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SENIOR MEDICAL OFFICER to HIS HONOUR THE ADMINISTRATOR.
Ankylostomiasis is not prevalent in the Presidency and has not within my knowledge ever been epidemic; it is not common here, stray cases have occurred in different parts, and a few have been treated in the Cunningham Hospital from time to time; this absence of the disease here I attribute to the fact that we have no large importation of foreign labourers.
In 1906 some cases were brought over by labourers returning from San Domingo, and it was found [? feared] that there might be a spread of the disease; extra latrine accommodation was provided, and the people were advised to observe cleanliness, and these fears I am thankful to say proved groundless.
There never having been any cause for special sanitary measures against the disease, no steps have been taken to enforce any.
The disease has taken no hold in the Presidency, but stray cases are now and then seen.
10th November, 1913.
W. H. FRETZ,
Senior Medical Officer.
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4. The disease is found in all parts of the island, and a large number of people are infected with the parasite without being the subjects of the train of serious symptoms known as ankylostomiasis, as I have pointed out in the reports referred to.
5. In this mild form of infection the people do not seek for medical treat ment, so that very few of the cases come under the notice of the District Medical Officers.
I have, &c.,
His Honour
SIR,
The Acting Administrator.
MEDICAL OFFICER, DISTRICT "
H. A. ALFORD NICHOLLS,
Senior Medical Officer.
། ། ་། ་།
PUBLIC RECORD OFFICE
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Reference :-
mmimmimi.C.O. 885
23 PUBLIC RECORD OFFICE, LONDON
| ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC- COPYRIGHT PHOTOGRAPH-NOT TO
Enclosure 6 in No. 10.
(Dominica. No. 277/1392.)
Government House, Dominica, 17th November, 1913. SIR,
I HAVE the honour to acknowledge the receipt of Your Excellency's despatch, No. 239, of 20th September, enclosing a copy of the Secretary of State's despatch, Miscellaneous, of August 26th, asking for information with reference to ankylostomiasis.
2. I have to report that I forwarded copies of the above despatch to all the now forward Medical Officers with a request for the information required. copies of their replies as under :-
Senior Medical Officer, of 6th November.
Medical Officer, District "A," 29th October. Medical Officer, District "B," 11th October.
Medical Officer, District "C," 12th November. Medical Officer, District "D," undated.
3. The reports mentioned by Dr. Nicholls as having been written by him were forwarded by the Administrators to His Excellency the Governor in despatches No. 239, of 11th December, 1899, and No. 337, of 28th August, 1908, respectively.
4. I regret the delay which has occurred in obtaining these reports, neces- sitating Your Excellency's reminder, despatch No. 275, of 29th October.
I have, &c.,
J. A. BURDON,
His Excellency
The Governor,
Antigua.
Acting Administrator.
SENIOR Medical OfficER to ACTING ADMINISTRATOR.
(No. 117.)
Roseau, 6th November, 1913. SIR,
In reply to Your Honour's letter, No. 1392, of the 4th ultimo, I have the honour to state that 20 cases of ankylostomiasis were treated at the Roseau Hospital during the five years 1908-1912, both inclusive, and that one of the cases in 1911 terminated fatally.
2. These cases were admitted from various parts of the island; but most of the cases that have applied to me for hospital or private treatment have come from the neighbourhood of Laplaine in Medical District "D."
3. I would draw Your Honour's attention to the fact that on the 6th December, 1899, and on the 9th July, 1908, I wrote long reports on ankylostomiasis in Dominica; and these reports will, I think, furnish Mr. Rose with a good deal of the information he requires.
A," to ACTING AdministraTOR. Roseau, Dominica, 29th October, 1913. In reply to your letter No. 1392, of 4th October last, I have the honour to report that in my experience ankylostomiasis is not of frequent occurrence in my district.
2. During the three years I have been acting as Medical Officer only two cases have come under my notice.
His Honour the Administrator.
SIR,
I have, &c.,
R. HARRISON ALLPORT,
Medical Officer, District "A."
MEDICAL OFFICER, DISTRICT "B," to ACTING ADMINISTRATOR.
Portsmouth Hospital, Dominica, 11th October, 1913. I HAVE the honour to acknowledge the receipt of your letter of 4th October, requesting particulars of the prevalence and distribution of ankylostomiasis in this district for the five years 1908 to 1912, both inclusive, with further information as to 1913.
I have looked through the in-patient and out-patient books for the period January, 1908, to 28th June, 1913, when I arrived here, and can find no mention of the disease above mentioned.
SIR,
Since my arrival here, I have not met with any cases of the disease.
I have, &c.,
A. H. RICH, Medical Officer, District
B."
MEDICAL OFFICER, DISTRICT "C," to ACTING ADMINISTRATOR.
Woodford Hill, Dominica, British West Indies,
12th November, 1913.
In reply to your letter of the 4th October, 1913, I have the honour to state that no cases of ankylostomiasis have come under my notice in this district.
I have, &c.,
SYDNEY SENHOUSE,
His Honour the Acting Administrator,
Dominica.
Medical Officer, District "C.”
MEDICAL OFFICER, DISTRICT "D," to ACTING ADMINISTRATOR.
Ankylostomiasis in District " D.”
I AM afraid I cannot be much good to you in this. As a fresh arrival, the latter end of 1911, no cases came under my notice in 1912. In 1913 (up to date) I have had two cases. Perhaps Dr. Myers, of Roseau, the former Medical Officer of this district, could give you more information.
E. B. GARRARD, M.R.C.S., L.R.C.P.,
District Medical Officer, District “D."
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