30
FREE TREATment for ANKYLOSTOMIASIS.
(Hookworm Disease.)
Retire without
1. On day preceding the treatment take a large dose of Epsom salts at 5 p.m.
This should open the bowels several times thoroughly. foorl.
2. Remain in bed the following morning. Take no food.
3. At 6 a.m. take two capsules. At 8 a.m. take two capsules.
4.
At 11 a.m. take a large dose of Epsom salts. This should open the bowels three or four times within two hours. If not, repeat the dose. Remain in the bed until the salts has acted well.
5. No food should be taken until after the salts has acted thoroughly.
Then
only take coffee or tea without milk, crackers without butter, and fruit. 6. No greasy or oily food must be taken--no milk, wine, beer, nor any alco-
holic drinks must be taken during the day of the treatment.
7. The usual diet and habits may be resumed on the day following treatment.
8.
If patient feels weak or dizzy during treatment give a half cup of black coffet without milk or sugar.
9. Have patient save all bowel movements from the second dose of salts, and
examine and count the worms expelled.
10.
In cases where Epsom salts is not well retained, give it in hot water, or report to the Chief Inspector.
11. Several treatments given in this way at intervals of a week are usually
necessary for a cure.
The capsules contain: Ten grains pulvr. thymol, sugar of milk q.8.
(C.)
QUARTERLY REPORT UPON THE GENERAL SANITARY CONDITION OF PETER'S HALL DISTRICT FOR THE QUARTER ENDING 30TH JUNE, 1914.
THE area here dealt with comprises Meadow Bank, Agricola, Eccles, Bagots- town and Peter's Hall, viz., that area in which the International Health Commis- sion has been carrying on the work of eradicating ankylostomiasis.
2. The main drainage of these villages is, in general, in good condition and sufficient to prevent any flooding.
3. The inter-lot drainage had been much neglected. Special attention has been paid to this fault and great improvement is noticeable. Almost every lot has now dug out and cleaned the necessary drain.
4. It was found necessary to serve 203 notices and take 13 prosecutions to enforce this measure.
5. The water supply is that common in all villages of this Colony. The water is a peaty surface water derived from the Lamaha conservancy and kept in large open shallow trenches. This is a very unsatisfactory type of supply, but is the best obtainable at present. An artesian well would be of great benefit to these villages. 6. A small amount of rainwater is collected in barrels, but this only lasts for a short period after each rainfall.
7. The method of sewage disposal is of great importance considering the campaign at present in progress against the hookworm. In every case the pit privy has been adopted and attempts have been made to cause every lot-owner to erect one of these structures.
8. This table indicates the extent of the work.
81
9. When any ground is suspected to be heavily infected from defæcation in the past, it is sprayed with copper sulphate or with iron sulphate in order to kill off the infective embryo hookworm.
10. Special early surprise visits are made from time to time, but no offender has yet been caught depositing excreta elsewhere than in a privy.
At the beginning of 11. Mosquito prophylaxis has also received attention. the quarter practically no vats or barrels were screened and each vessel bred in- numerable pests. Much dense overhanging bush, low vegetation and long grass grew everywhere. It is now rare to find an unscreened water receptacle, and the No economic major portion of the unnecessary vegetation has been cleared away. trees or bushes have been removed.
12. In accomplishing this work 398 notices were served and 30 prosecutionз
taken.
13. General sanitary measures have also been dealt with to a large extent. These mainly consisted of animals ill-kept, accumulation of rubbish, lack of ventilation, ill-constructed and dirty bakehouses and provision shops, old buildings unfit for habitation, etc.
While a great number of these offences have been abated, this matter still requires, and is receiving, continued attention.
14. Ninety-four notices have been served and fourteen prosecutions taken.
SIR,
Enclosure 2 in No. 26.
K. S. WISE,
Surgeon-General.
International Health Commission, 725, Southern Buildings,
Washington, D.C., 3rd August, 1914.
I HAVE the honour to acknowledge the receipt of your letter of 9th July, enclosing copy of report of work for the eradication of hookworm disease in Peter's Hall District, British Guiana, for the quarter ending 30th June, 1914.
2. I note with interest what you have to say concerning the character of the I have heard his work done by Dr. Howard. Dr. Howard has just arrived. account of the work with much interest. On behalf of the International Health Commission I wish to express to you, and to the Government of British Guiana, our grateful appreciation of the hearty co-operation which has been given in this work from the beginning, We are gratified with the result. From our point of view this demonstration has shown three things:-
(1) Hookworm disease can be eradicated in a given community.
(2) This work can be done within limits of time and expenditure that make
the undertaking altogether feasible.
(3) It is possible to back this work by sanitary improvements, even under
trying conditions, which will prevent the spread of the disease.
3. Nothing has been more encouraging than the work which the Government has done toward the improvement of sanitation in this district, where the work of examining and treating people has been done. I see nothing to interfere with the successful development of this work in the future in British Guiana.
Surgeon-General,
British Guiana.
K. S. Wise, M.D.,
Privy Accommodation.
Notice. Prosecutions.
Villages.
Number, April 1st.
Percentage of lots,
Numbers,
Percentage of lota.'
June 30th.
Meadow Bauk
26
89
27
Agricola
158
80
178
90
Eccles
5
9
88
Bagotatown
25
58
41
Peter's Hall
18
87
80
29288
98.
78
87
80
*8828
Pending.
18
56
11
21
315 10
I have, &c.,
WICKLIFFE ROSE.
Total...
287
58
814
87
185
84
PUBLIC RECORD OFFICE
Reference :-
C.O. 885
24 PUBLIC RECORD OFFICE, LONDON
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