Subsistence included room and board and was an integral part of the remuneration for the job. Rates 3, 4, 5 and 6 weretraining rates, and since incumbents were not retained in them for more than one year, in-grade pay advances were notgrated for those grades. Persons employed i1 n all other rates were granted i1 n-grade increases 1n recog- nition of efficiency or length of service.'* Because living costs varied from onedistrict to another, civil administrators could, with the prior approval of the High Commissioner, grant an additional cost of living allowance. Finance and Supply The public health program in the Trust Territory was financed by appropriated funds and local reserves. Figures for appropriations and expenditures noted below do notincludesalaries of naval medical personnel, construction and maintenance of buildings, communica- tions and transportation. In addition, the expenses of the medical, dental and nursing schools on Guam were paid from the educational appropriation and averaged over $100,000 each year. Yearly expenditures for the health program during the trusteeship period amounted to approximately one fourth of the total monies expended for administration of the Trust Territory. The following table lists the amounts and percentages of the total expenditures for each fiscal year: Fiscal year , : 1948 L949 eee eee 1 sO WSL ee eee vey Total... 2 ee eee Yearly average.. 0.0.0.2... ‘ Lod Percentage of ‘ coral expendi| tures for Trusc | Territory Ad- Expenditures for Public. Health | $249, 682.02 | 385, 417. 90 | 295, 811. 46 | 299, 000. G0 | | ministration 26.3 27.8 25.4 22.2 | 1, 229, 911.38 |. 5307, 477. 85 25.4 Supplies were procured from the medical supply centers at Guam or in the United States and distributed by regular logistic shipping to all dispensaries; subdispensaries were restocked by field trip per8 Thid. 878 5O0be18