| PUBLIC RECORD OFFICE
गय
19
Reference :-
mmimimC.O. 885
23 PUBLIC RECORD OFFICE, LONDON
ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC- COPYRIGHT PHOTOGRAPH-NOT TO
100
3.
The population of these areas is approximately—
A. 8,000.
B. 3,300.
C. 2,800.
A. is the most populous, occupies the smallest area, and is nearest
One supervising Medical Officer working
Georgetown.
B. is more scattered and more distant from Georgetown.
C. most scattered and distant.
4. Personnel.
A.
B.
C.
under the direction of Dr. Ferguson.
Chief Sanitary Inspectors
Assistant Sanitary Inspectors
Microscopists
Pioneers
Assistant distributors of thymol
Caretakers of stations
1
1
1
1
1
1
5
4
3
5
4
3
8
3
3
2
2
3
to
N.B.-The Chief Sanitary Inspectors are to be men trained in Great Britain and properly qualified.
The Assistant Sanitary Inspectors are to be locally trained men with local certificates.
5. Offices to be rented at:-
6.
Stations.
A. Albouystown, Alexander Village.
B. Agricola, Bagotstown.
C. Mocha, Covent Garden, Golden Grove.
Duties.
Of Chief Sanitary Inspectors :-
Taking and recording census of persons
(a) Infected.
(b) Not infected.
Direction of microscopists and other employees.
Checking results of microscopic examinations.
Keeping of registers, accounts, etc.
Sending in weekly returns, monthly summaries, requisitions, etc.
Care of instruments, drugs, etc.
Payment of employees, proprietors of offices rented, etc., etc., etc.
Of Assistant Sanitary Inspectors -
To assist the Chief Sanitary Inspectors in carrying out their duties
Of microscopists:-
Assist in taking and recording census.
Labelling of containers for collecting stools.
Supervision of pioneers.
Examinations for ova.
Recording of results.
Distribution of thymol.
Recording of every dose of thymol administered, etc., etc.
Of pioneers :-
Distribution of containers to patients.
Collecting of containers from patients. Cleansing of office, instruments, etc.
Assisting microscopists in distributing thymol, etc., etc., etc.
Of assistant distributors of thymol :-
To assist microscopists and pioneers in distribution of thymol.
Plant.
7. Seven offices, each with a locked press.
Tables, chairs, and other furniture.
Twelve microscopes, centrifugals, and other microscopical apparatus. Thousands of small containers for collecting specimens for examination.
Basins, towels, glassware, etc.
Registers, account books, and other stationery.
ΙΟΥ
Thymol.
8. About a million pulverettes or capsules of thymol will be needed for the district.
Education.
9. An educational campaign will be necessary, in order to secure the good will of the villagers and their readiness to undergo the treatment.
A pamphlet on ankylostomiasis and its treatment to be printed and distributed gratis.
Lectures in each village, illustrated with lantern slides, microscopical speci- mens of ova and embryos, naked-eye specimens of the parasite, cases of patients with severe anæmia, etc.
villagers.
Demonstrations of ova and parasites at other times to numerous incredulous Personal instruction and encouragement of unwilling individuals, in order to secure their co-operation.
Systematic Work.
10. The stool of every man, woman, and child in each village to be examined For this purpose suitable containers, labelled with under the microscope for ova. name, address, and date, to be distributed at domicile to each person in the after- noon, and collected in the morning by pioneers.
11. Persons found to be infected to be placed at once on the thymol list. 12. Careful selection of suitable intelligent patients to whom weekly supplies
of thymol might be given, in order to facilitate distribution of the drug.
The dose of thymol to be administered to other patients every afternoon (except
gr.
years.
on Saturdays) by the microscopists, aided by the pioneers and assistant distributors. The dose of thymol to be gr. 10 for all persons aged twelve years and upwards, 5 for children between six and twelve years, and gr. 2 for those below six Re-examination of stools of infected persons after three months from first taking of thymol, and every two months subsequently till the ova have disappeared. A printed certificate to be given to each person when found free from ova. Number of the Infected.
13. I expect that about two-thirds of the population of the villages will be found infected, i.e., about 9,000 people.
Time.
14. If the scheme is carefully carried out and the villagers co-operate, it may be expected that the majority of the infected people will be entirely freed from ankylostomes (and, incidentally, from other intestinal worms) within a year, and the rest in six months more.
15. The estimated cost is for the first year, but it is highly probable that after the first nine months the expenses will considerably decrease by the reduction of
the staff.
Management of Villagers.
16. It will be necessary to exercise a great deal of tact in dealing with the villagers, individually and collectively, in order to avoid friction. The majority of the more intelligent and educated ones may be expected to co-operate willingly. Some of the less intelligent may be found not so eager for the treatment. may be anticipated that, with tactful management, practically all will take advantage of the treatment.
17.
Disposal of Night-soil.
But it
In order to prevent re-infection. an efficient system of disposal of night-
soil should be adopted in each village.
I have, &c.,
J. E. A. FERGUSON,
Government Medical Officer.