HEALTH AND MEDICINE GENERAL 475 



the district surgeons, medical services for the natives appear to 

 be restricted to three state-owned native hospitals, directly con- 

 trolled by the Administration, situated at Windhoek, Keetman- 

 shoop and Omaruru. 



In 1936 there were 926 European and 1,686 non-European in- 

 patients, and 203 European and 5,631 non-European out-patients 

 in government institutions. These have together a total of 103 beds. 

 Expenditure on public health in 1935-6 amounted to ;f22,83i, out 

 of a total ordinary expenditure of ^^73 1,802. In 1936 the native 

 population, including coloured, was estimated at 253,090; the pre- 

 liminary census figures for 1936 give the European population as 

 30,677. 



In Basutoland the first medical work was that of French mission- 

 aries in 1844. The present system was built up by the work of 

 Dr. E. C. Long, who was appointed principal medical officer in 

 1894 and served for thirty-two years. In 1936 there were eight^ 

 hospitals with twelve European and 148 native beds. That at 

 Maseru is the largest and is ranked as a Class I hospital by the 

 Cape Medical Council. The hospital at Qacha's Nek was in 

 process of enlargement during 1936, the accommodation being 

 increased from fourteen to twenty-eight beds, and a theatre 

 equipped on modern lines was built. 



In 1936, for the whole territory, in-patients numbered 3,298 and 

 out-patients at government dispensaries 82,952, out of a total native 

 and coloured population of about 561,000 for Basutoland. The staff 

 consists of a principal medical officer, nine medical officers, an 

 assistant medical officer, and one district surgeon, disposed in eight 

 districts. There are fourteen European nurses and a considerable sub- 

 ordinate staff, whose work is confined at present to the hospitals. An 

 increase in health services in rural areas has been considered desir- 

 able. A satisfactory scheme is in existence for training nurses and 

 dispensers, but little maternity work has been done. There is a leper 

 settlement near Maseru, started in 1914, with a staff of two European 

 doctors, a matron, and three nurses and a population of 684 in 1936. 



Health and medical expenditure in 1936 was ;£'48,932 out of a total 

 ordinary expenditure of £294,883. (Basutoland 1935 and 1936, D.i?.). 



In Bechuanaland the staff for a population of 260,064 included, 

 in 1936, a principal medical officer stationed at Mafeking and 



^ Including the temporary hospital at Mokhotlon. 



