120
comparatively small cost, to reduce to a minimum the risk of re-infection of the popu lation. The Commission may reasonably expect that the generous provision which they are making should be met by the hearty co-operation of the British Guiana Government. 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.
In the other Colonies in which the Commission is operating it has been arranged to take a vote of the Legislature for the whole cost of the proposed work during the year, the amount to be recovered from the Commission being shown as a special item of revenue. This course has advantages from the point of view of accounting and audit, and I suggest, for your consideration, that you should invite the Combined Court to follow it in British Guiana. It has also been decided in those Colonies that the cost of drugs, accounting, and audit shall be borne by the local Government.
I have received an inquiry from the Royal Sanitary Institute with regard to the terms of appointment of the Chief Sanitary Inspector to be appointed in connexion with this work in British Guiana; but I have been unable to supply the particulars desired. I enclose, for your information, copies of this correspond- ence.*
It was arranged with Mr. Rose that candidates for appointment to such posts should be selected by the Medical Selection Committee of the Colonial Office, and I enclose, for your information, a print of the terms on which officers are now being engaged for other West Indian Colonies.
21339
I have, &c.,
L. HARCOURT.
121
He will make himself familiar with all local laws and regulations bearing on sanitation which are likely to affect his operations, as well as with local customs and prejudices.
He will get into touch with all Medical Officers, private practitioners, and sani- tary and educational authorities in the area, and with employers of labour.
He will make a rapid preliminary survey of the area, locating roughly the spots where infection is most severe, and where remedial and sanitary measures are most required.
He will prepare for the approval of the Governor, and with his approval initiate, a scheme for the diagnosis and treatment of cases of ankylostomiasis on a comprehensive scale.
He will organize a campaign to instruct the people in the sanitary measures necessary to avoid infection, and to induce them to submit themselves for examina- tion and treatment, by public lectures, demonstrations, meetings, pamphlets, instruc- tion in schools, and by means of the local newspapers.
He will furnish periodical reports, in the form required by the Governor, and will in addition furnish special reports on all matters to which, in his opinion, atten- tion should be drawn. He will pay particular regard to the sanitary conditions in the area, in so far as they bear on his work.
Throughout he will bear in mind that his organization should be capable of development; beginning experimentally in selected localities, he should be able continuously to extend his activities as experience accumulates.
He will, so far as opportunity offers, study the conditions leading to the spread of ankylostomiasis and the means of preventing the spread: its symptoms and pathology and the best means of diagnosis and treatment. He will communicate the results of all such investigations to the Governor.
:
PUBLIC RECORD OFFICE
Reference :-
PETCO 885
23 PUBLIC RECORD OFFICE, LONDON
ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC- COPYRIGHT PHOTOGRAPH-NOT TO
No. 60.
TRINIDAD.
THE SECRETARY OF STATE to THE GOVERNOR. (No. 205.) SIR,
Downing Street, 16th June, 1914. WITH reference to your telegram of the 16th May, I have the honour to inform you that I have selected Colonel J. R. Dodd, M.D., D.P.H., formerly of the Army Medical Service, for appointment as Medical Officer in Charge in connexion with I enclose, for your informa- the campaign against ankylostomiasis in Trinidad. tion, copies of correspondences regarding his appointment.
I have also selected Mr. C. G. H. Campbell, M.R.C.S., L.R.C.P., for appoint- ment as Assistant Medical Officer.
Passages for both officers have been taken on the steamer leaving Southampton on the 15th July.
The selection of the second Assistant Medical Officer will be made in due
course.
I enclose for your information and guidance a print of instructions to Medical Officers in Charge of the work in the Colonies. These instructions have been drawn up with the approval of the Advisory Ankylostomiasis Committee. They may be supplemented locally in such directions as experience may show to be necessary.
I have, &c.,
L. HARCOURT.
22404
SIR,
No. 61.
DR. A. G. BAGSHAWE to COLONIAL OFFICE. (Received 20th June, 1914.)
[Answered by No. 68.]
Tropical Diseases Bureau, Imperial Institute, London, S.W.,
Ankylostomiasis Committee.
20th June, 1914.
I
I HAVE the honour to report that Dr. Shipley and I yesterday inspected and I have not yet received the approved of a lantern with acetylene generator.
As soon as I receive detailed estimate, but the cost of each will not exceed £7 10s. authority for their purchase I will order as many as are thought necessary. instructed the makers to estimate for six. The microscopes are now on order and As I explained in a I hope that some of each kind will be delivered by July 1st. letter to Mr. Cowell, we delayed decision about these instruments till Mr. MacCallan should arrive from Egypt.
I have, &c.,
ARTHUR G. BAGSHAWE,
Director.
19923
Enclosure in No. 60.
INSTRUCTIONS TO MEDICAL Officer in Charge of thE ANKYLOSTOMIASIS CAMPAIGN. On arrival in the Colony he will confer with the Governor or Colonial Secre- tary and the Head of the Medical Department, and acquaint himself with the details of any preliminary scheme of work which has been prepared.
He will visit the area in which work is to be begun, and consider the question of accommodation for his staff, and the most suitable positions for temporary offices. hospitals, dispensaries, and the like.
* 14975: not printed.
Annexure 2 to No. 5. 1 No. 49. 5 Not printed: Ree on 18210,
19920, 20929, and 21839.
22901
No. 62.
COLONIAL OFFICE to INTERNATIONAL HEALTH COMMISSION. Downing Street, 20th June, 1914. Dear Sir,
IN connexion with the selection of Medical Officers to carry out the ankylos- tomiasis campaign in the British Colonies, for which provision has been made by the International Health Commission, a number of inquiries have been received at the Colonial Office regarding the prospect of permanence in the appointments.
Several doctors, whose experience and standing appeared to make them specially suited for this work, have expressed reluctance to enter upon it without more information than we are in a position to give with regard to the length of、 time for which they might expect it to continue. It will be recognized that, in
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