CO885-(18-19) — Page 651

186

RETURN of Cases of Ankylostomiasis treated at Medical Instituti ɔns and Estates' Ho-pitals during the years

1904-05, 1903-06, 1906-07 and 1907-08.

42050

187

No. 81.

Batates' Hospitala.

Total.

Arima.

Charu-

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A-Pierre,

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N. Nap- | 8. Nap- Savanos

arima.

arima.

Grande.

Todian Rock Walk. River.

Codros.

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$

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1904-12-05 216

1905-1908) 358

1906-1907427

1907-1909! +40

19 3 .8 75

• 160 treated at San Fernando flospital. † 211 treated at San Fernado Hospital'; 177 treated at Gələnini Hospital; 3) treste 1 at District Hospita".

5th October. 1908.

191

- $80

61

16

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337

Enclosure 2 in No. 80.

TRINIDAD AND TOBAGO. FACTORIES AND BOILERS.

No.

1908. 1st Draft.

༄「「 。。|

1:817

FIL 24

107

G

100 7

13 1,080 A

IF. L. C.,

Surgeon-General.

AN ORDINANCE to provide for the regulation of factories and steam boilers.

*

SCHEDULE I.

- FACTORY RULES.

6.a.) Every factory shall be provided by the owner with sufficient and suit- able accommodation in the way of sanitary conveniences. Where persons of both sexes are employed, proper separate accommodation for both sexes shall be provided. (b.) Where groups of ten or more persons are employed in any part of a sugar estate, suitable sanitary accommodation shall be constructed in such a manner as to prevent pollution of the surface of the ground. Such accommodation shall be within one hundred yards of the place where such persons are employed.

(c) Any person who misuses such accommodation when provided, or who defe- cates in any place other than those so provided, shall be guilty of an offence under this Ordinance, and on conviction shall be liable to a penalty not exceeding one pound and in default of payment to imprisonment with or without hard labour for any term not exceeding ten days.

REMARKS BY DR. FONCECA ON ANCHYLOSTOME INFECTION ON BOARD THE "EMS," CONVEYING COOLIES FROM CALCUTTA TO BRITISH GUIANA.

(Received November 16, 1908.)

The adult coolies in the ship "Ems" have all been treated twice during the voyage

for anchylostome infection according to the plan suggested by me in my previous reports. I also treated 65 cases in the hospitals, and the results after treatment are recorded in the form supplied for this purpose.

I trust that these coolies will be found free, or comparatively free, from this infection and that the percentage of those still infected will be found to be very small, or else the treatment at sea is of very little use. From my observations of the cases after treatment I am convinced that a great advantage has been gained by the treatment at sea.

I venture to suggest that in determining whether the coolie is infected or not, the presence of ova in the stool should not be taken as the test. It is true that the presence of ova in subjects who have not been recently treated is a certain sign that they are infected with the living parasite, but this does not apply to those who have been twice treated in three months. The drug used by me in the treat- ment was beta-naphthol; this drug has no action on the ova of the anchylostome, its action is on the worm itself, and I doubt if the other drugs used have the power of expelling ova. I have observed in nearly all the cases, that although the coolie was absolutely free from the fully developed worm after treatment, he was still passing ova for a considerable period. And this is not to be wondered at, con- sidering the numerous eggs produced by the female anchylostomes. It is only time and purgation that can eliminate ova from the intestines. As the ova of these nematodes do not develop in the human intestine and are, as far as is known, harmless in this stage, I think that the only test for infection should be the finding of the fully developed worm in the stools.

I also suggest that an opinion should be called for from the estates hospitals where the coolies are examined after landing, as to whether the people are as much infected as they used to be before the treatment was adopted at sea.

It is possible that the dose of beta-naphthol (30 grains in three 10-grain doses) is not large enough for those badly infected, but in recommending the treatment for large numbers in the manner suggested, I think it best to keep within the limits of absolute safety. From the cases carefully observed by me and treated in the hospitals I have seen this dose act most efficiently in expelling the anchylostomes.

In conclusion, I wish to state that I have no desire to bring myself forward in this matter or to claim any originality for anything I have said or done with regard to this treatment. The question is simply this, is preventive treatment for any disease necessary or not when practicable?

RICHARD FONCECA,

5th October, 1908.

42417

Surgeon-Superintendent, "Ems."

OBJECTS AND REASONS.

This Bill provides for the inspection and certification of steam boilers and the inspection and regulation of factories, with the object of preventing accidents.

The carrying out of these provisions will be in the hands of an Inspector and such Assistants as may

be necessary.

The Bill contains a number of important clauses as to notice of accidents, making and posting of regulations, powers of Inspector, fencing of dangerous machinery, use of steam boilers, locomotives and waggons, and sanitary accommodation. Attention is specially directed to the sanitary provisions, which are intended to check the spread of Ankylostomiasis. See Rule 6 in Schedule I.

No. 82.

JAMAICA.

THE GOVERNOR to THE SECRETARY OF STATE. (Received 19 November, 1908.)

(No. 514.) MY LORD,

King's House, Jamaica, 3 November, 1908. IN continuation of my despatch, No. 327, dated the 17th of July last, with reference to Lord Elgin's despatch, No. 410, dated the 26th of November, 1907,† on the subject of the disease called ankylostomiasis, I have the honour to inform your Lordship that at a meeting of the Privy Council held on the 30th September last, it was decided to approve of the accompanying recommendations of the Acting

• No. 76.

3205%

† No. 130 in Miscellaneous No. 204.

3 A 2

PUBLIC RECORD OFFICE

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