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The latest report of the Commissioner of Indian Affairs states that the Government maintains fifty-one hospitals (six additional are under construction), with a combined capacity of 1432 patients, to care for a population of 331,250 persons. In view of these figures, it is not difficult to realize the urgent need of the field workers and nurses in connection with Christian Missions among Indians.

The report shows also the estimated number of 21,980 Indians suffering from tuberculosis, and 35,769 afflicted with the highly contagious eye disease, trachoma. The death rate per thousand among the Indians last year was 30.76. The percentage of deaths due to tuberculosis was 31.83, while the birthrate was 38.79 per thousand.

The Commissioner of Indian Affairs says:

"I am fully aware of the fact that to perpetuate the Indian race, the inroads of tuberculosis must be stayed. To do this it is essential that better sanitary conditions be instituted in the Indian homes, and cleanliness, better ventilation, and sufficient and nourishing food be secured."

Realizing the importance of these matters, a study has been made of the physical conditions of the government Indian schools. An effort has been made to detect incipient tuberculosis and trachoma and segregate and treat those infected, so that healthy families may not be infected through the return of a child who has been infected at school. Regular talks are given to the children on sanitary matters.

There is vital necessity for more hospitals to care for the children and other members of the family in the early stages of disease.

Fully sixty per cent of the Indians under the supervision of the Indian service are still entirely dependent upon the government for medical assistance. The medical staff employed by the government comprises one hundred and twenty-eight regular physicians, devoting their entire time, and fifty-nine contract physicians giving part time service.

A unique and most helpful feature of the Indian Missions maintained by the Women's Board of Domestic Missions of the Reformed Church in America are the separate buildings known as lodges, set apart for the use of the Indians.

Here the specially needy sick find care and shelter until other provision can be made for them.