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portant an affair as this, if it can be arranged with English Foreign Office, that the medical ofheer of the English Consulates in gilärtent parts, or the Consul himself, might Submit a weekly bulletin as to the infected towns or villages in his dist ict in Southern | China. In places where no Consul is stationed, arrangements might be made with some of the leading medical missionaries for a similar bulletin, and it might also be possible, with the concurrence of Sir Robert Hart and the Chinese authorities, for a weekly bulletin on this subject to be sem by the medical officers of the Customs of the di'erent districts.

Information is olgained would be i valu. able, and would allow the sanitary authority of the Colony to act with precision and effective

ness,

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THE HONGKONG TELEGRAPH, THURSDAY, MAY 21, 1903.

no permanent preventive effect in regard to recurrences later on in that house, or in check, ing the migration of rats through their burrows in floor and walls from house to house, while there are at ruus coniunicating from house | to house. New houses are, for this reason, usually exempt from plague. It is in the foot ings of the walls that the rat runs and commu- nication from house in house are usually to be found. The filling up of the rat runs in the footings with glass and cement, and a 3 or 4 inch layer of cement on and at the sides of the footings and on the floor, are necessary to render the ground floor safc.

request of the Government of Hongkong, in- cludes, among other Public Health measures, the necessary alterations in the law to secure reduction of over-crowding of people and of crowding together of houses; the dealing with insanitary property and houses unfit for habita- tion; the removal of windowless cubicles; and the prevention of the construction of insanitary houses and of the formation of insanitary areas, In connection with the treatment of unhealthy areas it may be stated that the Portuguese Government in Mocao has obtained excellent results by the demolition of some of the worst plague-infected areas and rebuilding on sɩni- je.

(8) The careful supervision as regards clean.tary lines. liness and freedom from rats of the houses provided by Government for people removed from any.block of buildings.

(9.) The boarding of vessels when required, and inspection of sick persons.

It may be observed that as most of the land in Hongkong has been leased out by the Crown for 999 years, and is frequently changing hands as a matter of speculation, and restriction of the enactment to property recently leased by (16) The establishment of an isolution station the Crown would, as it has done in former for the observation of any sick persons coming | Ordinances, paralyse sanitary reform, and by boat from an infect, d'district.

should be carefully avoided. It is highly im- (4) The inspection of the quays and repori-portant, also, that those growing parts of the ing to the Harbour Master any relaxarion or Cnlany which have been only sparsely built

with regnal in the arrival of vessels with sickness on board which is infectious, the duease will be reported when the vessel car ies a surgeon, but in the case of ships with no surgeon it is not likely to be reported: an emission which may be die to design or ignorance, but which it is often in possible to determine. Whether from the one or the other is imaterial so far as the result is concerned, for the mischief is done before the sacs come to the knowledge of the authorities, as there is no boarding of the vessel, and no i quiry as to its health cditions or the occur. rance of sakness on board during the voyage, until after the vessel has communicated with the shore and is passengers have landed and dispersed. it will thus be seen, that, apart from plague, the system by which the Colony 6. By the Venice Convention protection is is supposed to be protected from outside disease sought to be obtained by medical inspection is far from satisfactory. The machinery, more. of the pssengers and crew of every vessel over, by which the health work of the port, coming from an infecad port, by taking the stich as it is, is carried ion is also unsatisfactory names and midresse of the passengers, and by in that the two medi al officers are in private subjecting them at their homes to inelical sui practice, which may be an excellent arrange. veillance for a period of ten days. The com ment for a small pont, but not for one the size bination of measures is excellent, and well of Hongkong, which is not much behind Lon-infringement of the regulations relating to preupon, such as Kowloon and its suburbs, should adap ed for the conditions existing in Europe, don as regards the number of vessels and but it is not suitable for Hong-ong. The amount of tonnage that are entered and cleared, Chinaman has a number of names any one of An alternative proposal to that of the ap-. which he an use, which renders i leatification printment of two whole-time Health Officers extremely difficult, while there is to be added fer the Purt, and three or four bearding officers, the confusion arising from wrong addresses who, as there asse no Custom House officers, knowingly or unknowingly given, and the might be police officers attached to the Sani very large number of persons to deal with daily,tary Department, is Dr. Clark's, viz., one Health By ten days time the sit veillance would heer of the Port with three assistant medical come impracticable and neless. Similarly officers. it is immaterial which is adopted as any attempt to quarantine for ten days persons Ing as the work which has to be done is corning from infected districts would be utterly efficiently and quickly carried out. Whatever Hapracticable,

