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PUBLIC RECORD OFFICE

Reference :-

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sion in the town on the very sweeping conclusions which he has drawn in connexion with the work here, and I venture to think that sanitary progress is rather impeded than otherwise by wild generalizations of this kind, which are incapable of proof, and by the practice of invariably appreciating the labours of the Liverpool School of Tropical Medicine, and belittling the work of others in the same direction. I can assure you that the Government and the municipality are fully alive to the necessity of sanitary improvements; but these, however, can only be effected gradually, must be carried out as the finances of the colony and city permit of them, and must, above all, if they are to be of any use, be accompanied by the education and co- operation of the native population. With apologies for troubling you at such length,

I am, &c.,

W. T. PROUT,

1

Principal Medical Officer and Medical Officer

of Health, Freetown, Sierra Leone.

Sanitary Office,

City Council

March 23.

37464

No. 104A.

CEYLON.

GOVERNOR SIR J. WEST-RIDGEWAY to MR. LYTTELTON.

(Received October 12, 1903.)

[Answered by Nos. 116, 121 and 123 in this book and by 13619 in Miscellaneous No. 179.]

(No. 405. Miscellaneous.)

SIR,

The Queen's Cottage, Nuwara Eliya, Ceylon, September 15, 1903. I HAVE the honour to acknowledge receipt of your circular despatch of 28th May, 1903,* on the subject of the Tropical School of Medicine, and reviewing the measures adopted in connexion with the investigation of malaria and the training of medical officers in the treatment and prevention of tropical diseases.

2. With reference to paragraph 20, in which it is stated that the Government of Ceylon has promised a subsidy of £100 per annum for five years towards the revenue of the School, I shall be glad if you will be so good as to refer me to the number and date of the despatch in which this promise was made.

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3. To enable this programme to be carried out and to increase the general utility of the Institute, the Resident-General has made certain recommendations in a letter, No. 4572/03, of the 2nd of September current, a copy of which I have the honour to enclose for your consideration.

4. At present there are two qualified European assistants attached to the Institute, drawing £360 a year for three years, and eligible for transfer to the Medical Department as district surgeons. The Directors are to be seconded for periods of three years, and the Institute is liable to suffer from want of continuity in its policy and aims. To obviate this possibility, it is proposed to arrange for the permanent employment in the Institute of one of the assistants, but before making any recommendation I should like to hear what Sir Patrick Manson thinks of the proposals, and would ask that this correspondence may be referred to him.

5. I would, however, like to say now, that I cannot recommend that the Fede- rated Malay States do more than undertake the cost of the Institute, the salary of the Director and one permanent assistant. Any other assistant (and I think there should be only one other), should be available for ordinary district surgeon's work, when it is necessary, for any reason, to relieve an officer of the regular Medical Department.

6. I certainly concur that private practice should, wherever possible, be for- bidden, and that in no case should it be regarded as a right.

I have, &c.,

(No. 3181/03.)

SIR,

Enclosure 1 in No. 105.

F. A. SWETTENHAM.

Resident-GenERAL to HIGH COMMISSIONER.

Resident-General's Office, Taiping, September 2, 1903. I HAVE the honour to enclose copy of a letter I have addressed to the British Residents on the subject of the work of the Institute for Medical Research.

His Excellency

I have, &c.,

W. H. TREACHER,

Resident-General,

Federated Malay States.

The High Commissioner,

Federated Malay States, Singapore.

I have, &c.,

J. RIDGEWAY.

(No. 3181/03.)

SUBJECT.

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

PUBLIC RECORD OFFICE, LONDON

37562

No. 105.

FEDERATED MALAY STATES.

HIGH COMMISSIONER SIR F. A. SWETTENHAM to MR. CHAMBERLAIN. (Received October 12, 1903.)

h

[Copy to Sir P. Monson October 30, 1903, 37562: not printed. See No, 112.] [Answered by No. 124.] (No. 501.) SIR,

Government House, Singapore, September 16, 1903.

I HAVE the honour to enclose, for your information, copy of a letter, No. 3181/03, of the 2nd of September current, which the Resident-General informs me he has addressed to the Residents of the Federated Malay States, and which sets out the programme prepared by Dr. Daniels for the work to be done in the near future at the Kuala Lumpor Institute for Medical Research.

2.

Dr. Daniels's proposals may be summarized as follows:-

(i.) Further investigations regarding the mosquito theory of malaria.

(ii.) The bacteriology of dysentery and diarrhœa.

(iii.) Investigation of diseases of the vegetable kingdom and insect pests as

affecting local agriculture and the planting industry.

* [('d. 1598] June 1903.

Proposed Programme of Work at the Institute for Medical Research, Federated

SIR,

Malay States.

Resident-General's Office, Taiping, September 2, 1903.

I HAVE the honour to inform you, for communication to your State Surgeon, that the Director of the Institute for Medical Research is at present carrying out the following programme in regard to investigations at the Institute:-

To complete the work on malaria with special reference to the part played by mosquitoes and the causes of the varying prevalence and malignancy of the fevers met with here.

To undertake a bacteriological investigation of dysentery and allied forms of

diarrhoea.

2. Dr. Daniels also hopes to be able to accomplish something in connection with the diseases of the vegetable kingdom if attention is limited to one branch-- the diseases caused by certain insects, and he will be glad in case of any outbreak of animal or vegetable disease to give such aid to the Veterinary or other Depart- ments as he can, but he is unable to advise the creation of a Department for the regular study of these diseases, which would require extensive space, expert know- ledge, and a large number of assistants.

3. In a letter, No. 102, of 23rd June last, Dr. Daniels writes:-

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With regard to the more general utility of the Institute, though I do not consider it advisable at present to undertake the extended study of either animal or vegetable diseases, we could be of help to undertake