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It will be understood that this estimate may be regarded as a maximum, and that every effort will be made to complete the selection of the doctors required dur- ing the year at a smaller number of meetings of the Committee than is here con- templated.
If you approve of this estimate, Mr. Harcourt will be grateful if your Com- mission can authorize the expenditure of such sums, not exceeding the estimate, as may be required.
It would be convenient if this expenditure could be met in the first instance by the Crown Agents for the Colonies, who would recover the total from the Com- mission at such periods as you may suggest.
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SIR,
No. 25.
I am, &c.,
H. J. READ,
for the Under-Secretary of State.
MR. WICKLIFFE ROSE (INTERNATIONAL HEALTH COMMISSION) to
COLONIAL OFFICE.
(Received 18th March, 1914.)
London, 16th March, 1914. REPLYING to your letter of 16th March,* submitting an estimate of expenses to be incurred by the Medical Selection Committee, I beg to advise that I have been This estimate is quite authorized to approve the expenditures for this purpose. satisfactory, and the Committee is authorized to make such expenditures within this estimate as the conduct of the work may require.
Your suggestion that the expenditure be met in the first instance by the Crown Agents for the Colonies and that they recover periodically from the Commission is also approved. I would suggest that statements for the recovery of these funds be made to the Commission quarterly or semi-annually, as may best suit the convenience of the Crown Agents.
SIR,
No. 26.
I am, &c.,
WICKLIFFE ROSE.
COLONIAL OFFICE to FOREIGN OFFICE.
Downing Street, 16th March, 1914.
WITH reference to previous correspondence on the subject of the visit of Mr. Wickliffe Rose, Director of the International Health Commission, to Egypt, I am directed by Mr. Secretary Harcourt to state, for the information of Secretary Sir Edward Grey, that Mr. Rose has informed Mr. Harcourt that he has arranged for Dr. F. M. Sandwith to accompany him on his forthcoming tour.
I am, &c.,
H. J. READ,
for the Under-Secretary of State.
No. 27. MINUTES OF PROCEEDINGS AT A CONFERENCE HELD AT THE COLONIAL OFFICE ON TUESDAY, 17TH MARCH, 1914, BETWEEN MEMBERS OF THE ANKYLOSTOMIASIS COMMITTEE and MR. WICKLIFFE ROSE, of the Rockefeller Institute.
PRESENT:-
THE RIGHT HON. VISCOUNT BRYCE, O,M., in the Chair.
MR. WICKLIFFE ROSE,
PROFESSOR J. S. HALDANE, F.R.S.,
DR. A. E. SHIPLEY, F.R.S.,
DR. A. G. BAGSHAWE,
51
SIR H. MCCALLUM, G.C.M.G., MAJOR SIR T. B. ROBINSON, K.C.M.G.,
SIR F. M. HODGSON, K.C.M.G.,
MR. H. J. READ, C.M.G.,
MR. G. GRINDLE,
CHAIRMAN :-
Gentlemen,
MR. H. R. COWELL, Secretary.
You all know much more about this matter than I do, so that there is no use my making any preliminary remarks, and I think we had better begin by asking Mr. Rose to tell us what he would like to tell us about his visit to the West. Indies, and then we can discuss the arrangements for his future action in Egypt and Ceylon.
MR. WICKLIFFE ROSE: I would like to express my appreciation of this oppor- tunity of meeting personally the members of this Committee. I feel myself very much at home in meeting with a Committee presided over by Lord Bryce. We in the States have become accustomed to think of him as one of our own countrymen, and I am quite sure that there is no American for whom our people have a higher regard or a warmer affection.
you
I should like to take this opportunity on behalf of the International Health Commission to express to His Excellency the Secretary of State for the Colonies, to Lord Bryce and the members of this Committee our thanks for your hearty co-opera- tion and very helpful co-operation in this work. The beginning of the work which has been made in the British West Indies within the last few months has been made possible by the co-operation of the Colonial Office and the members of this Com- mittee at every step." I wish to assure you that it is a service to humanity and I trust that will find your reward in the improved health and increased working efficiency of the labouring population of those islands.
According to the programme that was agreed upon at our Conference here last August, I started for a little journey through the British West Indies on the 2nd October, and I visited seven of these islands: Barbados, Trinidad, British Guiana, Grenada, St. Vincent, St. Lucia, and Antigua. In each Colony I visited I undertook to get a general view of the country, to have a conference with all classes of people, from the governing officials to the working population, to see something with my own eyes of the conditions of infection, and at the close of this general survey to have a conference with the Medical Officers and with the governing authorities, at which we undertook to arrive at some tentative working programme.
In Barbados I found a very light The first Colony visited was Barbados. infection; in fact, I think there is very little to be found except in one district, known as the Scotland district, where the infection is exceedingly heavy.
In Britsh Guiana you have, as you know, a very large coolie population, and this coolie population represents a very severe infection. In British Guiana I was delighted to find that your Surgeon-General has done a very definite bit of work, and has achieved very definite results. We have undertaken in that. Colony to make one demonstration in one district presided over by Dr. Ferguson. We are undertaking to supply them with funds to complete the work which they have already so well begun. This district includes some large estates and a large number of small vil- lages. The work which has been done in British Guiana has been done in the main The Surgeon- on the large estates; the small village has been almost untouched. General and Dr. Ferguson are very much interested in undertaking to complete the task in the whole district, including the small villages with the estates.
In Trinidad you have again a rather large coolie population, making up about one-third of the population of the island, and again here we find a rather heavy in- fection. The infection in Trinidad is rather severe, both on the sugar estates and in the villages. The programme we have got for Trinidad is to begin with three Medical Officers supplied with proper equipment and microscopic force for begin- ning the work. In Grenada you have a very small coolie population, but a rather heavy infection, which seems to include pretty well the whole working population of the island. It is estimated by two scientists, who have done a good deal of scientific work, and by the district Medical Officers, that probably ninety per cent. of the work- ing population of the island will be found harbouring intestinal parasites of some kind, and probably sixty per cent. or more will be found harbouring ankylostomes. We have agreed there upon a tentative working programme, which you find outlined in the printed reports.
* No. 24.