Rat though neither medical arrangement is decided on, it is essential that surveillance nor quarantine is easilfe in the officers should form part of the Sanitary Hongkong, yet it is not advisable in dispense Department of the Colony and should com- with all precautions having for their object the municate direct with the Sanitary Office. protection of the Colony from the impostation 9 These officers would at the same time of plague. Theusar ds of immigrants conving keep a supervision over the fond supply which from infected localities arrive in the Colony, is being bought in the Colony in junks, and are permitted to take up their residence especially with reference to slaughtered pigs without any precaution to screen out those that and other animals. may be infected. The same may be said of other passengers coming from Canton and its neighbaulood, the West River and delta, and other infected cewres in the provinces not far from Hongkong. These dangers require to be

met.

7. In a m, morandum dated March 20th, I suggested to the Government of Hongkong the following.

"A modified system of inspection should, I think, however be introduceri during the first months of the year. Ships and junks coming from the Chinese coast, more particularly those coming from districts in which plague is known to exist even in the slightest degrer, should be banded by boarding officers previous to their admission to the harbour, to ascertain if there is sickness of any kind on board; and if there is the slightest suspicion of sickness, whether supposed to be infectious or not, and there is no medical min on board, the ship or junk should be visited by one of the medical officers assigned to the past for that purpose. Such medical officers, and in fact all the Port Health Officers, should be part of the Fanitary Depart ment, and should report direct to the Medical Officer of "edu. Hongkong has no Custom House Officers who could have performed this duty. I am, however, informed by the Harbour Master that three or four boarding officers would be insufficient for the purpose. I am further of opinion that the Canton steamers native and European-should, during the first six months of the year, carry at their com panies' own expense a medical man, who might be a Chinese gradeate, educated at the Hongkong College of Medicine for Chinese, ro examine the Chinese passengers en roule and report to the boarding officers. All ocean and river steamers with surgeons on board should, on ertificate of surgeon counter-signed by the captain as to freedom of ship from infectious disease then and on the voyage, be allowed to pass without any medical inspection, even if from an inf. cted port. The Health Officer of the Port should, however, po:5:55 discretionary power.

"These arrangemen ́s are quite different from placing passengers and ships from in- fected districts inder observation at a quaron tine station, and they do not attempt medical surveillance orce a passenger has landed. They are simply a rough screen against actual or suspected cases. The system is neither sur veillance por quara-tine, and it would not be followed by either of these. The sick or suspicious only would he dealt with, and taken to hospital or to the isolation station for nb:er. vation; all others would be ficely passed and without delay, greater care being taken with those boats coming from districts in which it is known by the bulletins suggested that plague .cxists.

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Special measures should also be taken for the systematic de-truction of its on incoming steamers and junks from infected ports or the Chinese coasts and which go to the wharves or into the docks. The junks and steamers an- choring in mid-stream need not be dealt with, nor need ships in transit, provided the precan sions referred to in my prevines memorandum for the prevention of rats coming on short from the ships and boats which are moored to the share are rigorously and properly enforced:

It is not in regard to plague alone that the Colony is exposed to outside infection. In the annual report for 1896, Dr. Clark, Medical Officer of Health, painis out that exclusive of plague so per cent. of the cases of infectious disease in the Colony in that year were im- ported by the shipping, few having been detected until after they had come under the care of a. resident practitioner. Every year similar instances can be cited.

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That an inspection of certain food supplies coming into Hongkong is probably needed may be surmised from the fact that in June, 1902, it was reported from a reliable source that dend pigs were being sent in a junk to Hengwong for sale, and, though a close watch was kept by the police on shore the deal pigs were not discovere-t.

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cautions in the barbour to prevent rats from cuming on shore.

(12.) The general destruction of rats in go downs and elsewhere. For this purpose several of Clayston's machines for pumping gas would be useful. The distribution of rat poison in the storm water channels, houses, siores, quays, &c; the super intendence of the work of the rat catchers; the preparation of cultures of Danysz baciilus and its distribution."

