REPORT OF THE GOVERNOR OF THE VIRGIN ISLANDS + 63 and notable improvement has been achieved in many of the clinics and in the caliber of services rendered. Both islands are now receiving the services of a resident ophthal- mologist and an otologist. There are weekly otology clinics in both towns in St. Croix and the weekly clinics continue in St. Thomas. It St. Thomas there is a weekly opthalmology clinic. In St. Croix, however, no special day has yet been set aside for children. They are now seen every day along with the other clinic patients. A physical therapist was employed by the Knud-Hansen Memorial Hospital, thus filling a great need. The cardiac clinic for diagnosis and treatment of children with car- diac conditions is held weekly in St. Thomas. The clinician is a staff physician with special preparation in heart disease. During the year 35 children were followed for rheumatic fever and rheumatic heart disease. The orthopedic clinic is still being held weekly in St. Thomas and bi-weekly in St. Croix. The attendance has increased in St. Thomas to such an extent that it may be necessary to plan for additional clinics in the very near future. Plastic surgery clinic is held monthly in St. Thomas. Patients from St. Croix and St. John are referred to St. Thomas for services. Brace and speech clinics are also held monthly and patients are sent from St. Croix and St. John for this clinic. Twenty pediatric patients were sent to Puerto Rico and the United States for medical treatment. Sixteen were sent to Puerto Rico and four to the United States. Two were admitted at Johns Hopkins Hospital, Baltimore, Md., for heart surgery and one for evaluation and correction of an eye condition. The other patient was admitted to Resser's Clinic for correction of scoliosis. She was accompanied by the medical and social worker on the staff. Foster home services were arranged for her in California while she received medical treatment. The maternity services program in St. Thomas continues with clinics held twice a week. There has been a great increase in the number attending this clinic and the program of services is quite extensive with persistent followup by the Public Health nurses. Both clinics in St. Croix were relocated. Well-child conferences are still held in the five districts and at the hospital in St. Thomas and also in the five districts and both hospitals in St. Croix.