treatments - 23.

(4) Deaths in the Dhpensa17: ! Autopsies performed: 1.

(5) Laboratory Examinations performed z Total - 2.027.

:Bacteriology(A) Smear.

(a) AJ'B(b) Blastomyoes(c) G.C.(d) Special

(B) Culturu(a) AlB(b) Bla.to1ll7ces(c) Special

95839513

161326

Parad toloD(A) 0 & P

Sero10"il(A) Blood Ty'ping(B) Cr088matche.(C) Standard Kahna(D) Spinal Kahn.(I) Spinal Counts & Pandy(1) Sedimentation Bates

248

104

5725

87131

, :B-1 , 1 October 1948 Ponape Dis t.

(0) ~rkf1elda

Urinalysi,(A) R & M

6

226

178

.Qh.em1s trz(A) Gastric Analysis(:8) Orthotolodine(0) Blood Sugar -(D) Icterus Index(E) Spiaal Sugar(7) Spinal Chlorides

1214

o1oo

(6) Proctoscopic Examinations: Q

(7) Refract! ons:

(8) X-~sl

(d) Outpatient -treatmentB for the period of this report were:Total number of hospital days furni shed to natiTea;Humber of patients remaining-on last day ' of this report:

(e) Nathe Hospital Training Program:

(1) Buries and BUrses Aid•• !

3..8OQ.2.397..

27.

Jur S'l.81 (ORT)

Aide.

3

Burse && Interpreter

1

b.te of P!Z$43.00 per rna ..34.00 I'J I'J

15.00 I'J til

Earnings$129.00102.. 00135.00

:B-1 1 Oct ober 1948 Ponape Ditt.

(2) Health Aides,

Adm. A..t. Dentht ~ ~ !late of Pax Earn i nga(X-~)

1 $60.00 per mo.. $180,,001 1 1 43.00 II It 387.00

3 24. 00 " " 216.002 17.00 " II 102.00

(3 ) Others

~rJ2enters Cook Laundrel8 Laborer,1 $36.00 per mo. $108.00

1 33,,00 ft It 99.0017.00 " It 102.00

1 14.00 II " 42.001 0.14 per hr 67,,20

1 0.105 " II 50.40