Tuberculosis of lungs, intestines, and pyonephrisis__ Tuberculosis of lungs, parenchymatous nephritis, and valvular disease of Tuberculosis of lungs and tubercular peritonitis_ Total 1 1 1 1 1 1 48 Two deaths occurred among attendants during the year. One was caused by a fracture of the base of the skull in a range rider who was injured by falling from his horse. The other death was from pulmonary tuberculosis. TREATMENT. The use of Von Ruck's watery extract and of a proprietary vaccine have been discontinued during the year, the results being unsatisfactory. Treatment by induced-pneumo-thorax has been continued. From 418 patients 39 were selected as suitable cases, and of these 23 were treated; 659 treatments with nitrogen gas were given, 12 patients remain under treatment; 45 patients have received injections of chaulmoogra oil, 9 remaining under treatment. Pyorrhea alveolaris is treated specifically and by instrumentation. The number of bedfast cases during the year averaged 55, or about 25 per cent of the total enrollment. This has overtaxed the capacity of the infirmary, the station being designed primarily for the treatment of ambulatory cases. As in previous years, the regulation of rest and exercise constituted the most important part of the treatment. Preference is given on the station pay roll to all approaching fitness for discharge, work being considered the therapeutic test of arrestment. Fifty-one patients were so employed for 30 days or more during the year, in addition to which 62 not suitable for fulltime employment earned money by engaging in private enterprise under medical supervision at the station. Graduated exercise and patient's earnings. Total number of patients in work squads__ 96 Maximum number in work squads at one time___ 28 5 The approximate aggregate earnings of patients privat ployed was $4,360. Patients employed by the Governmen tendants earned $8,474.67; ex-patients, $3,020.67. The tot ings of patients and ex-patients employed privately and Government were $16,123.34. The library now contains 3,358 bound volumes; 74 ma periodicals, and daily papers are regularly received with pense to the Government. The average monthly issue of bo periodicals to patients and attendants was 1,430. One h Bibles and 290 other bound volumes were presented to the during the year. The weekly moving-picture show of four films has been co throughout the year free to patients and supported by priv terprise. The average attendance was 150. An electric pia been added to the equipment of the amusement association. games of baseball with visiting teams were played on the rium grounds. Statement of receipts and expenditures of the Marine-Hospital Am Association for the fiscal year 1914-15. Litigation is still pending concerning the Government's rig water, both for that pumped for domestic purposes and that from the river for irrigation. Hydrographic surveys to collect sary data have been continued througtout the greater part year. An engineer from the Forest Service investigated the feas hydroelectric power plant on the Rio Ruidoso and a report was made by him thereon. It was found that power produced in that way would be more expensive than with the steam plant now in use. COST OF MAINTENANCE. Expenditures for the year amounted to $132,803.89. The cost of each day's treatment per patient was $1.6757. The cost of the daily ration was $0.6554, which includes milk, beef, and other supplies produced at the station. Dispensary.. 468.84 .0059 line). Telephone system (including new material for rebuilding long-distance Carpenters and plumbers' tools. Furniture. Farm supplies. 1 Soft soap (4,775 gallons) was made from waste grease during the year. FARM AND HERD. The dairy has been enlarged and remodeled and is now thoroughly modern and sanitary. An efficient system of accounting has been introduced, and a loss in operation is found to result from the garden and poultry yard. The largest item of profit is shown by the herd. All beef and milk needed were produced at the station. Statement of farm account. CREDIT. Beef (range), 104,978 pounds, at 15 cents per pound_ Milk, 38,667 gallons, at 35 cents per gallon_-_ Beef (veal, dairy), 3,981 pounds, at 15 cents per pound_. Apples, 27,952 pounds, at $1.49 per hundredweight_ Beets, 2,269 pounds, at 6 cents per pound_. Cabbage, 4,343 pounds, at 4 cents per pound_. Other vegetables-. Hay, 266,405 tons, at $16 per ton__. Silage, 172 tons, at $7.98 per ton__ Salaries and rations for labor performed by farm and sanatorium force for sanatorium____ $15, 746. 70 1, 138. 76 29. 25 227.37 13, 533. 54 579. 15 51. 34 1,092. 80 128. 24 416. 48 136. 14 173. 72 346. 49 4, 262. 48 1, 373. 04 2,755. 72 Total DEBIT. 41, 991.22 Salaries and rations, including expert farmer, farm hands, dairymen, range riders, and sanatorium force_. Repair material, farm machinery and wagons, dairy equipment, and range material_. Forage purchased. 1 Holstein-Friesian bull, for dairy. 8 Hereford bulls, for range__ Expert farmer's expenses to inspect bulls____ Pasturage for range cattle at Mescalero agency for months of July, Profit Total 18, 901. 57 2, 956. 10 13, 269. 04 222.00 1, 600.00 96.47 250.00 4, 696. 04 41, 991. 22 PERSONNEL. COMMISSIONED MEDICAL OFFICERS. At the commencement of the fiscal year, July 1, 1914, the commissioned corps consisted of the Surgeon General, 10 senior surgeons, 66 surgeons, 43 passed assistant surgeons, and 47 assistant surgeons. The changes during the fiscal year were as follows: One senior surgeon was promoted to Assistant Surgeon General; 1 surgeon and 1 passed assistant surgeon were promoted to the grade of senior surgeon under act of Congress approved March 4, 1915; and 1 surgeon was promoted to grade of senior surgeon to fill vacancy. Seven passed assistant surgeons were promoted to the grade of surgeon, 6 assistant surgeons to the grade of passed assistant surgeon, and 23 candidates who passed the examination required by the laws and regulations of the service were commissioned assistant surgeons. On account of physical disability 2 surgeons and 1 passed assistant surgeon continued on waiting orders and 1 surgeon and 1 passed assistant surgeon were placed on waiting orders. At the close of the fiscal year the commissioned Medical 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. One senior surgeon and 5 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-eight were assigned to exclusive immigration duty, their services being supplemented by employment of acting assistant surgeons; 6 to the quarantine service of the Philippine Islands; 11 to vessels of the United States Coast Guard; 23 to the quarantine stations in the continental United States, Porto Rico, and the Hawaiian Islands; 4 to duty in foreign countries 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 detailed as chief quarantine officer of the Philippine Islands and appointed director of health of the islands, succeeding Surg. V. G. Heiser, who was relieved at his own request and granted leave of absence. 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-in 10435°-15- -22 337 |