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APPENDIX "D."

ST. LUCIA. BOARD OF HEALTH.

Additional Regulations framed by the Board of Health under the authority of the Public Health Ordinance, 1871.

1st July, 1916.

1. THE following regulation, to be numbered "1A," shall be added after Regulation 1 of the Additional Regulations framed by the Board of Health on the 8th September, 1915, approved by the Governor in Council on the 15th September, 1915, and published in the Gazette of the 25th September, 1915 :--

1. The owner or occupier or person in charge of every house situate without the limits of any town or village shall provide and maintain a properly constructed closet or privy or latrine of such description and con- struction as is approved for the time being by the Board of Health.

Where it appears to the Government Sanitary Inspector or to an Inspector of Nuisances that any such house is not provided with a suitable closet or privy or latrine, or that, having been so provided, it has not been maintained as the Board of Health requires, the Govern- ment Sanitary Inspector or an Inspector of Nuisances may, by notice in writing served upon the owner or occupier or person in charge of such house, require him within a time specified in such notice, not being less than fourteen days from the day of service thereof, to pro- vide or efficiently maintain the same. If such owner or occupier or person in charge fails to comply with the requirements of such notice within the time specified, he shall be liable to a penalty for every day he fails to comply as aforesaid.

2. The words " the Government Sanitary Inspector or to" shall be inserted between the word "to" and the word "an in the first line of Regula- tion 6 of the aforementioned Additional Regulations.

Framed by the Board of Health this 16th day of May, 1916.

B. P. E. Bulstrode,

Secretary.

Approved by the Governor in Council this 21st day of June, 1916.

Belvidere District :--

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(3) Monthly Reports for March, April, May, 1916.

2. Great credit is due to Dr. Covington for the ability and devotion with which he inaugurated the campaign, and his work was well carried on by Dr. Kearney. As soon as it was plain that their efforts were being successful, it became necessary to ensure that they should not be wasted, as seemed very probable, owing to the insanitary habits of the peasants and the small funds at our disposal for sanitation,

The two most important points were, of course, to reduce the area of damp ground in the villages where the hookworm lies in wait for its human host, and to wean the peasant from his immemorial habit of reinfecting the soil.

The first object is being attained to some extent by clearing bush in the villages. The second has hitherto been regarded as impracticable, but I have good reason to hope that it may be achieved.

3. After many experiments, a form of seat for pit latrines suited to local conditions has been found. A number of these are being distributed gratis to the more intelligent peasants, and a sanitary inspector is appointed, under the Country Board of Health, whose duty it is to see that the latrines are properly used." am receiving In the propaganda which accompanies this distribution I the greatest assistance from Dr. Griswold, who is now in charge of the ankylos- tomiasis campaign. Not content with confining himself to his special duties. Dr. Griswold has proved an apostle of all kinds of sanitation, and his efforts have been so successful that seats are becoming the fashion in the villages. Once this is obtained the battle will be won, and it will be possible to insist on the general use of latrines. Free distribution will shortly cease and be replaced by the sale at cost price to householders.

your

sanction

4. In my despatch No. 188, of the 6th June,* I have asked for for the appointment of a sanitary inspector, and I would now invite your approval of the expenditure of not more than £30 on cleaning villages and making latrines.

I have, &c.,

T A. V. BEST,

Acting Governor.

PUBLIC RECORD OFFICE

Reference :--

885/25

PUBLIC RECORD OFFICE, LONDON |

ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC-

COPYRIGHT PHOTOGRAPH-NOT TO

43426

No 5.

B. P. E. BULSTRODE,

Clerk of Councils.

LEEWARD ISLANDS.

THE GOVERNOR to THE SECRETARY OF STATE.

(No. 281.) SIR,

(Received 11th September, 1916.)

[Answered by No. 6.]

Government House, 16th August, 1916.

WITH reference to your despatch Miscellaneous, of the 8th October, 1915.*

I have the honour to enclose copies of the following Reports on the Campaign for the Relief and Control of Ankylostomiasis in Antigua, undertaken by the Inter- national Health Commission of the Rockefeller Institution:-

York Valley District :-

(1) Report on the period 15th September to 31st December, 1915.

(2) Final Statistical Report on period 15th September to 29th February,

1916.†

* 45850; not printed.

+ Not printed.

Enclosure 1 in No. 5.

(1) REPORT ON the Relief and Control of ANKYLOSTOMIASIS IN THE YORK Valley DISTRICT OF ANTIGUA, BY HAROLD Leslie KEARNEY, A.M., M.D. PERIOD Covered by the report: 15th September, 1915, to 31st December, 1915. Force engaged: Director, two microscopists, two nurses, one assistant nurse, supernumerary nurse, caretaker.

I. Introduction.

Antigua is one of the British West Indian islands, and is a presidency and the seat of government of the Leeward Islands Colony. It is a short distance north of the French island Guadaloupe, its latitude being 17° 5' north, and its longitude 61° 50′ west. Its area is one hundred and eight square miles. There are few springs and no rivers. The land is in the main low lying and unforested. The average annual] rainfall is thirty-four to forty-four inches.

The total population of the island is about 31,000, of which about 1,000 are white, about 4,000 coloured, and about 26,000 black. St. Johns, the chief town, has a population of about 8,000.

The industries of the island are purely agricultural, and the principal crop grown is sugar.

II. Preliminary Investigation.

As some doubt existed as to the prevalence of ankylostomiasis in Antigua, a preliminary survey of the island was done by Dr. Eric Marshall, and the results, showing a distribution of the infection throughout the island, reported to the Government. The percentage of infection found by Dr. Marshall was deemed sufficient to warrant the undertaking of an intensive campaign to eradicate ankylostomiasis in Antigua.

* 82318: not printed.