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PUBLIC RECORD OFFICE

Reference :-

C.O. 885

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(b) The adoption of active sanitary measures with reference to latrines and

water closets.

*

wagon recently sanctioned for (c) The utilization of the "ambulance

the conveyance of sick officers to Freetown, to patrol the "Railway Districts" (when not in use for the sick). This railway carriage may be fitted for the special investigation into the incidence of ankylos- tomiasis in this extensive portion of the Colony and Protectorate, and be used also for the purpose of distributing treatment amongst the people in infected areas along the line.

The Colonial Medical Department,

Freetown,

25th September, 1914.

39496

(No. 399.) SIR,

No. 30.

J. WALLACE COLLETT, Acting Principal Medical Officer.

BRITISH GUIANA.

THE GOVERNOR to THE SECRETARY OF STATE.

(Received 13th October, 1914.)

[Answered by No. 35.]

Government House, Georgetown, Demerara, 23rd September, 1914. WITH reference to your despatch, No. 148, of the 16th June,* in which you suggest that the Combined Court should be invited to vote funds for the whole cost of the work carried on during the year in the eradication of ankylostomiasis in British Guiana, and that such funds should be received from the International Health Commission and shown as a special item of revenue in the Colony's accounts, I have the honour to transmit a Memorandum prepared by the Surgeon-General, Dr. K. S. Wise, on the financial arrangements which at present exist with the Com- mission, and which were made by Dr. Howard, who was sent to the Colony at the beginning of this year by the Health Commission to settle, in conjunction with the Surgeon-General and Dr. Ferguson, the plan of work and experiments to be under- taken. This arrangement is working satisfactorily, and I recommend that it be allowed to continue.

2. The cost of drugs is borne entirely by the Commission, and there is no expense to the Colony for accounting and auditing.

Enclosure in No. 30.

I have, &c.,

WALTER EGERTON.

MEMORANDUM ON THE FINANCIAL ARRANGEMENT WITH THE INTERNATIONAL HEALTH

COMMISSION.

FOR each sectional area in British Guiana in which hookworm disease will be eradicated by the International Health Commission a budget including all expenses is prepared and submitted to the Commission.

2. On approval by the Commission in Washington, funds to the total amount of the budget are deposited in the Treasury of British Guiana and work in the area begun. No work is begun until the budget has been submitted and sanctioned, and no work paid for or drugs ordered, until funds for that purpose are in hand at the Treasury.

3. Accounts are forwarded at the end of each month by the Supervising Medical Officer to the office of the Surgeon-General, where the accounts are examined, scheduled against the "Rockefeller Deposit Account," and forwarded to the Treasury for payment.

4. At the end of each quarter a statement of expenditure is made out, verified Later by the Treasury, and forwarded to the International Health Commission. the vouchers will reach the Audit Office and, after being dealt with there, will be at the disposal of the International Health Commission.

5. These are the arrangements made by Dr. Howard, who had been specially sent to this Colony by the International Health Commission to start their cam- paign. They have been rigidly followed since his departure.

K. S. WISE,

10th September, 1914.

Surgeon-General.

39439

99

No. 31.

WINDWARD ISLANDS: ST. VINCENT.

THE ACTING GOVERNOR to THE SECRETARY OF STATE. (Received 13th October, 1914.)

(St. Vincent, No. 93.)

SUBMITTED.

[Answered by No. 36.]

Grenada, 28th September, 1914.

The duties to be performed by Dr. Durrant as head of the Sanitation Depart- nent, as set out by the Acting Administrator, appear to me to be sufficiently comprehensive and might be approved.

Dr. Durrant cannot be seconded for employment as Medical Officer in charge of the ankylostomiasis campaign in St. Vincent until relieved by a medical man to act for him as Medical Officer of the Kingstown District. Your despatch, St. Vincent No. 66, of the 8th instant, informs me that at present there seems to be very little prospect of finding a suitable officer for the appointment. In the circumstances the work of the campaign must be postponed.

(No. 99.)

DOUGLAS YOUNG,

Acting Governor.

Government House, St. Vincent, 5th September, 1914.

SIR,

I HAVE the honour to acknowledge the receipt of your minute of the 28th ultimo, forwarding a despatch from the Secretary of State, St. Vincent, Miscel- laneous, of the 4th ultimo,t on the subject of matters relating to the proposed ankylostomiasis campaign and to sanitary reforms in connexion therewith, and to report, with reference to paragraph 3 of this despatch, that the duties of the appointment to be held by Dr. Durrant as head of the proposed Sanitation Depart ment will comprise the following :-

(i) To advise the Government on all matters of sanitation throughout the

Colony.

(ii) To be Health Officer for the town of Kingstown, and advise on sanitary

matters in the town.

(iii) To direct the sanitary inspections throughout the Colony, summariz- ing the reports of inspectors, and submitting these with such advice as may be necessary to the general health authority (the Governor in Council).

2. It may be pointed out that the sanitary work of the Colony will fall into two groups:—

(i) Those sanitary measures which are directly due to the ankylostomiasis campaign, and which are voluntary on behalf of the inhabitants. (ii) Those measures which have to be carried out in towns, villages, factories, &c., and not only include the prevention and spread of ankylostomiasis, but also of disease generally, and which are compulsory.

3. In connexion with this latter group a trained sanitary inspector has already been employed.

4.

These two groups, which in reality have no hard and fast dividing line, but rather run one into the other, can efficiently be carried out by the Medical Officer in charge of the ankylostomiasis campaign, whose work will compel frequent visits to all parts of the Colony, thus enabling him to overlook and control the whole of the system of sanitation in the Colony.

5. With regard to paragraph 5 of the Secretary of State's despatch, the necessary provision will be made in order to carry out sanitary reforms concur- rently with the treatment of the infected, as soon as experience has been gained of the working of the campaign against ankylostomiasis.

I have, &c.,

R. B. RODEN, His Excellency

Acting Administrator.

William Douglas Young, Esq., C.M.G., &c.,

Grenada.

* 32999: not printed. † No. 17 in Miscellaneous No. 804.

* No. 59 in Miscellaneous No. 804.