Page 8

REPORT OF THE SECRETARY OF THE INTERIOR 
number of physicians with the required qualifications to fill all 
vacancies. 
The diseases against which the greatest efforts must be directed 
continue to be trachoma and tuberculosis, but progress has been 
and is being made in controlling both of these diseases. During the 
year the school at Fort Defiance, Ariz., and the Tohatchi School in 
New Mexico were selected for the reception of children afflicted 
with trachoma and their treatment by a trained personnel. Other 
schools have been set aside for the use of pupils free from trachoma 
to prevent the spread of the disease from the afflicted to the well 
children. The boarding school at Zuni, N. Mex., was converted 
into a sanatorium school for children of that jurisdiction having 
incipient tuberculosis. 
The additional dormitory and the hospital authorized for the 
Fort Lapwai Sanatorium were completed and are now ready to 
receive patients. The new equipment installed includes a complete 
X-ray apparatus. 
The hospitals at the Fort Peck and Blackfeet Agencies in Mon- 
tana have also been equipped with small X-ray facilities which 
should prove of great value as aids to diagnosis and treatment in 
the medical work at these points. 
The hospital at Klamath Agency was completed near the end of 
the year. The first use to which it was put was in connection with 
a survey of that reservation conducted by the National Tuberculosis 
Association aided by the Oregon State organization and by'a special 
physician of this service. 
The construction of the hospital authorized for the Choctaws of 
Mississippi has been delayed because of failure as yet to obtain clear 
title to the land. 
The new hospital at Fort Peck, Mont., was opened for patients in 
January. The building was not entirely completed but is now operat- 
ing at about half capacity. 
Facilities have been provided at all of the general hospitals for 
advanced cases of tuberculosis which will not or can not be cared 
for in the established sanatoria. The segregation of such cases 
from contact with their families and others will be of material 
assistance in the prevention of the spread of this disease to which 
the Indian is generally very susceptible. 
The tuberculosis sanatoria of the Indian Service were well pat- 
ronized during the past fiscal year, several of them being kept full 
to capacity and the others being utilized to a greater extent than 
ever before. This increased attendance is due, in a large measure, 
to the effects of health education in the schools and among the adults 
of the reservation.