13-1
4. He gives a saline purge about 6 p.m., gives the patient no food after it, and at 7 o'clock next morning gives half the above and the other half after 30 minutes interval. The patient is kept in bed, fasting, fill the bowels act. If depression follows the first dose, the second is omitted. In young boys and feeble anæmic patients the dose is divided into thirds and given at 20 minutes intervals. It can be repeated every other day; and Doctor Philips claims that a considerable saving of time is effected.
5. Though I do not consider that Doctor Philips has proved by his paper that this treatment is really more efficacious than that by thymol or beta-naphthol (the latter having apparently all the advantages claimed by Dr. Philips for the eucalyptus and chloroform method) yet it may be useful to have alternative methods; and I therefore think it well to draw your attention to it.
6. If you decide to give this treatment a trial I shall be greatly obliged if you would kindly state your experience when making your monthly reports,
I have, &c.,
(Saint Lucia. No. 37.)
185
Enclosure in No. 70.
Government House, 7 April, 1908. SIR,
WITH reference to the Secretary of State's despatch, Windward Islands, General, No. 120, of 26th November last, I have the honour to transmit herewith copy of a report made by the Medical Board on the subject of the prevalence of ankylostomiasis in this Colony, and the measures necessary for its abatement. I also annex copies of minutes from the medical officers dealing with each medical district separately.
2. The information collected seems to indicate a universal distribution of the disease throughout the Island. The following particulars also show an alarming increase in the number of cases treated, though an accurate comparison cannot be made, as the disease appears formerly to have been classed with anæmia, and I have, therefore, included in the statistics of 1901 all cases of anæmia returned:-
To all Government Medical Officers.
>
10398
No. 69.
J. E. GODFREY,
Surgeon-General.
Hospital.
Victoria Hospital Soufrière District Hospital Vieux Fort District Hospital Dennery District Hospital
Disease.
No. of Cases
treated.
Deaths.
1201.
...
Anaemia and ankylostomiasis Anemia
109
Anemia
Anæmia and senile decay
བྲཱམ།#
2
144
9
(No. 82.)
SIR,
BRITISH GUIANA,
THE SECRETARY OF STATE to THE GOVERNOR.
[Answered by No. 79,]
Downing Street, 7 April, 1908. I HAVE the honour to acknowledge the receipt of your despatch, No. 56, of the 4th March,* reporting the action taken in British Guiana to cope with ankylos-
tomiasis.
You express the opinion that the time has not arrived for the introduction of legislation to deal with this matter. Pending further consideration of the reports which are now being received from the Colonies in which this disease exists, I shall not press for legislative action. But in view of Dr. Godfrey's opinion that sanitary measures are more urgently required on the sugar estates than in the villages, would suggest, for your consideration, that it might be possible to make the allot- ment of new immigrants to an estate conditional on the Surgeon-General being satisfied that the sanitary arrangements on the estate do not involve risk of infection to the general labouring population of the Colony. This measure would not appear to be open to the financial objections explained in your despatch.
17879
(No. 49.)
No. 70.
WINDWARD ISLANDS (ST. LUCIA).
I have, &c.,
ELGIN.
THE GOVERNOR to THE SECRETARY OF STATE.
(Received 18 May, 1908.)
Grenada, 30 April, 1908. FORWARDED with reference to your Lordship's despatch. Grenada, General, No. 120, of 26th November last.†
No report is yet forthcoming from Grenada because the Colonial Secretary is in correspondence with British Guiana on the subject, the delay in which is very great.
RALPH WILLIAMS,
No. CH.
+ No. 130 in Miscellaneous No. 201.
Governor.
Victoria Hospital Vieux Fort Hospital Dennery Hospital
Victoria Hospital Pauper Asylum Dennery Hospital
1905.
Ankylostomiasis
Ankylostomiasis
..
Ankylostomiasis
250
+
14
268
5
1906.
Ankylostomiasis
438
Ankylostomiasis
Ankylostomiasis
ཱtH
1
441
*
During the first quarter of 1907, 107 cases were treated in the Victoria Hospital, and these were admitted from all parts of the Island, but principally from Castries and the districts within easy reach of the hospital.
3. The reports of Dr. King and Dr. Hughes show that the valleys of Cul de Sac, Roseau and Mabouya, in which central sugar factories are situated, and Anse- la-Raye, a marshy valley containing a considerable village, are badly infected, also that a large percentage of those treated are returned labourers from Cayenne.
4. The Board of Health Ordinance, 1874, appears to confer on the Board wide powers of making regulations, and under it provision might be made for sanitation at all factories and estates employing labourers, and at any centres of population not included in the Towns and Villages Ordinance; but the machinery for inspection should be organized at the same time that the regulations are brought into force, and funds are needed for this which have not hitherto been available. As regards the elementary schools, Article 7 of the Education Code was amended on 30th June, 1906, so as to require that latrines and urinals should be provided.
5. In order to cope effectually with the disease it will be necessary, in addition to establishing inspection as mentioned in the preceding paragraph, to reopen the district hospitals so that cases can be treated in the different districts instead of patients having to undertake the long journeys to Castries necessary from the Vieux Fort and Dennery quarters. Proposals have been made in my despatch, No. 38, of even date* for doing this and for employing an additional medical officer capable of giving lantern lectures. The fifth and sixth chapters of book fifth, part first, of the Civil Code would appear to fix the responsibility for maintenance in certain cases, and it is possible that under these provisions in a few instances the cost of hospital
• 17880, not primod.
PUBLIC RECORD OFFICE
Reference :-
C.O.885
19 PUBLIC RECORD OFFICE, LONDON
ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC- COPYRIGHT PHOTOGRAPH-NOT TO
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