PUBLIC RECORD OFFICE

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Reference :-

THCO 885

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23 PUBLIC RECORD OFFICE, LONDON

ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC- COPYRIGHT PHOTOGRAPH-NOT TO

SIR,

30

Enclosure 8 in No. 10.

The Rockefeller Foundation, International Health Commission,

725, Southern Building, Washington, D.C.,

26th December, 1913.

I AM sending you copy of the tentative budget for Grenada. This budget was prepared by the Governor and a committee of medical men as a first tentative suggestion. It occurred to me that it might possibly have some suggestive value in working out the budget for Antigua.

His Excellency

2671

SIR,

The Governor,

Antigua.

No. 11.

I have, &c.,

WICKLIFFE ROSE.

WINDWARD ISLANDS.

THE SECRETARY OF STATE to THE GOVERNOR.

(Grenada (General).

No. 10.)

Downing Street, 4th February, 1914.

I HAVE the honour to acknowledge the receipt of your despatch No. 7 of the 5th January,t covering correspondence with Mr. Wickliffe Rose on the subject of the campaign against ankylostomiasis in the Windward Islands.

2. I have learnt with much satisfaction of the generous provision which Mr. Rose, on behalf of the International Health Commission, proposes to make for the conduct of the work, and I have no doubt that the Governments of the three Colonies will do all in their power to secure that the fullest possible use is made of the resources placed at their disposal.

3. I am referring the details of the estimates of the cost of the work in the three Colonies to my technical advisers, and I hope that I shall be in a position without undue delay to forward them for the consideration of the International Health Commission. Mr. Rose proposes to visit this country shortly, and I shall take the opportunity of discussing with him any questions that may arise in con- nexion with the estimates.

4. With regard to the proposal that Dr. Durrant should be placed in charge of the work in St. Vincent, I do not see any objection in principle to the appoint- ment of a medical officer of the established staff to undertake this temporary work, if local conditions make such an appointment practicable and desirable. But in such a case I should require to be satisfied both that the officer selected was fully qualified to undertake the work, and that the salary which it is proposed to pay him from the funds of the Commission is not greater than that which would secure the services of an equally competent doctor from outside. If the appoint- ment of Dr. Durrant were to involve any expense in excess of this figure, it would be necessary that the excess should be met either from the funds provided for his substantive post or by special vote of the Legislature. On this understanding I see no prospect of dissatisfaction arising in Colonies where the work is done by doctors specially appointed.

5. I agree with you that all expenses for audit or Treasury remuneration in connexion with the work may well be borne by local funds.

6. It will be desirable that, when the details of the estimates have been finally settled and approved by the International Health Commission, provision should be made by the Legislature in each case for the expenditure under all heads, the amount to be recovered from the Commission being shown as a special item

I have, &c.,

of revenue.

·

31

No. 12.

THE SECRETARY OF THE ANKYLOSTOMIASIS COMMITTEE to MR. WICKLIFFE ROSE (INTERNATIONAL HEALTH COMMISSION).

DEAR MR. ROSE,

Downing Street, 6th February, 1914.

IN your letter of the 18th December,* you referred to the important question of the selection of competent doctors to conduct the campaign against ankylosto- miasis in the British Colonies.

It was thought desirable to obtain the advice on this point of the Colonial Office Medical Selection Committee, by whom the qualifications of all candidates for appointment to the various medical services in the Colonies are examined.

Copies of the terms of referencet to the Committee and of their report‡, are enclosed for your information.

I think that there is little doubt that no better qualified body for selecting doctors for ankylostomiasis work can be found than already exists in the Medical Selection Committee, and should you see no objection it is proposed, as the schemes of work in the several Colonies receive the approval of the International Health Commission, to entrust the Committee with the selection of the officers for whom provision is made.

This proposal, if adopted, will involve the expenditure of some small sums by the Selection Committee for advertising, clerical assistance, and fees to the medical Each medical member receives a members of the Committee for their attendance. fee of three guineas for each meeting attended, and a similar fee would be paid to any additional member with special experience of ankylostomiasis whom it might be thought necessary to add.

It would, of course, be possible to charge these expenses to the Colonies for which doctors are engaged, the amounts then being added to the budgets presented to the International Health Commission. But it would probably be more conven- ient, if the Commission are willing to give the necessary authority, for such expenses to be met by the Crown Agents, who are the London Agents of the Crown Colonies, and recovered periodically from the Commission.

Similarly, while the members of the Advisory Committee are giving their ser- vices gratuitously,, it may be thought desirable to refund the travelling expenses of the technical members, and of any doctors or others specially summoned to London to advise on any point.

I should be much obliged if you would consider these points, and let me know within what limits the Commission would be prepared to authorize expenditure on such objects. You will understand that the total is likely to be very moderate, and we should be quite willing to arrange for it to be met by the Colonial Governments con- cerned. if you think best; but I have gathered from conversation with you that the Commission have expressed the desire to meet all such legitimate expenditure, and I have, therefore, thought it best to approach you in the matter before making other arrangements.

Yours very truly,

4080

No. 13.

LEEWARD ISLANDS.

H. R. COWELL.

THE SECRETARY OF STATE to THE GOVERNOR.

(Sent 1 p.m., 7th February, 1914.)

TELEGRAM.

Your despatch of 8th January, No. 14.§ Proposals under consideration and

will be discussed with Mr. Rose on arrival in England.-HARCOURT.

L. HARCOURT.

+ No. 6.

* See enclosure 8 in No. 12 in Miscellaneous No. 207.

*No. 12 in Miscellaneous No. 297. † Annexure 1 to No. 5.

No. 5. § No. 10.

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