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6

(b) The application* from Professor Nuttall for further assistance to the Quick Laboratory was considered, Mr. Read explained that Professor Nuttall had called upon him with Mr. Molteno and that the latter had given him to understand that he was prepared to find a sum, from sources not specified, equivalent to what- ever amount Professor Nuttall might be able to obtain from the Tropical Diseases Research Fund over and above the sum which he was already receiving. Mr. Read thought on that ground, as any grant made from the Fund would thus automatically be doubled, the proposal was deserving of consideration. He laid stress on the fact that any grant made should be made for research work.

called attention

to

the

salaries

received

Sir Ronald Ross then raised the question whether this was altogether fair to the laboratories. The giving of scholarships resulted in the holders of the scholar- ships working in the laboratories and entailing expense upon them which was not made good by such fees as they might pay. Further, Sir Ronald Ross the by unsatisfactory very

to them workers in Professor Nuttall's laboratory, the payment made being extremely small. He himself was rather in favour of giving a definite scholar- ship for a period of, say, three years. Sir Thomas Barlow thought that the whole proposal was much too vague, and he considered that Professor Nuttall should be invited to state what sum he hoped to raise from outside and to submit a definite scheme for some specified research, in which case he could be informed that his proposal would be considered favourably.

Mr. Read pointed out that £100 of the grant from the Fund to the Quick Laboratory was made for the general expenses of the laboratory, and Sir Ronald Ross agreed that this removed, as far as the Advisory Committee were concerned, any obligation to make further provision for the general expenses of the laboratory. It was finally agreed that no definite offer should be made of a sum to Professor Nuttall, that he should be asked to submit a definite scheme of the research and the amount hoped for from other sources, and promising favourable consideration of

such a scheme.

(c) The request† from the Government of the Sudan that the Advisory Com- mittee should undertake the publication of the results of the work done in the Gordon College Research Laboratories was considered. It was pointed out that the publications hitherto financed by Mr. Wellcome had been of a very magnificent character, but had contained many summaries of current work which were not on research, and further contained much relating to ethnology, which did not fall within the scope of the work of the Advisory Committee. Mr. Read laid stress on the fact that if the Government of the Sudan felt aggrieved in the matter they might withdraw their contribution of £300 a year to the Tropical Diseases Bureau, and it was agreed unanimously that an offer should be made to the Sudan Govern- ment to publish in the annual report of the Advisory Committee the records of original work carried out in the laboratories in the same manner as reports of Colonial laboratories were published.

2522

No. 10.

TRINIDAD.

MEMORANDUM ON THE TRINIDAD LEPERS ORDINANCE, 1913.

THIS Ordinance re-enacts the existing law of Trinidad relating to lepers. It also contains new provisions to carry out the recommendations of the Bergen Confer- ence as to compulsory notification (see Sections 7 to 9), and to allow lepers to be isolated at home instead of being sent to an asylum (see Section 11).

In a minute of which an extract is annexed the Surgeon-General has called attention to several points in which the Ordinance appears to him to be defective

Section 9 (2). Penalty for refusal of leper to attend for examination. Section 22. Power to Medical Superintendent to permit articles to be received from a leper in the asylum.

Section 33. Power of Superintendent to permit outsiders to visit asylum. The Surgeon-General also objects to the failure to provide for the inspection of lepers isolated at home or for payment of a fee for notification by a District Medical Officer, and to the power to make rules for the asylum being vested in the Governor in Council (see Section 28).

* No. 6.

† No. 7.

7

The Medical Board of Trinidad were consulted before the Ordinance was prepared. A copy of their recommendations is annexed. It will be seen that the Board recommended that:-

(a) Leprous parents or guardians should be relieved of the custody of

healthy children,

(b) Lepers should not be allowed to marry, except perhaps in settlements. (c) The asylum should be removed to an island.

These recommendations were not embodied in the Ordinance for the following

reasons:-

(Apparently) because it was not known what to do with the children. Because it was no use prohibiting marriage unless concubinage was also prohibited.

(c) Because no suitable island was available.

The Secretary of State would be glad to receive any observations which the Committee may care to offer, either on the points mentioned above, or on other provisions of the Ordinance, and generally to be advised whether the Ordinance is suitable for its purpose, and, if not, what amendments are required.

12th February, 1914.

Annexure 1 to No. 10.

TRINIDAD AND TOBAGO.

Lepers:

No. 32-1913.

3rd December.

AN ORDINANCE relating to Lepers.

Be it enacted by the Governor of Trinidad and Tobago with the advice and

consent of the Legislative Council thereof as follows :-

1. This Ordinance may be cited as the Lepers Ordinance, 1913.

2.

