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PUBLIC RECORD OFFICE
Reference :-
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TTTTTTC.O. 885
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20 PUBLIC RECORD OFFICE, LONDON
ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC-
COPYRIGHT PHOTOGRAPH-NOT TO
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Principal Medical Officer on the subject of the continuity of treatment by one medical officer of cases of trypanosomiasis at the sleeping sickness segregation camps in this Protectorate. Arrangements have been made for two medical officers to be stationed at, the sleeping sickness camp in Chagwe, and half-yearly reports of the work and investigations done by them will be sent to the Managing Committee of the Sleeping Sickness Bureau.
CHIEF SECRETARY,
I have, &c.,
STANLEY A. TOMKINS,
Acting Governor.
Enclosure in No. 36.
WE are able to give a history of all cases treated at the camps excepting deserters. Very many cases have been under treatment throughout by the same medical officer. It is difficult, so long as the treatment of sleeping sickness remains in the experimental stage, to say what the length of a course of treatment should be; but, even putting it at as much as from six months to one year, I should say that the majority of our cases have been observed throughout by one medical officer. I know of no series of experiments which has been interrupted by the removal or transfer of a medical officer.
The following list shows the medical officers who have been at the various camps, the length of time they have been there, and the reasons for the moves which have taken place
Camp.
Buwanuka...
Chagwe
!
Medical Officer.
Dr. Wiggins, December, 1906, to May, 1907 Dr. Densham, April, 1907, to June, 1907 Dr. van Someren, June, 1907, to August, 1907 Dr. Collyns, August, 1907, to April, 1908
Dr. Sells, August, 1907. to present time.
Dr. van Someren, August, 1907, to April, 1908 Capt. Gray, April, 1908, to March, 1909
Reason for Move.
***
Went on leave. Died.
Dr. van Someren, March, 1909, to present time. Dr. Baker, August, 1907, to April, 1908
Dr. Collyns, April, 1908, to December, 1903 Lt. Fraser, March, 198, to February, 1909
Busu
Dr. Bayon, January, 1909, to present time
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Sesse
Dr. Goodliffe, October, 1907, to April, 1908 Dr. Bayon, December, 1907, to January, 1909 ... Dr. Marshall, October, 1988, to present time. Lt. Fraser, February, 1909, to present time.
Opened Chagwe Camp,
Took charge of Busu Camp.
Went on leave.
Went on leave.
Went on leave.
89
In first suggesting the establishment of sleeping sickness camps, in my letter to you, No. 78/S.S.E.I., of October 20th, 1906, I proposed that only one of these camps should be carried on on the lines of strict scientific investigation and experi- ment, requiring a special staff, and I am inclined to think that this would have been the better course, and that we should even now adopt it. I would suggest Chagwe camp as the best adapted for the purpose. officers and at least one assistant, and I would provide a small laboratory at the I would place there two medical camp.
I am not quite sure what it is the Managing Committee of the Sleeping Sickness Bureau wish, since there is already a number of medical officers set apart for the treatment of sleeping sickness.
If it is wished to attach two medical officers permanently to one camp, so that one of these would always be there while the other was on leave, and so to ensure continuity of experiment over a period of years, I think that this would be a good thing and could be arranged. I would suggest that Lieutenant Fraser could be placed with Dr. van Someren at Chagwe camp for this purpose.
With regard to the transmission of six-monthly reports to the Managing Com- mittee there would be no difficulty. I presume that such reports would pass through the office of the Principal Medical Officer.
Chagwe camp is the nearest to the laboratory of Sir David Bruce, and the medical officers there could easily keep in touch with the work of the Sleeping Sickness Commission.
Owing to the fact that Sesse camp will soon be closed on account of the removal of the islanders to the mainland, I do not anticipate that the above arrangement would necessitate an increase of staff.
A. D. P. HODGES,
S.S.E.I. Office,
Entebbe,
29383
Reasons of health. Transferred to Sense.
Transferred from Sesse.
SIR,
30th June, 1909.
Principal Medical Officer,
Uganda.
Went on leave. Transferred to Busu.
It will be seen that most of the changes have been necessitated by officers proceeding on leave, and also that in most cases, wherever this was possible, the administration of an officer placed in charge was made to overlap that of his predecessor, in order to secure continuity and consistency of observation and administration.
In addition there have been the following changes: That caused by the death of Dr. Densham at Buwanuka; the move of Dr. van Someren from Buwanuka to Chagwe, an officer of experience being required to start the new camp; that of Dr. Collyns to Busu for a similar reason, the administration of Busu being excep- tionally difficult owing to famine; the exchange of Lieutenant Fraser and Dr. Bayon in charge of Busu and Sesse camps. This last was the only instance of exchange of officers, and was carried out with the concurrence of and in consultation with the Chief Secretary.
Dr. Sells has been in charge of Buwanuka camp for 19 months. The adminis- tration of Chagwe camp has been practically continuous, Captain Gray having been in charge of the sleeping sickness investigations during Dr. van Someren's first charge and familiar with the current experiments. In no camp since the death of Dr. Densham in June, 1907, has treatment been conducted by the same medical officer, either in charge or assisting, for less than eight months consecutively.
Before proceeding on leave this year Dr. Collyns was sent to Buwanuka to report on such cases as survived from the time of his charge there.
No. 37.
INDIA OFFICE to COLONIAL OFFICE.
(Received 3 September, 1909.)
[Answered by No. 38.]
India Office, Whitehall, London, S.W., 2 September, 1909. In continuation of Sir A. Godley's letter of the 28th April, 1909,* I am directed by the Secretary of State for India in Council to forward a copy of a letter from the Government of India setting forth reasons why they are not disposed to recommend a contribution from Indian revenues to the funds of the proposed Tropical Diseases Bureau.
I am to express Viscount Morley's regret that on a careful consideration of the question he has decided to adopt the view expressed in the Government of India's letter.
I have, &c.,
Enclosure in No. 37.
No. 21 of 1909. GOVERNMENT OF INDIA. HOME DEPARTMENT. Sanitary,
COLIN G. CAMPBELL.
To the Right Honourable Viscount MORLEY OF BLACKBURN, O.M.,
His Majesty's Secretary of State for India. MY LORD,
We have the honour to reply to your Lordship's despatch, No. 44, Revenue,
Simla, the 15th July, 1909. dated the 30th April, 1909, in which you asked for our views on a proposal that we should contribute to the funds of the proposed Tropical Diseases Research Burcau.
• 14491: not printed.
1699€
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