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baths are provided. A bed patient is seldom able to use a shower bath.

At Shawnee, Oklahoma, a sanatorium school has been established in a plant formerly used as a reservation school, and consequently not adapted to the present needs. A plan is under consideration to convert an old frame building on the place into an infirmary for bed cases. This unit is the poorest on the grounds. It is a fire trap, and is in no sense suited to the demands of a hospital.

At Fort Lapwai old reservation school buildings were utilized up until the past year or so. They have been replaced by three new units, two dormitory buildings, and a hospital. The dormitory buildings are identical in arrangement. They are built in the form of a quadrangle inclosing a court which has no outside entrance. The patients’ quarters are divided into three ten-bed and two nineteen-bed wards, with no isolation facilities whatever in these buildings.

The hospital building, which is supposed to accommodate reservation patients as well as tuberculosis cases, has a total bed capacity of thirty-four. Only two of the beds are in single rooms and four are in double rooms. Without question the amount of money spent in rebuilding this institution, differently expended, would have produced a far more effective arrangement. This building is entirely lacking in scientific planning and arrangement. As it stands, it represents the practices of twenty years ago.

The patient’s comfort in the modern sanatorium is further planned for in providing locker space for his clothing as well as dressing rooms, recreation rooms, and an assembly room. These facilities are lacking in all Indian Service sanatoria.

Though the patient’s comfort in a sanatorium should be the first consideration, the space provided for medical and administrative purposes is almost as important. Such space in these sanatoria is usually limited. The doctor’s office, record room, examining room, and laboratory are crowded into a single room.

Arrangements for artificial light and ventilation are little better in the new institutions than in the converted schools. Sun decks for heliotherapy are absent, as are most other modern arrangements for such treatment. At Onigum, quartz light therapy must be given in the doctor’s office and examining room, the ventilation of which is poor. Much of the good from the ultra-violet lamp is probably