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5. Specially on the suggestion of the head of the Medical Department and the direction of the Advisory Board, I have used the schools of the island as a nucleus for studying the extent of disease in the community, and a means of access to the homes of the people. Up to date, thirty out of fifty-seven schools have been visited; the Inspector of Schools, the interested clergymen and others being usually present. In each case a talk was held with the teachers and children; and coincident visitation has been made to estates, towns and villages, and cottage ⚫ homes.

6. I have made study of the local laws and by-laws relating to sanitation, and have been engaged preparing various forms and registers for recording, various educational leaflets. advertising schemes, posters, etc., and procuring models, photographs, and other material for demonstration.

7. Office availability allowed me to employ the Clerk to the Commission from the 10th September; and, since the same date, the microscopists have been on full duty.

8. No wholesale diagnosis and treatment have as yet been undertaken, although patients are beginning to come for advice to the head office of the Com- mission at Marine Villa.

9. No advertisement of, or inducement to come to, the offices has been deemed advisable until such time as all material, educational and other, is in readiness, and the scheme of campaign has been placed before the Governor.

10. During the month of October I shall complete the survey and inspection of the schools, and shall, in the next month's report, lay before His Excellency the result of my survey and a finished plan of campaign for general sanitary instruc. tion and for the diagnosis and treatment of hookworm disease.

11. A provisional schedule is here produced summarizing the work of the month.

The Honourable

The Colonial Secretary, Grenada.

I have, &c.,

ANGUS MACDONALD,

Medical Officer in Charge.

INTERNATIONAL HEALTH COMMISSION (Ankylostomiasis Campaign). Report for the month of September, 1914 (Provisional Schedule).

PATIENTS submitted for examination :—

45062

No. 40. SEYCHELLES.

THE INTERNATIONAL HEALTH COMMISSION to COLONIAL OFFICE. (Received 16th November, 1914.)

SIR,

[Answered by No. 48.]

725, Southern Buildings, Washington, D.C., 4th November, 1914. My attention has just been called directly to your letter of 12th October,* enclosing report from the Seychelles Islands. I have read this report with much interest.

2. The Commission would be interested in any proposition looking toward co-operation of this work in the Seychelles Islands. I heartily concur in your suggestion that the first work should be an investigation of conditions, especially in La Digue. If the degree of infection there should justify the effort it would seem that our Commission might well undertake to treat the inhabitants of this island while the Government is carrying out its proposed plan of sanitation. This proposition in British Guiana is working out in a manner which is apparently satisfactory to the Government of that Colony, and which is altogether satisfactory to the Commission.

3. I am sending this report to Dr. Victor G. Heiser, our Director for the East. He has just sailed for Manila. I am advising him to visit the Seychelles

If it is not con Islands if he should find it convenient to do so during the year. venient for him to visit the islands personally, I have suggested that perhaps he could find a representative whom he could send.

In view of the difficulty which you are experiencing, on account of the war conditions, in finding men for this service, I wish to say that if we can be helpful in lending men from our service in the States for any work in the Colonies we shall be very glad to serve you in any way we can.

Very sincerely yours,

40449

WICKLIFFE ROSE.

PUBLIC RECORD OFFICE

Reference :-

C.O. 885

24 PUBLIC RECORD OFFICE, LONDON

ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC- COPYRIGHT PHOTOGRAPH-NOT TO

No. 41.

MALAY STATES.

COLONIAL OFFICE to THE INTERNATIONAL HEALTH COMMISSION.

How dealt with.

Referred

Failed

Situation.

Head Office

Hospital

Number, to own doctor.

3

2 102*

to return. Treated

1

Hookworm infected.

58

SIR,

*This figure refers to specimens obtained from the Hospital.

Patients treated :-

Situation.

Hospital

Private Practitioners

Number.

Result.

51* Reported satisfactory. Not known.

* This figure refers to specimens obtained from the Hospital. These represented patients, of whom were being treated

for hookworm disease, and

Schools visited.-Thirty.

for other affections.

Lectures.-Talks with children and teachers at schools. General. As embodied in the report attached, and including house-to-house visitation with Sanitary Inspectors in St. George's and in country parts.

Special laboratory investigations. The microscopists have carried on, under my direction, certain investigations on the development and vulnerability of the hookworm, its eggs and larvæ, which will be duly recorded when completed.

These are mainly directed towards attaining ready and economical means of prevention of infection.

ANGUS MACDONALD,

Medical Officer in Charge.

[Answered by No. 51.]

Downing Street, 16th November, 1914. I AM directed by Mr. Secretary Harcourt to acknowledge the receipt of your letter of the 8th ultimot, addressed to Mr. Cowell, containing proposals for the appointment of a Commission to inquire into the prevalence of ankylostomiasis in the Malay States, the effects of the disease on the health of the population, and the value of a campaign of eradication.

2. Mr. Harcourt has read these proposals with much interest, but he feels it necessary to await an expression of the views of the High Commissioner of the Malay States before any definite action in the matter is taken.

In the meantime, the Secretary of State is consulting the Advisory Com mittee as to the nomination of one or more British members of the Commission and the probable remuneration to be given, and he hopes shortly to be in a position to suggest names which will commend themselves to the International Health Commission.

I am, &c.,

H. J. READ, for the Under-Secretary of State.

* Transmitter of No. 28.

+ No. 88.