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E. THE MEDICAL AND SANITARY SERVICES
OF INDO-CHINA.
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F. THE HEALTH SERVICE OF THE PHILIPPINES.
The Medical and Sanitary Services of Indo China are under the direction of the Director of Medical and Sanitary Services,
The Paster Institutes are controlled by the Pasteur Institute of Paris who appoint a local director. These are not under the Director of Medical and Sanitary Services
There are four Provinces each of which has a Medical Officer in charge
The large Cities such as Saigon. Cholon and Hanoi are municipalities under modified local Government. These Cities employ a Municipal Medical Officer and pay his salary. The work of this Medical Officer is under the general direction of the Director of Medical and Sanitary Services.
work.
All the Government Medical Officers are Military Doctors seconded for Civil
There is in the French Army a Corps of Administrators who correspond to the pay masters of the British Navy-having Commissioned rank.
They are attached to various centres and thus it happens that there is in charge of the Director's Office a thoroughly competent Commissioned Officer as Sec- retary or Administrator. He is under the Director.
In the same way there is attached to the Offices of the Provincial heads. Com- missioned Officers as Secretarys or Administrateurs.
There is at present no division between Medical and Sanitary Services in the Provinces but it is the intention in the near future to make such a division. When this takes place, then will there be in each Province a European Provincial Director of Hygiene who will have under him locally qualified Asiatic Doctors as District Health Officers.
The following information is taken from a paper read at the Congress of the Association of Tropical Medicine at Calcutta in December 1927. The Author of the paper is Dr. Gabriel Intengan, Chief, Division of Provincial Sanitation Philippine Health Service.
The population of the Philipinnes is 11,000,000-Manila, the Capital. has a population of over 300,000; Cebu has 81,000; Iloilo 65,000; Zamboanga 43 000– and there are several other towns with a population between 25,000 and 40,000.
The Philippine Health Service falls under the direct supervision and control of the Secretary of Public Instruction
At the Head of the Service is the Director of Health and as an advisary body there is the Council of Hygiene-of which the Director is the Chairman.
For the proper administration there are several divisions in the Central Office, partly scientific, partly territorial divisions-with several offices and sections.
There are
1. The division of Communicable Diseases, which informs as to the state of the public health and prepares plans for the control of communicable diseases and prevention of epidemics. It conducts research into the nature and cause of disease and methods of pre- vention and cure and it takes charge of all prophylactic vaccina- tion.
2. The division of Hospitals. Laboratories and Dispensaries which ex- ercises supervision and control over all hospitals, leprosaria and sanatoria, dental works, dispensaries and laboratories which are under the jurisdiction of the Philippine Health Service.
3. The division of Sanitary Engineering, which acts as consultant in the matters having connection with sanitary engineering and plumb)- ing inspection housing and building construction problems, and mosquito and rodent eradication.
4. The division of Metropolitan Sanitation, which has supervision over all activities and agencies for the prevention and control of diseases in the city of Manila, and whose chief is endowed with authority, emanated from the Director of Health, to execute such functions as may be necessary to improve and maintain the sanitary conditions within his territorial jurisdiction. He acts as Chairman of the Pure Food Board of the whole archipelago.
5. The division of Provincial Sanitation, whose Chief has much the same powers as the Chief of the division just described and whose territory is the whole of the Philippines other than the Metropolis. He has ample jurisdiction over the local funds allotted for muni- cipal and rural sanitation
G. The office of Vital Statistics, which office is charged with the pro- curement and maintenance of vital statistics, the conduction of statis- tical researches and the handling of exhumation and burial per- mits.
7. The division of General Inspection, which inspects, investigates and reports on sanitary conditions, general administration and all com- plaints that may be referred to it. It exercises supervision over ac- tivities in public health nursing school medical inspection and in- dustrial hygiene.
8. The division of Property handles all matters relating to the main-
tenance and supply of property.
9. The division of Records and Finance takes charge of all financial
matters and maintains all records and files.
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