PUBLIC RECORD OFFICE
וון יוון זווד
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Reference :-
C.O. 885
24 PUBLIC RECORD OFFICE, LONDON
ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC- COPYRIGHT PHOTOGRAPH-NOT TO
184
35. The figures of actual work done in Mount Moritz centre and at head- quarters for the month of February are :—
Patient Treated.
Exami-
Situation.
Patients nations Seen. Made.
int
2nd 3rd 4th
5th
6th
8th 7th
9th
10th 11th 12th.
Total.
1,310 1,484 1,002 786 2,812 2,269
474 118
71 87 298 286 187 38
10
5
11
772 404 258 75
21
---
4,655 4,172 1,847 767 364 83
22
6
1
Mount Moritz
Headquarters
Total headquarters... Grand total including
St. David's
Number not treated Number cured
b";
-1-
318
Total completed cases
2
20 10
C
11
719
1
825
2
2 1
1,544
2
2
1 8,097
280
252
588
36. Of the work in general the lessons are many; interesting problems relating to infection, treatment, and prevention are raised by the findings. These will be express the hope discussed after analysis of a longer series of cases. Meanwhile, that it may be in the power of the staff to have time to study these problems in addition to distributing physic and insisting on the prevention of soil pollution.
A public lecture, entitled "The Economic Aspect of Disease," was delivered in St. George's on 11th instant by the Medical Officer in charge. The lecture was arranged under the auspices of the Grenada Literary League, a decidedly energetic and representative body. His Excellency the Governor presided and made extensive reference, before a large and appreciative audience, to the ankylostomiasis campaign in particular and to general sanitary conditions in Grenada.
37.
38. During the month the course of seven lectures on health topics, delivered The total to teachers and sanitary inspectors at head office, was completed.
I must compliment the attendance amounted to 259; and the average was 37. teachers--most of whom came long distances--on the regularity of their attendance and the obvious realization of the importance of their position in the hygienic guidance of the community.
39. At the last meeting the Colonial Secretary was present, and took oppor- tunity to address the teachers on the economic value of health, and to impress on them their power as educators of the young.
40. The Inspector of Schools attended most of the lectures, and ladies and gentlemen interested attended on different occasions.
41. A course of lectures to be delivered at Grenville to the teachers of the windward side of the island is being arranged
42. Brief talks or lectures are given daily by the Medical Officers, and also now by the clerk and microscopists at head office, field office, and at the various The total number of people schools and other locations at which patients are seen. reached by the gospel of prevention must be several thousands every month, and the records show a general readiness to improve conditions.
43. During the month the report prepared by the Colonial Surgeon and the Medical Officer in charge, on sanitary requirements and suggested legislation neces- sities, has been completed and forwarded for consideration.
44. The fifth (the last under the new budget arrangement) microscopist was appointed, and has been on service at headquarters and at St. David's since the 17th instant.
45. A further series, comprising forty-one cases, has been examined from 'Carriacou, and only one sample was found infected with hookworm. This substan- tiates the casual examination made by me while on a brief visit to Carriacou. Then, out of twenty-four samples examined, none was found infected. The condition of Carriacou affords interesting information, which will be correlated with other local data in due course.
46 A varied amount of pathological work has been carried out by the Medical Officers.
47.
135
Communications between Dr. Howard, the Medical Director for the West It will be seen from the Indies, and the Medical Officer in charge are presented. correspondence that Dr. Howard anticipated being in Washington in the beginning of February to consider the budget arranged on his suggestions and provisionally adopted by the Advisory Committee on 12th January ultimo. The Commission at Washington, however, appear to have allocated without Dr. Howard's report, and placed the same amount as last year to the credit of the campaign in Grenada.
48. This is disappointing, especially seeing that certain obligations have been undertaken on the strength of Dr. Howard's representations.
49. Dr. Howard's kind suggestions as to the manner of rearranging the budget are helpful; and it would have been possible to adopt them entirely, only that they are made while Dr. Howard is unaware of the obligations and expenditure already undertaken.
50. I propose, therefore, to continue the two areas under " exhaustive" opera- tion up to 30th June, 1915.
in the
spent 51. The sum of £688 5s. 10d. ($3,303,80) was estimated to be current quarter. Rearranging from date, I calculate, by various economies, to spend only £571 0s. 11d. ($2,741.02) during the current quarter, and the sum of £545 10s. 11d. ($2,618.62) in the quarter April to June, that is, a total sum for the six months of £1,116 118. 10d. ($5,359.64). Deducting this sum from £1,856, the total allocation for Grenada for 1915, there is left a sum of £739 8s. 2d. to carry on for the six months to complete the calendar year.
52. For the six months June to December I propose to operate somewhat on the lines of the original plan of campaign, but "exhausting," before leaving it, each area attacked.
53. Estates and school areas will be chosen, and voluntary assistance will be given with perfect good will. Already there is a demand from estate owners to deal with their employees drastically--sufficient to fill in the six months.
54. This arrangement allows the Advisory Committee to honour all obligations undertaken while carrying on pending the ratification of the new budget; no pay- ment of assistants will be possible after 30th June; the services of two microscopists appointed only to 30th June, but subject to continuation, will have, unfortunately, to be terminated; the third microscopist, appointed under the old budget for a year, can be retained; and I am left with a deficit of £86 1s. 10d. ($413.24).
55. I suggest that the local Government accept responsibility for this sum, which, by representation to the Commission at Washington, may be refunded on the next budget.
*
56. I see no other way of rearranging work and expenditure that will at the same time maintain respect for the International Health Commission, satisfy the people, who have been led by wide advertisement of all sorts to expect certain advan- tages, and permit of the honouring of all obligations made.
"
or
57. Also, I regret that any rearrangement will shorten the period of "intensive
intensive area" work; but the arrangement proposed will still allow of
exhaustive "work in smaller selected districts, and I trust the record will not be disappointing to the Medical Director, who was personally anxious to aid the prosecution of this work in Grenada.
58. In connexion with the proposed deficit budget I may remind the Advisory Committee that the nature of appointments to this work allows eventualities the occurrence of which might lessen the suggested responsibility.
59. If it is your pleasure to support my proposal I shall present a budget for the year, estimating all expenditure in detail.
60. Continuing operations in the areas as detailed in the report for February,
the staff have performed a large amount of work.
61. Easter holidays supervened towards the close of the month, and the staff at St. David's area were granted one week's holiday.
62.
There is prospect of the work in St. David's parish being completed by the end of June, after which date I propose to present a report analysing the work per- formed from the start. By that time some twelve thousand people will have been examined; about ten thousand will represent "intensive area" work; and the inten sive areas will give a typical variety of districts for study.
No comments yet.
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