PUBLIC RECORD OFFICE
19
Reference :-
་། ། ༄། ་「 ། mmimmimC.O. 885
23 PUBLIC RECORD OFFICE, LONDON
ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC- COPYRIGHT PHOTOGRAPH-NOT TO
SIR,
60
Port Antonio, 21st December, 1914- HAVING reference to Circular No. 90, dated the 3rd instant, relative to information required for the Secretary of State for the Colonies on the subject of "salvarsan” treatment, I beg to say that the circular asks that the information be supplied “at the end of this month."
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Voluntary action on the part of the patient has practically proved sufficient; a very small percentage of persons, probably not more than 1 per cent., object to it, but in many cases patients who in the first place objected to the use of the drug have subsequently returned and have begged to be given a dose.
Personally I think it is desirable to make treatment compulsory. I find that parents with children suffering from the disease, while not objecting to the treat- ment, are frequently too indifferent to take the trouble to bring them for treatment. Since the introduction of salvarsan treatment 810 patients have been given injec- tions in the hospital in addition to about 40 outside.
The Honourable
Superintending Medical Officer,
Kingston.
I have, &c.,
C. A. MOSELEY,
District Medical Officer.
SIR,
Public General Hospital, Buff Bay, 28th December, 1914. I move the honour to acknowledge the receipt of Circular 90, No. 3419, datad the Ard December, 1918, and in reply to my that all case of yaws that I have treated with salvaman have readily submitted themselves for treatment; in some cases they
Number of cases treated, 101. engerly ask for the treatment.
The Honourable
Superintending Medion Officer,
Kingston.
H. J. GEORGI, District Medical Officer.
Annotto Bay, 29th December, 1914.
SIR,
I HAVE the honour to present to you my report on the treatment of yaws by salvarsan in the Annotto Bay Public General Hospital in the Annotto Bay District of the parish of St. Mary.
There have been twenty-three cases of this disease treated with this drug in the hospital. Of these seventeen have been discharged as cured, while six are still under treatment. The average number of days spent in hospital of those discharged as cured was thirty. There were no deaths.
The greatest number of days spent in the hospital by any one case was fifty-six days, and the least number was seventeen days. There were fifteen creoles and eight coolies.
In no case was salvarsan alone relied upon to effect a cure, the treatment being supplemented by both local and general treatment of the usual kind.
All the cases were of the most severe type of general yaws, with the tubercular eruption on the skin, and it was remarkable how soon improvement set in after the injection of the drug.
The dosage was based on the maximum dose for an adult as being six grammes, and for drildren the usual proportion of this was given according to age. In every case the drug was administered by intramuscular injection into the buttock, the Strict antiseptic precautions were injection being made deeply into the muscles.
taken in every case.
The drug was made into an emulsion with water and administered slightly acid. A little pain at the site of injection was usually complained of for a few days, but this was never severe.
In no case was there any abscess formation or trouble whatever.
The Superintending Medical Officer,
Kingston.
I have, &c,,
H. JOBLIN,'
District Medical Officer.
Richmond, 18th December, 1914.
SIR,
I HAVE the honour, in reply to your circular letter, to state that I have not treated any cases of yaws with salvarsan in the district.
Honourable Superintending Medical Officer,
Kingston.
I have, &c.,
FRED. A. RITCHIE, District Medical Officer.
SIB,
61
Port Maria.
with
I HAVE the honour to acknowledge, the receipt of Circular 90/3418 of the 3rd instant, asking for information as to whether persons suffering from yaws have cheerfully submitted to treatment by salvarsan.
of yaws In reply I beg to state that I have treated in all seventy-five cases this drug (twenty-eight in hospital and forty-seven in almshouse) since July, 1913, and in only one case was there any objection, and this was a nervous lad whom the other patients had frightened with horrible accounts of the pain, etc., of the injec- tion. Indeed, many of the inmates at the almshouse actually asked to be “jooked,” as they term it, seeing the benefits derived by other cases.
I have, &c.,
The Superintending Medical Officer,
Kingston.
SIR,
G. I. LECESNE,
District Medical Officer.
Ulster Spring, 14th December, 1914.
In reply to your Circular 90, No. 3419, of 3rd December, 1914, I have to inform you that since the receipt of your Circular 63/2003 of 21st July, 1914, thirty-four cases of yaws have been treated with salvarsan in this district;,of this number twenty- two were under sixteen years of age and eleven under twelve years.
I mention these figures as. I am of opinion that children who are under control
of parents or guardians are induced to undertake the treatment, whereas adults do not present themselves in proportionate numbers, in spite of the fact that there are many cases of crab yaws among grown people.
When a bad case is treated in a section of the district several others come out for treatment, but not all
It would appear, then, that voluntary action on the part of the patient has not proved sufficient and that some form of compulsion will eventually become necessary. I am unable to say what proportion of them object to the treatment, but from what I am told I believe it to be considerable
The Honourable
Superintending Medical Officer,
Kingston.
SIR,
I have, &c.,
EVER SMITH,
District Medical Officer.
Clark's Town, 19th December, 1914.
In reply to Circular 90/3419, dated 3rd December, 1914, I have the honour to report that the people in my district give no trouble about the treatment of yaws by salvarsan. They seem highly pleased with the rapid results of the treatment, and bring out their children readily.
The amount of labour and trouble saved by this method must be very great- instead of the disease lasting for several months it is cured in a few days. Fifty cases were treated.
I have, &c.,
F. A. G. PURCHAS, District Medical Officer.
Honourable Superintending Medical Officer.
Balaclava, 19th December, 1914.
SIR,
I HAVE the honour to acknowledge your Circular 90, No. 3419, dated 3rd Decem- ber, and in answer thereto to say that I have treated no cases of yaws with salvarsan up to date.
I have, &c.,
W. O. LOFTHOUSE, District Medical Officer.
The Honourable
Superintending Medical Officer,
Kingston..