Tubercle bacilli in sputum of 134 new tuberculous cases— Were found in... Were not found in. No examination Favorable for arrest Favorable for prolongation of life by living under proper conditions. No examination.. Patients discharged during the year with stage of disease and results of treatment. Duration of stay and character of cases discharged during the year. Nontuberculous (lungs). "Period of prevention" of the 47 who died, included in above summary. Tuberculous officers and employees were also treated, as follows: Under treatment July 1, 1912. Admitted during the year. Total...... Remaining under treatment June 30, 1913.. 172606 47 Of those discharged, 2 were apparently cured, 6 arrested, 1 unimproved, and 2 died. ULTIMATE RESULTS. Tracing of discharged patients has been continued throughout the year. The results are not gratifying either in the number located or in the state of health of the individuals when found. Out of 1,924 patients whose treatment terminated more than six months ago only 149 are known to be living, while 922 are known to be dead, and the condition of 853 could not be determined. The sanitary value of isolating a large number of open cases of tuberculosis can not be overestimated, but it must be admitted that the sanitarium for advanced cases plays no other large part in the general campaign against the disease. DENTAL REPORT. From November until May the station enjoyed the services of an excellent dentist. The usual institutional work and some work not usually included in such was rendered free to the patients. The position is at present vacant, which is a matter of regret, as the presence of a dentist is constantly necessary. Routine examinations of the teeth were made by the dentist every two months and such prophylactic measures as were necessary instituted. This procedure is extremely valuable and should, I believe, constitute a part of the routine treatment of tuberculous cases. The expert farmer and two female nurses have been continued on the station force during the year with success. The position of dietitian has been vacant, owing to the difficulty in obtaining one properly qualified. A competent dietitian could, with advantage, take entire charge of subsistence at this station under the immediate direction of the medical officer in charge. FARM. The coldest winter in the history of the station followed by a very dry summer has resulted in considerable losses to the herd. Two hundred and nine were slaughtered, furnishing beef for 11 months of the year, and 2,266 cattle are on hand. Hides were sold at auction for $1,390.81, and unserviceable horses for $300. Milk, in amount 41,838 gallons, was produced and sufficed for all needs. The dairy herd was given the customary tuberculin test with the usual negative results. Table milk is served in individual pint bottles to patients. The increased cold-storage capacity allows beef to be hung six weeks after being slaughtered with resultant improvement in quality. Station beef is corn fattened during the winter and spring months. Two new pumps have been installed in the two deep wells and permanent arrangements completed to dispense with the gravity system now rendered inadequate by the diversion of water from the South Fork of the Rio Bonito by the El Paso & Southwestern Railroad Co. This company has not diverted water from the main stream of the Bonito during the present summer, however, and, in spite of excessive dryness, there has been no difficulty in pumping water from the gravels which supply the shallow well. This is in marked contrast to our experience last summer, when, in spite of copious precipitation, the gravels were frequently dry due to diversion of water from the main stream at a point about 15 miles above. RELIGIOUS SERVICES, ETC. The chaplain has conducted religious services weekly, visited the sick daily, and has conducted all burial services at the sanatorium cemetery. The library contains 3,014 bound volumes, and regularly receives, without expense to the Government, 3 daily papers and 69 other periodicals. A total of 10,320 books and magazines were drawn during the year. A 4-film moving-picture show was given each week during the year free to patients and without expense to the Government. The custom of giving employment to convalescent cases and allowing private enterprise to suitable cases under treatment has been continued and amplified. The amount earned last year by patients on the pay roll was $10,559.50; by ex-patients retained as attendants, $3,340.33, and by those following private industries, $3,335. Unpaid work, rendered as exercise, in 1-hour periods, under medical supervision, amounted to 3,194 man-hours. Walking stipulated distances is accepted as exercise, but patients declining work on exercise squads are not eligible for positions with remuneration. COST OF MAINTENANCE. A total of $127,762.86 was expended by the Public Health Service at this sanatorium last year, of which $23,111.41 was for repairs, renewals of equipment, and new construction. Fuel cost $14,277.61. The purchased ration cost $0.4138 per day, and including beef and milk at cost of production, the ration cost $0.6068 per day. The net expense per patient per day was $1.8968. This is not higher than the cost of maintenance in similar institutions in this neighborhood. At the commencement of the fiscal year, July 1, 1912, the commissioned corps consisted of the Surgeon General, 39 surgeons, 74 passed assistant surgeons, and 24 assistant surgeons. The act of Congress approved August 14, 1912, authorized a new grade to consist of 10 senior surgeons. The sundry civil act, approved August 24, 1913, authorized 6 additional assistant surgeons, who have had a special training in the diagnosis of insanity and mental defects, for duty in connection with the examination of arriving aliens. The changes during the fiscal year were as follows: Ten surgeons were promoted to the grade of senior surgeon, 36 passed assistant surgeons to the grade of surgeon, 3 assistant surgeons to the grade of passed assistant surgeon, and 13 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. Senior Surg. Frank W. Mead died at Vineyard Haven, Mass., January 18, 1913; Surg. Henry D. Geddings at Washington, D. C., February 13, 1913; Passed Asst. Surg. Thomas B. McClintic at Washington, D. C., August 13, 1913; and Passed Asst. Surg. Samuel C. Hotchkiss at Washington, D. C., August 6, 1912. Asst. Surg. R. H. Lyon resigned March 27, 1913; A. C. Reed, May 20, 1913; and N. D. Brecht, May 31, 1913. At the close of the fiscal year the commissioned Medical Corps consisted of the Surgeon General, 10 senior surgeons, 63 surgeons, 40 passed assistant surgeons, and 30 assistant surgeons. One senior surgeon, 3 surgeons, and 2 passed assistant 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: Thirty-one 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 RevenueCutter Service; 27 to the quarantine stations in the continental United States, Porto Rico, and the Hawaiian Islands; 7 to duty in foreign countries to prevent the introduction of epidemic diseases into the United States. Special details. Two commissioned medical officers continued on detail duty with the Isthmian Canal Commission. Passed Asst. Surg. V. G. Heiser, in addition to his duties as chief quarantine officer, has been continued as director of health of the Philippine Islands. Upon the request of the Commissioner of Education, Department of |