80

60

61

-

There are various sections also-to wit :-

1. Public Health Nursing.

2. Malaria Control.

3. Leprosy.

4. Vaccination.

5. Industrial Hygiene.

6. Education and Publicity.

7. Licenses (Medical).

All these agencies function under the direction of the Director of Health, who exercises general supervision and control over all matters pertaining to the Philippine Health Service and is responsible for the efficient management of its affairs.

The Chiefs of Divisions and Offices are the administrative agents of the Director

of Health and function under powers delegated by him.

They are endowed with authority, under the control of the Director of Health, and in his name and under such regulations as the Director may prescribe, to con- duct the routine affairs of the offices of which they are in charge and to carry out all the necessary details pertaining thereto.

For the purposes of Health Administration each of the 48 Provinces is con- stituted a Health District administered by one District Health Officer who is a duly qualified Physician. He is the Provincial Representative of the Director of Health. He has power to institute all proceedings necessary to abate nuisances and remove the canse of any disease or mortality.

Practically all Health Districts are divided into Sanitary Divisions in charge of which are fully qualified Physicians called "Presidents" who are appointed by the District Health Office and to whom they are responsible.

With the exception of the Sanitary Presidents all the Medical Officers of the Philippine Health Service are commissioned by the Governor General after passing a competitive examination.

The following table shows in chronological order the series of events leading to the present situation,

1898--Board of Health for the City of Manila, President Chief Surgeon and Major Baums of the U.S. Volunteers.

1899 The President of the Board of Health becomes the Commissioner of Public Health.

1901-Board of Health for the whole Philippine Islands established and all employees of the Manila Board of Health transferred to it. Commissioner. Surgeon and Licut. Col. Maus. Provincial and Municipal Boards of Health established each under the presidency of a Medical Man. Vaccination made compulsory.

1905-Bureau of Health takes the place of the Board of Health with Dr. Victor Heiser of the United States Public Health Service as Director of Health.

The Quarantine Service is separated from the Health Service and administer- ed by the United States Public Health Service under the United States Quarantine Regulations.

1906--Sanitary Code of Manila passed.

1907--Philippine Medical School opened. Leper Act passed.

1908-School of Medicine becomes College of Medicine of the University of the Philippines. School for nursing transferred from the Director of Education to the Director of Health,

1912 Committee formed to enquire into Infantile Mortality, Sanitary Divi- sions formed in all Provinces with Presidents acting under the District Health Offi-

cer's.

1915-Bureau of Health changed into the Philippine Health Service. A Coun- cil of Hygiene formed with the Director of Health as President. An Assistant Direc- tor and a Sanitary Engineer added to the Health Service.

1919-Vicente de Jesus Serapio M.D. appointed Director

1924—Jacobe Fajardo M.D. the present Director of Health assumed office.

The Philippine Health Service has a personnel of 423 Medical Officers, 1420 Sanitary Inspectors and 265 Nurses. With a population of 11,000,000 this gives :-

26,000 persons.

1 Medical Officer to

1 Sanitary Inspector to

1 Health Nurse to

7.747

J9

41,500

81

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