CO885-(25-26) — Page 24

22

PUBLIC RECORD OFFICE

C.O.

Reference :-

885/25

PUBLIC RECORD OFFICE, LONDON

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

2

!

26

2. The Committee proceeded to consider certain proposals made by Mr. Fiske and Dr. Duke for future measures in connexion with sleeping sickness in Uganda. Memoranda* on the subject, prepared by Mr. Fiske and Dr. Duke, were in the hands of the Committee, and Mr. Fiske was asked to give further information concerning his plans. The Committee also heard statements by Dr. Duke and Dr. Wiggins. Mr. Bottomley also spoke.

This

Mr. Fiske explained that the native population had already returned to some parts of the prohibited areas, in spite of Regulations under the Uganda Sleeping Sickness Ordinance. His proposal was that these breaches of the Regulations should be legalized when it was clear that no harm had resulted, and that the Ordinance should be specifically amended so as to permit of the immediate intro- duction of a scheme of general repopulation under adequate safeguards. experiment of gradual repopulation was to be accompanied by further careful investigation of the whole question. The necessary investigation would involve the appointment of an Inspector, or officer in general charge of sleeping sickness preventive measures, and also a Medical Officer, who would conduct field work in the epidemiology and endemiology of sleeping sickness, preferably an officer who had had experience of sleeping sickness in Uganda. Mr. Fiske considered that the Inspector and Medical Officer might conveniently relieve and assist one another. Experimental work directed towards ascertaining the true affinities of the trypanosome which now existed in the antelope and fly in the riparian zone would be undertaken by the Bacteriologist, Dr. Duke, in addition to his regular duties. A power launch, preferably steam, large enough to transport two European officers, with full camp equipment, was an absolute necessity. In addition, an Assistant District Commissioner would be required for the adminis- tration of the repopulated territory.

The Chairman asked whether there was any great objection to the alternative of deferring further repopulation until the investigations proposed by Mr. Fiske have been completed.

Mr. Fiske emphasized the fact that it was of great importance to commence repopulation at the earliest possible date. He stated that the natives had been moved from the prohibited areas on the understanding that this was only a temporary measure, and that there was a danger that the native chiefs would soon lose confidence in the Government unless early steps were taken towards repopulation. Sir J. Rose Bradford pointed out that repopulation must be carried out to a certain extent in order to make the proposed investigation of any value, and he drew attention to the point that repopulation had already started.

Dr. Duke stated that it was not intended that there should be an indiscriminate readmission of natives to the proscribed areas. Repopulation would be gradual, and at first those who returned would be put to the necessary work of bush clearing,

etc.

Mr. Bottomley stated that it was desired to obtain the advice of the profes sional members of the Committee on the point whether the experiment of repopula- tion could be carried out immediately without risk of grave disaster.

(Mr. Fiske, Dr. Duke, Dr. Wiggins, and Mr. Bottomley then withdrew). After further consideration of the question, the Committee agreed to recom- mend strongly that the investigations, proposed by Mr. Fiske and Dr. Duke, should be carried out, and that the additional staff and material required, including the steam launch, should be provided. The Committee especially recommended the proposals for laboratory work to be carried out by Dr. Duke, the appointment of Mr. Fiske as Inspector, and also the appointment of a Medical Officer from the existing medical staff in Uganda.

The Committee also agreed to recommend strongly

(a) That existing violations of the Sleeping Sickness Ordinance and Regu lations should, if no harm has resulted, be regularized by specific amend- ment to the Regulations as provided in the Ordinance; and

(b) That the Regulations should also be specifically amended to permit immediately of the reoccupation of districts or islands in which condi- tions were, or could be made, sufficiently safe.

They anticipated that no great danger would result from such a course, provided that repopulation was gradually and cautiously carried out, and was confined to specially selected localities.

*Nos. 40, 41, and 42.

3.

27

The Committee considered the financial position of the fund, and agreed that the annual grants to the London and Liverpool Schools of Tropical Medicine and the Quick Laboratory should be continued at the present rate.

4. Certain papers which had been circulated for remarks to professional members were laid upon the table. The decision made at the last meeting that no contribution could be made from the Fund towards the cost of leprosy investi- gation in Malta was confirmed. With regard to diet sheets of the Leper Asylum in British Guiana, professional members expressed the opinion that the scale of diet was in many respects inadequate, and it was agreed to recommend that the scale of diet recently approved for leper asylums in India should be followed.

The Committee adjourned at 5.25 p.m.

64433

No. 20.

THE LIVERPOOL SCHOOL OF TROPICAL MEDICINE to COLONIAL

OFFICE.

(Received 10th November, 1919.)

SIR,

Exchange Buildings, Liverpool, Saturday, 8th November, 1919. I HAVE the honour to enclose, for the information of the Tropical Diseases Advisory Committee, the following report of the Liverpool School of Tropical Medicine for the half-year ending the 31st October, 1919, on the work done in con- nexion with the Government grant.

(1) Joint report of the Sir Alfred Jones Professor of Tropical Medicine (Lieutenant-Colonel J. W. W. Stephens, R.A.M.C.), and the Walter Myers Professor of Parasitology (Professor Warrington Yorke). (2) Report of the Dutton Professor of Entomology (Professor Robert

Newstead).

Enclosure 1 in No. 20.

I am, &c.,

S. EVANS,

Acting Secretary.

The Incorporated Liverpool School of Tropical Medicine, SIR,

H.24, Exchange Buildings, Liverpool, 1st November, 1919. WE beg to submit the following report for the period 1st May, 1919, to 31st October, 1919.

Tuition.

The number of students attending the course of instruction for the Diploma of Tropical Medicine during the autumn term is twelve, and eight veterinary students are attending the special course in veterinary parasitology.

Research.

Malaria.-Nine further papers, Studies in the Treatment of Malaria," XXII-XXX., have been published. The following are the titles of the papers and the conclusions reached :-

By

XXII. Intramuscular injections of quinine bihydrochloride, grains 15 on each of two consecutive days only, in malignant tertian malaria. Lieutenant-Colonel J. W. W. Stephens, W. Yorke, B. Blacklock, J. W. S. Macfie, C. F. Cooper, and H. F. Carter. Annals of Tropical Medicine and Parasitology, Volume XII., No. 1.

An intramuscular injection of quinine bihydrochloride, grains 15 in 2 c.c. of water on each of two consecutive days only, causes the cessation of febrile paroxyms and effects the disappearance of trophozoites from the cutaneous blood in malignant tertian malaria. The action, however, is only temporary, a relapse occurring within three weeks, occasionally within a few days.

XXIII Oral administration of quinine sulphate, grains 30 on each of two consecutive days weekly, over a period of five weeks, in malignant