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*

Leper" means a person suffering from any variety of leprosy; Leper Asylum " includes a leper settlement;

In this Ordinance, unless the context otherwise requires-

Institution means any hospital, asylum, almshouse or house of refuge kept

up at the public expense for the relief of the sick or destitute poor;

"2

Medical Practitioner "1 means a member of the Medical Board of Trinidad; "Police Constable " means a member of the Constabulary Force established

under the Constabulary Ordinance No. 16 of 1905, or any Ordinance amending the

same.

Establishment of Leper Asylums.

Short title:

Interpretation

3. The Governor, by proclamation to be published in the Royal Gazette, may Governors declare any buildings and the land attached thereto to be a leper asylum, and establiska. thereupon such buildings and land shall be a leper asylum under this Ordinance.

4.

sytem.

Cocorite

The buildings and land in Cocorite now actually used and occupied as a Mylu leper asylum, together with such buildings and lands adjacent thereto as may hereafter be erected or acquired for the same purpose, shall be deemed to be and the same are hereby declared to be a leper asylum under this Ordinance.

5.-(1.) The Governor shall from time to time in his discretion appoint fit Appoin and proper persons to perform the duties of Medical Superintendent, Resident of offing Superintendent, and such staff as may be necessary for every leper asylum.

(2.) The Surgeon-General, subject to the direction of the Governor, shall have the control and management of every leper asylum.

dwellingham

6. Any leper may by special permission of the Governor erect or cause to be Krection erected for himself a dwelling house at his own expense within the limits of the by inmate. leper asylum in which he is detained, or which he is about to enter, subject to such conditions as to plan, site, drainage and otherwise as to the Governor shall seem fit.

LPage 301

PUBLIC RECORD OFFICE

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Notification and Examination of Lepers.

7.-(1.) Where an inmate of any premises used for human habitation is a leper or shows symptoms from which it may be reasonably inferred that he is a leper, then, unless such premises are an institution in which only lepers are received, the following provisions shall apply :;

(a) The head of the family to which such inmate (in this Ordinance referred to as the patient) belongs, and in his default the nearest relative of the patient present in the premises or being in attendance on the patient, and, in default of such relative, every person in charge of or in attendance on the patient, and in default of any such person the occupier of the premises shall, as soon as he becomes aware that the patient is suffering from leprosy or a disease suspected to be leprosy, send notice thereof to the District Medical Officer.

(b) Every Medical Practitioner attending on or called in to visit the patient shall forthwith on becoming aware that the patient is suffering from leprosy or a disease suspected to be leprosy send to the District Medical Officer a certificate stating the name of the patient, the situa tion of the premises and the disease from which, in the opinion of such Medical Practitioner, such patient is suffering or suspected to be suffering.

(2.) Every person required by this Section to give a notice or certificate, who fails to give the same, shall be guilty of an offence and shall be liable to a fine not exceeding Two pounds.

(3.) The expression "occupier" in this Section includes a person having the charge, management, or control of any premises or of any part thereof in which the patient is, and in the case of a house the whole or any part of which is let to lodgers, the person receiving the rent payable by the tenants or lodgers either on his own account or as the agent of another, and in the case of a ship, vessel or boat, the master or other

in charge thereof. person

8.-1.) The Governor in Executive Council may from time to time prescribe forms for certificates under the preceding Section, and any forms so prescribed shall be used in all cases to which they apply.

(2.) Such forms shall be supplied gratuitously to any Medical Practitioner who applies for them to the Colonial Secretary.

9. (1.) It shall be lawful for the District Medical Officer on receiving notice or certificate to the effect mentioned in Section 7 of this Ordinance to enter upon the premises where the person named in such notice or certificate resides and to examine him with a view to ascertaining whether he is suffering from leprosy, and in the event of admission or examination being refused a Magistrate may grant a warrant authorizing such entry and examination, and on such warrant being exhibited any person refusing to admit the District Medical Officer to such premises or obstructing him in making the examination aforesaid shall be liable to a fine not exceeding Five pounds.

(2.) It shall be lawful for the District Medical Officer to order any person named in any notice or certificate as above mentioned to attend at a place to be notified to such person in writing there to be examined, and any person refusing or failing to attend at the place notified to him, or obstructing examination at any such place, shall be liable to a fine not exceeding Five pounds.

(3.) On making an examination under the provisions of this Section the District Medical Officer shall report forthwith the result thereof to the Surgeon- General for the information of the Governor.

Admission to Asylums.

