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Show yeri? ad cdrnpared td prior Teas. The factors .4iaving ,to do with a determination of the actual number of cases of tuberoulosis arre so' mexi$ and sci complicated that no' accurate st%fiment &n be made reg&&liin~th e increase or decrease of this disehae. , , .: :Thesei+ces of the medical and nursingpefiohnel on bhe wholeha6 been loyd mid efficient. There is still i t mOst reservations an hade-quate number of both medical and nursing personnel and the physic61 facilities at most placea are yet below accepted standards. A general' improvement along these lines is apparent. In addition there has been a carefully prepared plan of expansion of preseht hospital facilities. On the whole, good servicb has been performed. Considerable difficulty has been experienced in pr0vidii.a suffi-cient water supply free from contamination at some places and the Public' Health Service was called upon to investigate and report what methods are required to correct same. The Institute for Government Research also called attention to the need for %prove-melit,, of the water supply at some jurisdictions. A consulting engineer has been added to our corps of employees for the purpose of making a survey of the water and sewer systems at every juris-diction in the service and to make such recommendations as may be necemary to insure an ample supply of pure water and sanitary sewerage disposal. EDUCATION For the fiscal year 1927 there was given a comparative statement showing enrollment of Indian pupils in Federal boardiig and day schools by grades and there is appended a statement extending the comparison to include the year 1928. I t will be noted that while the number of beginners is 250 less than in 1025-26, there is an average increase in the number in higher grades demonstrating an advance in their studies accomplished by a considerable number of pupils and a gradual trend toward an education higher than elementary. The following table shows a comparison by grades of the enroll-ment of Indians ih Government sohools for three school years: 18PB I IS7 , 1PZ8 . --- B , ,. ... 3 , I 30 . n arBde"1 U... l.. .... Grade I ...... .; 3, ma. 3 . 1 ~. 3, ~m amde IX .............. O@r %u ..'.@.........A........;.. .... a,w 8,%8 3.1% a d e x. .............. .............. 3 167 3 1% . 3 . w Made XI ........................... GradeV ...... .....L......;.;....A .. ............... ...... Grade ,3:211 a,108 0mde XII 159. m*d.vI a. lea SWI~I I I .. ~ ~ e o lnl i i&dp i ~ ~ aaidnst oriom K ~ O O I ~ , Pin~ w~ U e~ d 0%. yi s far attandw. mood. ary mhohdols-orl&muo.. . , 23792-2-4 . ., . . . . . |