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PUBLIC RECORD OFFICE
Reference:
CO. 885/
ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC- COPYRIGHT PHOTOGRAPH-NOT TO
9 PUBLIC RECORD OFFICE, LONDON
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I am to enquire whether you are able to give a rough estimate of the probable cost of such an investigation; though Mr. Lyttelton fears that it may not be possible to find funds for the purpose at the present time.
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SIR,
No. 198.
I am, &c.,
C. P. LUCAS.
SIR P. MANSON to COLONIAL OFFICE.
(Received November 11, 1905.)
21, Queen Anne Street, Cavendish Square, November 10, 1905. In reply to your letter, 38312/1905,* asking for my opinion as to the probable cost. of an organised investigation into the pathology of the West Indies, I would submit that were the existing machinery made use of, this cost would not be very great.
By the existing machinery I mean the local colonial medical officers, the proposed bacteriologist for Demerara and the Research Department of the London School of Tropical Medicine.
I would submit the following scheme for consideration:—
By a circular the colonial surgeons of the various islands might be informed that they would receive a visit from a commission appointed to investigate the local pathology, and that all papers and available information bearing on the subject should be placed at the disposal of the Commission, and that every facility be afforded to its members.
The
This Commission should consist of, first, an expert in tropical medicine familiar with the clinical aspects as well as with the pathology of tropical diseases; secondly, the helminthologist of the London School of Tropical Medicine. latter should make an exhaustive study of the helminthology of each island, whilst the former is engaged in the study of the clinical features of the local diseases, and collecting pathological material for laboratory investigations.
Periodically the Commission should visit Demerara to work up the material col- lected in conjunction with the bacteriologist of the laboratory there.
The cost of such a Commission need not exceed £1,400 per annum as follows:-
Salary of tropical expert
Apparatus
Travelling and hotel expenses
£750
150 500
The salary of the helminthologist might be defrayed by the London School of Tropical Medicine.
411
SIR,
No. 199.
I am, &c.,
PATRICK MANSON.
THE ROYAL COLLEGE OF PHYSICIANS to COLONIAL OFFICE.
(Received January 4, 1906.)
[Answered by No. 201]
Royal College of Physicians,
London, S.W., January 3, 1906.
Diplomas in Tropical Medicine and Hygiene.
In resuming the previous correspondence between the Secretary of State for the Colonies and this College on the above subject, allow me to refer you to
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your letter of January 29th, 1904, in which the President of this College was informed that Mr. Lyttelton would be much gratified if the Royal College of Physicians of London could give encouragement to the study of Tropical Medicine and Hygiene by instituting an examination and a diploma in that branch of medicine; and also to my reply to that communication of April 2nd, 1904,† reporting the action taken by this College, in conjunction with the Royal College of Surgeons, in this matter.
I beg leave also to remind you of a subsequent interview on the same subject which Sir William Church, the President of this College, and Mr. John Tweedy, the President of the College of Surgeons, had with Mr. Lyttelton on August 4th, 1904, when they explained to him the difficulties which had been met with in comply- ing with his request owing, more especially, to the grave objections taken by this College to granting a diploma in a special and limited branch of Physic. At the same time a belief was expressed that what the Secretary of State most desired might be attained in a somewhat different way, as, for example, by the Royal Colleges satisfying themselves as to the sufficiency of the opportunities afforded and the instruction given by schools and hospitals where Tropical Medicine can be studied in this country, more especially in London and Liverpool, and by taking part in the examinations already conducted by the London School and joining in the issue of certificates.
Mr. Lyttelton was further informed that, as a first step towards the solution of the difficulty, the Royal Colleges had each appointed a Fellow to visit, during the ensuing twelve months, the Schools and Hospitals of Tropical Medicine and the examinations held in that subject, and to report to the Colleges at the expiration of that time.
I am now able to acquaint you on behalf of this College, for the information of the Secretary of State, that the solution of the difficulty suggested above has since been all but accomplished.
An instructive and critical, and on the whole a satisfactory, report on the matter referred to them, was received from the Visitors in October last (1905), and referred by the two Colleges to a Joint Committee, who reported on December 8th, making the following recommendations :-
The Delegates have to report to the two Royal Colleges that having fully con- sidered the valuable and interesting Report of the. Visitors, they have unanimously adopted the following resolution :-
That the Delegates of the Royal College of Physicians of London and of the Royal College of Surgeons of England, while desirous of encouraging the study of Tropical Medicine and of meeting the wishes of the Secretary of State for the Colonies, are nevertheless of opinion that it is not desirable to institute a special diploma. They recom- mend, however, that the Royal Colleges should express their willing- ness to appoint Assessors to the Examinations, conducted by the London School of Tropical Medicine, of students who have followed, there or elsewhere, a course of instruction approved by the Royal Colleges; and that to those candidates who hold the diplomas of the Royal Colleges and are approved by the examiners, certificates, endorsed by the aforesaid Assessors, may be granted.
These recommendations have been since adopted by the Royal Colleges, and a further resolution as follows:-
"That it be referred to the Committee of Management to consult with the authorities of the London School of Tropical Medicine regarding the arrangements necessary for giving effect to the proposal of the two Colleges and to report thereon."
I am, &c.,
EDWD. LIVEING (M.D.),
Registrar.
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• No. 197.
No. 5 in Miscellaneous No. 170.
↑ No. 59 in Miscellaneous No. 170.
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