10.-(1.) Any person desirous of being admitted into a leper asylum may make an application to any District Medical Officer in the following form :-

I, the undersigned, do hereby request you to cause me to be admitted into

the leper asylum at

and I undertake to remain therein

until duly discharged and to conform to the rules of the said leper asylum.

Signature of Applicant.............. Signature of Witness...

To the District Medical Officer at.

(2.) The signature of the applicant shall be attested by a Magistrate or Justice, who shall not so attest unless he has satisfied himself that the applicant understands the effect of the application and unless the District Medical Officer attaches a certificate to the application that the applicant is a leper or that the District Medical Officer has reasonable grounds to suspect that the applicant is a leper.

D

(3.) Such applicant after his reception into the asylum shall not, unless dis- charged by order of the Governor under this Ordinance, be entitled to leave such asylum, and in case of leaving without being discharged as aforesaid may be dealt with under Section 35 of this Ordinance, as if a warrant or order had been issued against him.

saylum ber

11-1) After such examination and report as is mentioned in Section 9 of Detention of this Ordinance, it shall be lawful for the Governor, if he shall think fit, to order the leper in leper or alleged leper to be removed to or detained in a leper asylum, provided always examination. that the Governor may refrain from making any such order for removal or detention Isolation in if the leper or alleged leper shall, in the opinion of the Governor, be able to provide llen of for himself, at his own place of abode, effective isolation in accordance with rules made under this Ordinance.

(2.) In the event of the disregard or breach of any such rules the Governor may order such leper or alleged leper to be removed to and detained in a leper asylum.

removal to asylum.

(3.) Provided always that no person shall be removed to or detained in a Examination leper asylum unless a certificate shall have been given by two Medical Practitioners by Mediond that such person is actually suffering from the disease of leprosy.

Practitioner.

Power to

(4.) For the purposes of this Section the Governor shall have power to order a leper or an alleged leper to attend to be examined, and in such case the provisions order atten of Section 9 (2) of this Ordinance shall apply in all respects as if the Governor had been expressly named therein.

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examination.

begging, etc.

12.-(1.) It shall be lawful for any Magistrate, on information upon oath Leper wande of any credible witness, that any leper or alleged leper has been wandering about ing shout begging or collecting alms, or seeking precarious support, or exposing his leprosy in any public road, street, or place, to summon such leper or alleged leper to appear before him, or, if he think it necessary, such Magistrate may issue a warrant under his hand directed to any police constable, authorizing or directing such constable to cause any such leper or alleged leper to be brought before him at a time and place to he specified in such warrant.

(2.) If, on the hearing of the case, it is proved to the satisfaction of such Magistrate that such person is a leper, the Magistrate shall report his decision to the Governor, who shall have power to proceed in the case of such person in the manner provided in Section 11 of this Ordinance. The Magistrate shall direct that, pending the making of an order by the Governor, such person be removed and conveyed to a leper asylum by a police constable.

13. When any leper is committed to take his trial or for further examination Detention of leper waitin or is sentenced to imprisonment for any offence or for the non-payment of any or money or penalty, the Court ordering the commitment or inflicting the imprisonment convicted. shall direct the leper to be committed to a leper asylum, there to be kept or there to undergo his sentence of imprisonment as the case may be.

Prison 2000

14. It shall be lawful for the Governor by proclamation to set apart any modation is portion of any leper asylum as a place in which lepers committed or sentenced sayin to imprisonment under Section 13 hereof shall be detained, and it shall be lawful for the Governor in Executive Council to make rules and regulations as to the management of such portions so set apart, and as to the treatment and discipline of lepers so committed or undergoing such imprisonment.

Removal and Discharge from Asylums.

lepers.

15. The Colonial Secretary may by order in writing direct the removal of Removal of any leper from any asylum or other institution to any other asylum or institution, and such order shall be sufficient authority for the removal of such leper and also for his reception into and detention in the asylum or institution to which he is ordered to be removed.

discharge fr

16. The Governor may in his absolute discretion order the discharge of any Governor inmate of a leper asylum not being a prisoner under sentence of imprisonment, asylum. upon security being given by some person on behalf of such inmate to the Crown Solicitor by bond in the sum of Twenty pounds that such inmate shall be properly isolated, maintained and treated in private and shall not be suffered to be at large.

17.

certificate

Whenever it appears to the Medical Superintendent of a leper asylum Discharge that any inmate thereof is fit to be discharged therefrom, such Medical Superin- Medical Be tendent shall certify the same to the Governor; and thereupon it shall be lawful erintenden for the Governor to direct that such person shall be discharged.

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