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acute to warrant travel. A capable surgeon at Cloquet has been engaged to do the surgical work, but unfortunately the agency officers are expecting him to do the general reservation work in that vicinity as well. If this surgeon, who is a busy man and not at all likely to have time to concern himself seriously with reservation work, were required to do the surgical work only, and another physician were supplied for general duty, the plan would be acceptable. The time available for the present survey did not permit of determining to what extent it is practicable for the Indian Service to make coöperative arrangements with existing local general or special hospitals, or to join with local white communities in providing new hospitals. The practice has so much to commend it on the ground of both economy and efficiency that the recommended Division of Planning and Development ought to work out plans for coöperation wherever it is practicable.
Sanatoria. No sanatorium in the Indian Service meets the minimum requirements of the American Sanatorium Association.
The administration of Indian Service sanatoria differs from that of its hospitals in that usually the sanatoria have a better qualified physician in charge.
The sanatorium facilities offered by the Indian Service are divided into two classes: sanatoria proper, or institutions taking active cases of tuberculosis, both children and adults; and sanatorium schools or institutions designed for cases of latent tuberculosis in children. These latter institutions correspond to the preventorium in principle, but differ in that they are not wholly confined to latent tuberculosis. They accommodate some cases of active tuberculosis.
Institutions classified as sanatoria or as sanatorium schools are located at eleven places. At seven are the so-called sanatorium schools, with a total bed capacity of 510 beds. At four are sanatoria proper with a total of 241 beds.
For convenience of discussion, they will be listed with their bed capacity, total days of treatment available, and the total days of care actually given during the fiscal years 1925 and 1926. It should be noted that the figures for the Laguna and the Chippewa institutions include also the data for general beds at these institutions.