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PUBLIC RECORD OFFICE

Reference :-

TLC.O. 885

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Governor has the power to appoint private practitioners to perform the duties of medical districts on temporary agreements, and in recent cases vacant appointments have been filled in this way, but it is not proposed to make such appointments in future.

Jamaica. The appointments, 54 in number, are mainly district appoint- ments with private practice allowed; the salary paid by Government varies from 100%. to 2501. per annum. New comers are, in some cases, attached for a while to the public hospital in Kingston, and given an allowance at the rate of 2001. per annum, but not permitted to undertake private practice. Some medical officers receive a varying capitation allowance for attendance on immigrants. All medical officers are obliged to subscribe at the rate of 4 per cent. on their salaries towards the pensions of officers' widows and orphans.

Trinidad and Tobago.-In Trinidad and Tobago there are 35 appointments. Under the terms of the Ordinance regulating the medical service, officers are appointed in the first instance on two years' probation as supernumeraries. They receive a salary of 250!. per annum with furnished quarters, and are usually attached to the Government hospital; the salary assigned to the district appointments, to which they are promoted as vacancies occur, is 3001,, which is increased to 4001. and upwards by various allowances for horse, house, or otherwise. These posts carry the right to private practice. After every five years' service an officer is given an additional personal allowance at the rate of 504. per annum. All officers hereafter appointed are required to contribute 4 per cent. of their salaries for the provision of widows' and orphans' pensions. In a few districts a system has been introduced by which the work is performed by private practitioners under temporary contracts,

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Windward Islands (Grenada, St. Lucia, St. Vincent).-The 22 appoint- ments are, with few exceptions, district appointments with the right to private practice attached; the salaries paid by Government vary from 250/. The Governor has the power to to 4001, with allowances in certain cases. transfer a medical officer from one island to another at his discretion..

Leeward Islands (Antigua, St. Christopher and Nevis, Dominica, Mont- serrat, Virgin Islands). The 25 appointments are of the same nature as in the Windward Islands. An officer when first sent out is not appointed to a particular island but to the service of the Leeward Islands, with a salary of 2501. and the Governor decides as to the district which is to be allotted to him. He is liable to be transferred at the Governor's discretion to any medica! district in the Leeward Islands, and in certain districts may be required to perform magisterial duties. The medical officers receive fees for successful vaccinations, post-mortem examinations, attendance and giving evidence at courts of justice, certificates of lunacy, and, in the larger islands, for 'burial certificates. They are also allowed private practice.

British Honduras.-There are four medical appointments (besides the principa! post of Colonial Surgeon). One of the medical officers is paid $1,458 a year, two are also district commissioners, and receive $1,944 for the combined posts of medical officer and district commissioner, and one receives $750 a year and is entitled to private practice, but not to pension. Unless they already possess a diploma of public health, médical officers are liable to be required before they join the colony to undergo a course of instruction at a laboratory of public health or analogous institution. The dollar-about 4s. 2d.

Fiji. The medical service has recently been re-organised, and officers appointed in future will be styled Government Medical Officers, and receive a salary of 300%, rising by annual increments of 10% to 400%. They will be allowed private practice, so far as is consistent with the proper discharge of their duty to the Government. They will be required either to take charge of hospitals er of districts, at the discretion of the Authorities. The posts will be

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pensionable. As at present arranged, there will be ultimately 15 of them in addition to a senior medical officer (who at present receives 450%, and 50%. allowance for house rent), and a chief medical officer (6007. a year).

Government Medical Officers will be given free quarters or an allowance in lieu thereof.

Ceylon. The Principal Civil Medical Officer receives 1,2507. rising by annual increments of 501. to 1,400l. per annum. There are an Assistant Principal Civil Medical Officer on 7501. by annual increments of 50l. to 8501. and a Medical Superintendent of Lunatic Asylum on 600-800/ Registrar of the Medical College, Colombo, and the Director of the Bacteriological Institute receives 4501.-6007."; the Surgeon-in-Charge of the General Hospital 6007,-8007.

The

There are nine Provincial Surgeons (Rs. 6,000-Rs. 8,400), 29 First Grade Medical Officers (Rs. 3,600-Rs. 5,400), 36 Second Grade (Rs. 1,800-Rs. 3,000), and 55 Third Grade (Rs. 1,200-Rs. 1,800). Private practice is allowed to the subordinate officers, but the Colonial Surgeons may take only consultation practice. The Medical Service of Ceylon is mainly recruited from among gentlemen born in the island, but possessing British diplomas.

Straits Settlements.-Two house surgeons in the General Hospital, Singapore, and two in the General Hospital, Penang, on 3001. rising to 360, with free quarters. There are 13 other subordinate posts in the Medical Department, with salaries varying from 3007. (rising to 360.) to 7801. (rising to 9007.). Some of these posts have free quarters attached, and the holders of some are allowed private practice within limits. The salary of the Principal Civil Medical Officer is 1,000/.; he receives also 2001. a year as Inspector General of the Medical Institutions in the Federated Malay States.

Federated Malay States.-There are 18 District Surgeons, on salaries of 4201. rising to 540. There are also four State surgeons, on salaries varying from 480/. (rising to 5407.) to 7201. (rising to 8407.). The House Surgeon at the General Hospital, Kwala Lumpor, Selangor, is paid 3007, rising to 3607. Medical Officer is attached to the Regiment of Malay States Guides, his salary being 3601. to 480/.

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Medical officers have no claim to private practice, and the enjoyment of it will be strictly subject to the permission of Government. The private practice to be obtained is limited, Government officers, the wives and families of certain classes of officer and, in some States, the employés of neighbouring mines, being attended free.

The posts of District Surgeon in the Federated Malay States and the corresponding appointments in the Straits Settlements are, as a rule, filled by the promotion of officers who have entered the Service as House Surgeons.

Hong Kong.-Principal Civil Medical Officer, 8007. rising to 1,000. There are two Health Officers of the Port, four Medical Officers of Health, and four Most of these Assistant Surgeons, with salaries of 4801, rising to 7207. appointments are pensionable. Private practice is not allowed, and free quarters are only given in a few cases. The Government Bacteriologist receives 500/., rising to 6007.; and his assistant, 360/., rising to 420/.

In Hong Kong, officers whose salaries are fixed in sterling are paid locally in dollars, at a rate of exchange fixed monthly by the Government and based on the average exchange value of the dollar during the preceding month. When the dollar is at or over 2s., sterling salaries are converted at 2s. to the dollar. In the Straits Settlements and Federated Malay States sterling salaries are converted at the Government rate of exchange, which is at present 2s. 4d. to the dollar.

Mauritius.-There is a Head Quarters Staff consisting of a Director (Rs. 10,000), an Assistant Director (Rs. 8,000), two Sanitary Wardens

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PUBLIC RECORD OFFICE, LONDON

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