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PUBLIC RECORD OFFICE

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Reference :-

C.O. 885

23 PUBLIC RECORD OFFICE, LONDON

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

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It will be understood that, pending the preparation of local schemes of work, and their approval by the Secretary of State and the International Health Commis. sion, the conditions of engagement and service can only be stated in very general terms.

7th January, 1914.

Annexure 2 to No. 5,

H. R. C.

CAMPAIGN AGAINST ANKYLOSTOMIASIS IN THE WEST INDIAN COLONIES.

TERMS OF Engagement of DOCTORS. Salary-For Medical Officers £550, for Assistant. Medical Officers £350, with quarters or £50 in lieu in each case.

Travelling allowance £50 (in Trinidad, £75). Free passage, and return pas- sage on satisfactory completion of engagement.

Term of engagement. One year in first instance, which may be extended by mutual agreement.

It is anticipated that the engagements of Medical Officers will be renewed from year to year while the work continues.

Leave. One month for each year of service, which may be accumulated. Sick leave in accordance with local regulations.

Discipline. Officer to perform such duties in connexion with ankylostomiasis work as may be directed by the Governor, or by someone duly authorized by the Governor to control the work. In the event of the Governor considering the officer unsuitable for the work, his appointment may be terminated by three months' notice, His the reasons for such termination being reported to the Secretary of State. appointment will be made by the Governor and be under his general control. While in the Colony he will report to the Governor, in such manner as the Governor may prescribe.

2571

No. 6.

WINDWARD ISLANDS.

THE GOVERNOR to THE SECRETARY OF STATE.

[Answered by No. 11.]

(Received 21st January, 1914.)

(Grenada (General). No. 7.)

SIR,

Grenada, 5th January, 1914. REFERRING to the correspondence ending with Mr. Drayton's despatch, on the subject of Mr. Wickliffe Grenada (General), No. 163 of 20th October last, Rose's visit to the Windward Islands, I have the honour to submit copy of a lettert I received from Mr. Rose after he had spent some days in the three Islands of the Windward group, and had made himself thoroughly conversant with local con- ditions regarding ankylostomiasis, by visiting our institutions and the out-districts, or constant communication with the Medical Officers. I also attach a copy of my reply, and of a further letter from Mr. Rose, and of my answer thereto.

Also enclosed are the opinion of the Executive Council of Grenada when Mr. Rose's proposals were discussed, a copy of a minute and enclosure from the Admin- istrator of St. Vincent, containing a budget estimate for that Colony, and a budget estimate prepared for Grenada.

2. It will be observed that Mr. Wickliffe Rose's proposal, on behalf of the International Health Commission, is that the Commission find funds for clearing the three Islands of this group of ankylostomiasis and intestinal parasites for the next five years. The offer is a most generous one; it has been cordially agreed to by the Executive Councils of Grenada and St. Vincent, and I have no hesitation in

Enclosure 2 in No. 12 in Miscellaneous No. 297.

* No. 8 in Miscellaneous No. 297.

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recommending that it be accepted in the spirit in which it has been made. I need hardly say that this help so kindly proferred by the International Health Commis- sion will prove a veritable godsend to these Islands, who without it would be quite unable to undertake the compaign against this disease in the thorough manner which can alone command success.

The means suggested, too, by which the International Health Commission finds the funds and leaves the actual conduct of affairs to the local authorities, are those best calculated to effect the object in view.

3. Mr. Rose created a deep impression amongst us all by the thoroughness of his methods and the great interest he took in the health conditions of the islands. I am glad to say that he spoke very cordially of the manner in which our institutions are conducted.

4. The Grenada budget was prepared by a Committee of Medical Officers in consultation with Mr. Rose and myself, and embodies Mr. Rose's views as to the best manner of dealing with the disease.

The only staff required from England will be the two Medical Officers, the rest being recruited locally.

It may be necessary to add a small sum for audit and treasury remuneration, as has been done in the St. Vincent budget, but, in view of the generous offer of the Commission, I am inclined to think that such a small sum of this nature could well be left to be borne by the Administration.

5. It will be observed that the Administrator of St. Vincent proposes that Dr. Durrant should be in charge of the campaign in St. Vincent.

I do not share his views. I have a great regard for Dr. Durrant and his work in St. Vincent, but the impression I gathered from Mr. Rose was that a main con- sideration would be that the officer in charge should be a young Medical Officer with the latest training in our Tropical Schools of Medicine, and with special qualifica- tions as a bacteriologist for intestinal parasites.

Medical Officers have little time to spare from their own duties, and though they will doubtless give any assistance they can I consider that the operations to combat ankylostomiasis should be conducted by the staff engaged for the purpose, and not to a split-up between that staff and the Medical Staff of the Colonies.

In his note of the 13th December, Mr. Rose draws attention to the advisability of having at least approximate uniformity in the budgets of the three islands. I quite agree as to this, and cannot but think that if in one island the campaign is conducted by a Medical Officer of the Colony's staff, on augmented salary, comment, and possibly dissatisfaction, might easily be created in the other islands.

6. I have spoken to Mr. Murray on the subject and he tells me that Dr. Rose is aware of his proposal, as he discussed it with him. Nevertheless, I am of opinion, for the reasons given above, that it will be well that the procedure suggested for Grenada be followed by St. Vincent, and the conduct of the operations left in the hands of a young Medical Officer with the special training to which I have referred. 7. Similarly, the rates of pay of the microscopists and other details of the St. Vincent budget should be brought into conformity with the Grenada proposals, where all details were very carefully considered by the Committee to which I have alluded.

8. Although I have communicated to the International Health Commission, through Mr. Wickliffe Rose, my appreciation of the generous offer proposed, I have naturally said nothing about accepting it until you have had the opportunity of considering the proposals made.

9. I have not yet heard from St. Lucia. It is probable that the Administrator's views will reach me by the mail that takes this despatch home. If so, I hope to have time to enclose his communication.

I take it that the views of the St. Lucia Executive Council will coincide with those of the Grenada and St. Vincent Councils; and the remarks I have embodied in this despatch with regard to approximation of details in the various budgets will equally apply to any proposals Mr. Cameron may put forward.

I have, &c.,

J. HAYES SADLER,

Governor.

P.S. Since writing the above, I enclose a copy of a minute just received from the Administrator of St. Vincent giving cover to a note from Mr. Rose. This cer- tainly qualifies my views with regard to Dr. Durrant having charge of the anky- lostomiasis operations, but I still think it will give rise to feelings in the other two islands.-J.H.S.