PUBLIC RECORD OFFICE
49094
(No. 410.) SIR,
40
No. 25. TRINIDAD.
THE GOVERNOR to THE SECRETARY OF STATE.
(Received 25th October, 1915.)
Government House, 4th October, 1915.
I HAVE the honour to acknowledge the receipt of your despatch Miscellaneous, of the 24th August,* approving of Dr. C. G. HI. Campbell being relieved of his position with the Ankylostomiasis Commission in order to offer his services to the War Office.
2. Dr. Campbell left the Colony yesterday, via Canada, on full pay leave of absence to the 8th November inclusive, and he has been paid his salary at the rate of £450 per annum for this period in advance.
3. With regard to paragraph 3 of your despatch under acknowledgment, I have appointed, on the recommendation of the Surgeon-General-in which Dr. Howard, the Director for the Commission in the West Indies, concurs Dr. Washburn to be Medical Officer in charge in succession to Dr. Campbell, and Dr. Kearney, a proba- tionary officer of the Commission in training here, as Assistant Medical Officer.
I have, &c.,
52518
(No. 168.)
No. 26.
GEORGE R. LE HUNTE,
Governor
WINDWARD ISLANDS: GRENADA.
THE GOVERNOR to THE SECRETARY OF STATE.
(Received 13th November, 1915.)
Government House, Grenada,
Windward Islands, 30th October, 1915.
SIR,
I HAVE the honour to forward the Report of the International Health Com- mission (ankylostomiasis campaign) for the quarter ended 30th September, 1915.
2. The Committee referred to in paragraph 5 of my despatch No. 132, of 28th July, 1915,† has reported, and, in accordance with the recommendations made, I propose to introduce a Bill‡ in the Legislative Council on 5th November, a copy of which I enclose.
3. I have sanctioned the employment of three Sanitary Inspectors: this is the number the Colonial Surgeon has asked for. These men will be detailed to see that the instructions of the officers of the Ankylostomiasis Commission are carried out in the different country districts.
SIR,
I have, &c.,
G. B. HADDON-SMITH,
Governor.
Enclosure in No. 26,
Grenada, International Health Commission,
1st October, 1915.
I HAVE the honour to present, for the consideration of the Governor and for transmission to the Secretary of State, a report on the work of the International Health Commission (ankylostomiasis campaign) in Grenada for the quarter ended 30th September, 1915.
2. The report reproduces the monthly reports laid before the Advisory Com- mittee for the months of July, August, and September, and contains the minutes of the Advisory Committee for the same three months.
41
Report for the Month of July.
3. Commencing with July, operations have been carried on under budget pre- pared with the Director for the West Indies when here on a visit on 4th and 5th June ultimo.
4. The scheme of operations has been the continuance of the work commenced in February in St. David's, areas A and B; the continuance of the work commenced at the same time in Mount Moritz area; the continuance of general work from head- quarters; and the undertaking of a new area, limited to 2,000 population, in the parish of St. Andrew's, contiguous with the northern area (B) of St. David's.
5. The actual figures for the areas under operation during the month are here presented :-
Location
DOOR.
Patients Patients
examined.
1
Headquarters
168
80
28 38
Mount Moritz
835
493
126 132
1,904
685 104 238
169
821 83
88
Patients treated.
45 17 128 144 339 271 1,237 1,850
81
Tulal
4, etc. treatmenila.
Total
Originat cured. Injection
8 50%
741 74 55%
83
3 255
63%
3,076 2,079
341 496
541 1,596 2,974
165
68%
St. David's
St. Andrew's
Total
6. Rainy weather, and the spreading of some fanatical disaffection, affected the work of the month. It requires much education to induce the people to take medicine during the "rains"; the tales that have been spread have been ignored or laughed at and are dying out.
7. The work and disposition of microscopists and assistants has been modified from time to time to suit the varying conditions experienced in operating a new area and continuing operations in an old.
8. The supervision of the Medical Officers has to be exercised as rigidly in the continuation areas as in the commencing ones.
which
9. There are many points suggested in the work, my considerations upon
I shall have later to place before you.
10. Meanwhile, in face of the lengthy treatment experienced to be necessary for cure, it may be a matter for decision before another quarter whether it is wise to maintain a staff of nurses and assistants in what may be called cleaning up
an area. The area might be left after a certain number of treatments had been administered, and sanitary improvement trusted to maintain the state of cleanliness arrived at. In the event of the latter course being pursued, any individuals still suffi- ciently ill to benefit by treatment would be free to attend voluntarily at any centre for further treatment.
11. Owing to the scattered nature of the population and to the remoteness and elevation at which many dwell, it is area rather than actual population that decides the nurses and assistants required in any district; and as many practically, and as responsible, are required to clean up as to conduct the more seeming main operations. 12. The experience of the current quarter will enable me to advise definitely before arranging for next quarter's work.
13. During the month lectures with lantern demonstrations have been delivered at Dougaldstone estate, the Honourable D. S. De Freitas presiding; at the Roman Catholic School, St. Paul's, the Attorney-General presiding; and at St. Dominic's Koman Catholic School, St. David's.
14. Sanitary progress is being brought about and maintained in no very revolu- tionary manner, but in such a way that new ideas and habits are likely to be permanently established.
15. Education at locations, schools, and houses is continuous from this office; and, under the direction of the Colonial Surgeon, instruction and suasion are ably persisted in by the Government Sanitary Inspector. This officer, single-handed, has the sanitary supervision of the parishes of St. George and St. David, with a rural population of 20,000, scattered over 30,000 acres of hilly country with deeply indented coastline, and accessible in the main only on foot or in saddle.
16. In response to a communication from the Colonial Secretary, forwarding a letter from the Director for the West Indies indicating that the budget will be considered at the October meeting of the International Health Commission, New York, I place before you, inviting your consideration and recommendation, the financial estimate for the calendar year 1916.
* No. 9.
+ No. 8.
Not reprinted.
19
Reference :-
C.O. 885
24 PUBLIC RECORD OFFICE, LONDON
ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC- COPYRIGHT PHOTOGRAPHÉNOT TO