128
2. Referring to your suggestion that Dr. Covington, a substitute director, be assigned for similar duties to Trinidad, I beg leave to advise that the Trinidad budget has undergone some modification, so that Dr. Howard, Director for the West Indies, is not certain that it will provide for the position you have in mind for Dr. Covington. If the Trinidad budget as modified will take care of Dr. Covington, I think he would be available for service at an early date.
3. A substitute director assigned to a territorial unit to which the Commis sion has voted a budget is ordinarily expected to be compensated from the funds carried in the budget, at the salary rate provided for the particular position he fills. Should his contract with the Commission call for a larger compensation the differ- ence is forwarded direct to him by the Commission. Some additional compensation under this provision will be forwarded to Dr. Washburn, Dr. Covington has a contract with the Commission identical with that of Dr. Washburn. Dr. Howard, Director for the West Indies, is arranging to place two men in training in British Guiana for service wherever they may be needed. The contracts of these men with the Commission will be on a basis approximately the same as that provided in the West Indian budgets for the Assistant Medical Officers. In cases where these men newer in the service are used, it will not be necessary for the Inter- national Health Commission to provide them compensation in addition to that stipulated in the budget.
Assuring you the Commission is glad to co-operate in every way possible to keep the work going in the West Indies during this period, when there are such exceptional demands for your medical men at the front,
I have, &c.,
14419
129
No. 99.
BRITISH HONDURAS.
COLONIAL OFFICE to THE INTERNATIONAL HEALTH COMMISSION.
[Answered by No. 110.]
SIR,
Downing Street, 3rd May, 1915. I AM directed by Mr. Secretary Harcourt to transmit, for the information of the International Health Commission, a copy of a despatch* from the Governor of British Honduras, and enclosures, in regard to the prevalence of ankylostomiasis in the Colony.
2. Mr. Harcourt desires me to suggest that, if the Commission should see their way to extending their campaign to British Honduras, it might be possible for them to send a doctor of experience to confer with the Governor as to the most suitable district in which to begin operations. Mr. Harcourt considers that the conditions in the Toledo district, at any rate, seem to justify investigation, but the Medical Department of the Colony is at present so shorthanded that he fears that no adequate inquiry would be practicable without the assistance of the Commission.
I am, &c.,
HENRY LAMBERT,
for the Under-Secretary of State.
JOHN A. FERRELL
21935
PUBLIC RECORD OFFICE
Reference :-
C.O. 885
24 PUBLIC RECORD OFFICE, LONDON
ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC- COPYRIGHT PHOTOGRAPH—NOT TO
18307
No. 98.
BARBADOS.
COLONIAL OFFICE to THE INTERNATIONAL HEALTH COMMISSION,
SIR,
[Answered by No. 107.]
Downing Street, 3rd May, 1915.
WITH reference to the letter from this Department of the 2nd January, 1914,* I am directed by Secretary Harcourt to transmit to you, for the consideration of the International Health Commission, the accompanying copy of a despatch† (with enclosures) from the Governor of Barbados with regard to the prevalence of anky- lostomiasis in certain districts of that Colony.
2. The statistics given are not sufficient to be conclusive, but show some evidence that the disease is prevalent in the parish of St. Andrew.
3. In the absence of a Government Medical Service it is difficult to obtain more precise details, except by means of a special inquiry. Mr. Harcourt is of the opinion, however, on reviewing the information which has been furnished, that an intensive campaign in St. Andrew would probably be productive of very beneficial results, and he thinks that it might be completed in much less time than the five years suggested by the Governor.
4. Having regard to the very generous assistance which the International Health Commission have extended to the Governments of other West Indian Colonies in the eradication of ankylostomiasis, Mr. Harcourt directs me to inquire whether they could see their way to send an investigator to Barbados to report and advise as to the best means of initiating such a campaign.
I am, &c.,
A. E. COLLINS,
for the Under-Secretary of State.
*
42887/18: not printed.
† No. 02.
No. 100.
WINDWARD ISLANDS: GRENADA.
THE GOVERNOR to THE SECRETARY OF STATE.
(Received 12th May, 1915.)
(Grenada. No. 76.)
St. Lucia, 23rd April, 1915. FORWARDED. With reference to the suggestion in paragraph 55 I have no doubt that the Health Commission will sanction the extra expenditure over and above the amount allowed by the budget. The funds of the Colony will not permit of Dr Macdonald's request being complied with, nor do I think it would be advis able for the Colony to do so, as the work of the ankylostomiasis campaign is under the Health Commission, and it would be creating a bad precedent for the Colony to provide funds for expenditure which perhaps they would not sanction.
(No. 6.)
SIR,
G. B. HADDON-SMITH,
Governor.
Government Office, 19th April, 1915.
I HAVE the honour to forward herewith, for transmission, copy of a report by Dr. Macdonald, M.D., D.P.H., D.T.M., on the ankylostomiasis campaign in Grenada for the quarter ended 31st March, 1915.
2. As foreshadowed in the report for the quarter ended 31st December, 1914, a change to the intensive method of working was adopted early in the quarter under review, and was vigorously carried on by Dr. Macdonald and his assistants, as will be seen on reference to paragraph 64. In all, during the quarter, 13,260 patients were seen, 12,128 examined, and 4,856 were treated. The resulting cures in the period numbered 686.
3. The dissemination of information in connexion with the prevention of hook- worm infection is being carried on by means of printed leaflets and lectures to patients and the general public. In addition a series of seven lectures on health topics was delivered to teachers and sanitary inspectors. A further course is being arranged for in the Windward district of the island.
* No. 88.
K