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8. I note the proposed appointment of Dr. G. D. H. Carpenter to carry on the investigations indicated in the statement by the Director of the Sleeping Sickness Bureau. I would point out that the work to be done is, in my opinion, far too great for a single medical officer, and that at least one, and better still, two, addi- tional medical officers will be required to carry it on expeditiously. I also think that medical officers should be definitely selected for this work, and would suggest the names of Dr. R. A. L. van Someren and Lieutenant A. D. Fraser, R.A.M.C., as being specially suited, both on account of their previous work and of the consider- able local knowledge and experience which they have gained in the Uganda Pro-

tectorate.

5th May, 1910.

18799

A. D. P. HODGES,

Principal Medical Officer, Uganda.

45

Paragraph 6. Our present large expenditure in this direction will be diminished very shortly. Buwanuka will be closed, I hope, this month, and Bussu within the next three months.

Paragraph 7. Kyetume will be kept on for this purpose.

Paragraph 9. This evidently refers to East Africa Protectorate, but I still think the same might be done here, and this Department will gladly co-operate with Mr. Hutchins and Mr. Gowdey in compiling data. I have already arranged

to assist Mr. Gowdey as far as possible with biting-flies, &c.

Paragraph 10. This covers Uganda.

Paragraph 11. I should much like a large supply of skeleton maps for this Department, and it would be of the greatest assistance for District Commissioners, &c., to have them too in reporting epidemics among men or cattle.

Paragraph 14. From a recent despatch from the Secretary of State re Dr. Carpenter's appointment, it is apparently intended to start such a laboratory here.

hope so.

Paragraph 17. I have heard nothing of this year's Conference.

11th May, 1910.

18807

C. A. WIGGINS,

Acting Principal Medical Officer.

PUBLIC RECORD OFFICE

Reference :-

TIILE C.O.885

21 PUBLIC RECORD OFFICE, LONDON

ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC- COPYRIGHT PHOTOGRAPH-NOT TO

No. 26.

UGANDA.

THE ACTING GOVERNOR to THE SECRETARY OF STATE. (Received 20 June, 1910.)

(No. 174.) MY LORD,

[Copy to Sleeping Sickness Bureau, 30 June, 1910. L.F.]

Government House, Uganda, 19th May, 1910. WITH reference to your Lordship's despatch, No. 115, dated the 2nd April last,* I have the honour to transmit herewith a copy of a memorandum by the Acting Principal Medical Officer containing his observations on the recommenda- tions of the Sleeping Sickness Conference, held at Nairobi in April, 1909, from which it will be seen that action has already been taken on recommendations 1, 2, and 5.

2. In pursuance of the powers contained in the Sleeping Sickness Ordinance, 1908, the natives on the islands in Lake Victoria, so far as they belong to this Protectorate, have been removed to fly-free areas on the mainland, and the native population in areas on the mainland where fly has been discovered are removed as soon as arrangements can be made for their residence in uninfected

parts.

3.

With regard to recommendation 9, it will be seen that Dr. Wiggins suggests that a statistical bureau, similar to that in Nairobi, be established in Uganda, and that question is now under consideration, but until the scope of the work to be undertaken by Dr. Carpenter has been ascertained, no definite proposal car be made for your Lordship's consideration.

4. The issue of skeleton maps, referred to by Dr. Wiggins in connection with recommendation 11, has also to be considered in conjunction with the statistical bureau, and I am communicating with His Excellency the Governor of the East Africa Protectorate with a view to the compilation of statistics in the two Protec torates being conducted on similar lines, should it be considered advisable to estab- lish a bureau in Uganda.

CHIEF SECRETARY,

I have, &c.,

STANLEY C. TOMKINS,

Acting Governor.

Enclosure in No. 26.

PARAGRAPHS 1, 2, and 5. These have been done.

Paragraphs 4, 8, 12, 13, 15, and 16 refer to East Africa only.

Paragraph 3. Endeavours are being made to encourage the whole medical staff to do more in this direction. It is most important, and is, I consider, a part of the routine duty of all medical officers and medical subordinates.

• No. 15.

(No. 304.)

No. 27.

EAST AFRICA PROTECTORATE.

THE GOVERNOR to THE SECRETARY OF STATE. (Received 20 June, 1910.) [Copy to Sleeping Sickness Bureau, 30 June, 1910. L.F.]

Government House, Nairobi, British East Africa, WITH reference to the 2nd paragraph of your Lordship's despatch, No. 168,

May 25th, 1910. of the 2nd ultimo,* I have the honour to report as follows:-

MY LORD,

Recommendation No. 1.

The policy in this Protectorate has been against any forcible measures being taken in this respect; indeed, considering the people, and the nature of the country involved, it would hardly be wise to attempt to turn native inhabitants out of their ancestral dwelling grounds except in the most gradual manner. population has, therefore, been left to voluntary effort, stimulated by the propa- The removal of the ganda carried on by administrative and medical officers in the course of their visits to the various districts. The first sleeping sickness camp, which had to be closed owing to the untimely death of Dr. H. H. Baker, the medical officer in charge, made a good beginning, one chief, with all the inhabitants of his village, on his own initia- tive moving over to the fly-free area. After a lapse of ten months this camp has been re-opened, and the medical officer, Dr. Pugh, in his first progress report, states that he found several of the old patients still living there, and that he under- stood there were many more anxious to come in for treatment.

Recommendation No. 2.

An Ordinance making provision for the prevention of the spread of sleeping sickness has been passed. Under this it will be possible to legislate so as to give effect to Recommendation No. 1 by more drastic measures, if need be, when the time

comes.

Recommendation No. 3.

One of the sleeping sickness medical officers, Dr. Cherrett, has been detailed to survey the shores of the lake, and the rivers running into it, in the northern half of the Nyanza Province, to determine the areas infected by Glossina palpalis and sleeping sickness, and, incidentally, other flies and diseases.

• No. 14.