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1928 Ann. Rep. Comm'r Off. Indian Aff. Sec'y Interior 55 (1928)

handle is hein.doi/annrepcom0091 and id is 1 raw text is: BUREAU OF INDIAN AFFAIRS HEALTH The general medical work of the Indian Bureau was continued through the year with good results. The difficulties incident to the administration of this service as outlined in the Secretary's annual report of the fiscal year 1927 continue to obtain to a greater or less' degree. Many years will be required before the necessary improve- ments can be carried out to place this service on a more efficient basis, to reduce the turnover of medical and nursing personnel, still unduly high, and to create other factors which will provide a well oalanced and equalized medical and surgical service for the Indian wards of the Government. Trachoma, tuberculosis, and the diseases of infancy and childhood continue to be the outstanding health problems of this race. It is felt that progress is being made, particularly in trachoma control, through the establishment of trachoma and nontrachoma schools and the closer delineation of the trachoma activities of the special physicians. The following additional hospitals were constructed during the year and opened at the beginning of the new year: At the Albuquer- que School, N. Mex., with 60 beds; Chin Lee, Ariz., and Tohatchi, N. Mex., schools with 15 beds each; Taos Pueblo, N. Mex., with 12 beds; and Havasupai Hospital, Ariz., with 6 beds. The new hospital at Choctaw Agency, Miss., was opened during April, with 25 beds, and nearly 100 patients were admitted up to June 30. A 36-bed general hospital was opened at the Western Navajo Agency, Ariz. Plans were also made for the conversion of the Kayenta Boarding School within the Western Navajo Reservation into a sanatorium with 40 beds for tuberculosis and 10 for general patients. Authority was received during the past year for the installation of X-ray machines and other laboratory facilities in our general and tuberculosis hospitals. Increased facilities are being provided in our general hospitals for the treatment of advanced cases of tuberculosis not suitable for or unwilling to receive treatment in the established sanatoria. The nursing service, which was increased considerably during the year, 21 hospital nurses having been added to the staff, will require additional numerical strength before being placed on anything like an adequate basis. The steps already taken will tend considerably toward reduction of the high turn-over in this personnel.

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