PUBLIC RECORD OFFICE
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10585
SIR,
74
4. The investigation of the villages to find out :--
(a) What is the most favourable condition of soil for the development of
the larvæ.
(b) The main foci of infection.
(c) A study of the means whereby these foci may be reduced and to set in operation if possible a system of village sanitation which will remove the source of infection by putting a stop to soil pollution.
5. The provision of means of instruction for the fellaheen :-
(a) How to avoid infection.
(b) How to get cured when infected.
10585
No. 35.
LEEWARD ISLANDS.
THE SECRETARY OF STATE to THE GOVERNOR. (Miscellaneous.)
Downing Street, 25th March, 1914. WITH reference to your despatch No. 14, of the 8th January,* I have the honour to enclose, for your information and guidance, a copy of a letter,t which I have caused to be addressed to the Director of the International Health Commission on the subject of the projected campaign against ankylostomiasis in Antigua.
2. On receipt of authority from the Commission for the proposed expendi- ture, I request that you
will cause votes to be taken in the Legislature for the total cost during the year of the special work in connexion with ankylostomiasis, the amount to be recovered from the Commission being shown as a special item of
revenue.
3. You will observe that it is intended that the cost of drugs, accounting, and This arrangement audit should be met by the Colonial Government in each case. has been made in all the Colonies concerned. In view of the great benefits which the Colony may expect to derive from the work financed by the Commission, I think that every effort should be made to provide. without cost to the Commission, suitable accommodation for office purposes, and, if practicable, for quarters for the Medical Officers.
4. I understand that the Commission desire to be furnished with quarterly reports of the work done, and that suitable model forms will be supplied froin Wash- ington. Duplicates of all reports should be forwarded to me.
5. The work to be done in Antigua is, in the first instance, one of investiga- tion only, and Mr. Rose agreed that it could probably be completed in six months. The staff which has been provided has been settled in discussion with Mr. Rose. In paragraph 14 of your despatch under reference you expressed the opinion that the staff proposed for Grenada would be suitable for the work in Antigua; but, having regard to the fact that the scope of the operations proposed in Grenada is wholly distinct from that in Antigua, I have been unable to accept your opinion. I need hardly point out to you that, in accepting this assistance from the Commission, the Colonial Government must feel bound to examine all proposals for expenditure with the greatest care, and should be able to satisfy the Commission that the proposals have been prepared in all details with the fullest regard for economy and efficiency. 6. You will recognize that the value of the work which the Commission propose to undertake will be materially impaired unless adequate, continuous, and energetic measures for the improvement of sanitation and the enforcement of sanitary regu- lations are taken at the same time. I have no doubt that the campaign of the Com- mission will have a valuable effect in educating, the people in the necessity of simple sanitary precautions; and this should make it easy for the Government, at a com- paratively small cost, to reduce to a minimum the risk of the reinfection of the population. The Commission may reasonably expect that the generous provision which they are making should be met by the hearty co-operation of the local Govern- ments. I shall be glad if you will keep this aspect of the question constantly before you, and will draw particular attention in your periodical reports to the progress made in the improvement of sanitary conditions.
I have, &c.,
L. HARCOURT.
SIR,
75
No. 36.
WINDWARD ISLANDS.
THE SECRETARY OF STATE to THE GOVERNOR.
[Answered by Nos. 51, 54, and 55.]
(Grenada (General), Miscellaneous.)
Downing Street, 25th March, 1914. WITH reference to my despatch No. 10 of the 4th February,* I have the honour to enclose, for your information and guidance, a copy of a lettert which I have caused to be addressed to the Director of the International Health Commission, on the subject of the projected campaign against ankylostomiasis in Grenada, St. Lucia, and St. Vincent.
2. On receipt of authority from the Commission for the proposed expenditure, I request that you will cause votes to be taken in the Legislature for the total cost during the year of the special work in connexion with ankylostomiasis, the amount to be recovered from the Commission being shown as a special item of revenue.
3. You will observe that it is intended that the cost of drugs, accounting, and This arrangement audit should be met by the Colonial Government in each case.
has been made in all the Colonies concerned. In view of the great benefits which the Colony may expect to derive from the work financed by the Commission, I think that every effort should be made to provide, without cost to the Commission, suitable accommodation for office purposes, and, if practicable, for quarters for the Medical Officers.
4. Steps should be taken for the appointment in each island of the local advisory committee suggested in your despatch, and this committee should take such preliminary steps as may be possible in anticipation of the arrival of the Medical Officers. In particular, progress might be made with the selection and training of microscopists. Early notice should be given to me to enable me to complete the selec
If it is decided that Dr. Durrant tion of the Medical Officers to be appointed.
should undertake the work in St. Vincent, I shall be glad of early particulars of the conditions of appointment of the Medical Officer to act in his place.
5. The provision in the original St. Vincent budget for examinations by Medi- cal Officers has been omitted. It is thought that it would be more economical for the It will, of course, be the duty of whole work to be carried on by the special staff. Medical Officers to bring to the notice of the special staff such cases as come before them; but as in many cases they will be relieved of the duty of treating cases which at present they would be bound to treat, I see no reason for adding to their emolu- 6. I understand that the Commission desire to be furnished with quarterly reports of the work done, and that suitable model forms will be supplied from Wash- ington. Duplicates of all reports should be forwarded to me.
ments.
7. You will recognize that the value of the work which the Commission propose to undertake will be materially impaired unless adequate, continuous, and energetic measures for the improvement of sanitation and the enforcement of sanitary regula- tions are taken at the same time. I have no doubt that the campaign of the Com- mission will have a valuable effect in educating the people in the necessity of simple sanitary precautions; and this should make it easy for the Government, at a compara- tively small cost, to reduce to a minimum the risk of the reinfection of the popula- tion. The Commission may reasonably expect that the generous provision which they are making should be met by the hearty co-operation of the local Governments. I shall be glad if you will keep this aspect of the question constantly before you, and will draw particular attention in your periodical reports to the progress made in the improvement of sanitary conditions.
I have, &c.,
L. HARCOURT.
No. 11.
No. 87 with enclosures 2, 3, and 4 therein.
* No. 10.
No. 37 with anclosure 5 therein.
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