(13.) The special destruction of rats in in fected areas. One important observation stands out prominently in these investigations. It is that, whether in the towns and villages of China or in Hongkong itself rat plague pre- crdes human plague, and from this nbservalinn the preventive measure is nåvinus, viz., when- ever and wherever rat plague decors it is important to deal at once with the infection, and not to wait until a number of human plague cases has occurred. The principle in- volved is to be in front of human plague. Rat plague is not only a sign that human plague will sooner or later occur, but it is se intimately connected with human plague that if the rat plique is dealt with effectively human plague will not occur to any great extent.

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be planned out with streets of proper width and with scavenging länes, and that sach house built should have provided at its rear a suit ably seized backyard independent of the sca venging lane, and no block of houses should be permitted to be built without the builder providing sufficient latine and urinat accom modation for the mate occupan's of the block, and there simuld be attached to such latrines arrangements for washing and disinfecting the utensils of the house used by the women and children.

of plague, modified by the local conditions.

In this report it is shown

1. That the whole of Southern China is more or less infected with plague.

II. That the proximity of Hongkong to such an extensively infected area brings with it considerable risk of infection, and that that risk is increased by the fact that the population of Hongkong largely be longs to the Province of Kwangtung, that Hongkong is largely dependent on this province for ils food supply, and that Hongkong is the chief commercial centre for this part of China.

III. That plagite is endemic in Hong- kong quite apart from any possible re- infection.

IV. That the endemicity in Hongkong is mainly dependent on the following:-

(1.) Infection among rats.

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(2.) Infection of the soil in rat-holes, (3) Insanitary condition of the interior of the house, especially in relation to the cubicle system and the darkness, damp; ness, and bad ventilation of rooms, and overcrowding, with its attendant insanitary cvils.

(4) Infection of clothes of people who have died of plague and wise articles of clothing have been removed before dis- infection

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ON TUESDAY, the 2nd June, 1993, at 11 AM, the Company's Steamship "SALAZIE" Captain Aubert, ith Mails, Passengers, Specie and Cargo, will leave this Port for MARSEILLES, vit Ports of Call, WITHOUT TRANSHIPMENT.

Cargo and Specie will be registered for Lon- don as well as for Marseilles, and accepted in transit through Marseilles for the principal places of Europe.

TUESDAY,

Shipping Orders will be granted till NOON only on MONDAY, the 1st June, Specia (5.) The practice of dumping dead and Parcels received until 4 P.M. on the same, hodics in the street and thus effectuallyday. No Cargo will be received on board on concealing the infected houses. The remedial measures as regards .external cines consist in controlling as far as possible the avenues by which infection is introduced into the Colony. For this control it is neces sary for the Government to be regularly in-pany's Office. Jormed as to where plague exists, but even with this information it has to be recognised that, with the southern coast of China in the condi non describel, Hongkong is continually sub- jected to the risk of re-infection, and that no amount of precaution which is within the bounds of practicability can do more than les sen that risk so long as Chia toxes no action.

19. Other causes fivouring the continuance of plague are the dumping of dead bodies into the street and the surreptitious removal of clothing and furniture from an infected house to a healthy one. In the one case the house and in the other the articles of clothing escape cleansing and disinfection, and are liable to retain the infection. Both are very difficult to deal with, but the removal of infected articles might be checked by not permitting In regard to internal causes the remedies lie any furniture, &c., to be removed from a house in the creation of a'special plague organization in the plague season without a written permit to combat plague, and the centralization of all from the Police or Sanitary Office while the sanitary matters into Public Health Depart- dumping would be lessened or the authors disment, with a trained medical man skilled in covered by a well-organized Plague Depart ment systematically and promptly ttaring out the crcumstances connected with cases of (15.) The careful inspection and examina-plague. The systematic examination of rats tron of the conditions of pigs and poultry which would point out the quarters to be specially are being brought from infected districts as watched, as it will mark out the infected dis advised by the weekly bulletins.

tricts or district.

(14.) Preventive inoculation with Huffkine's prophylactic,

The experimen's showing the susceptibility of pigs ant positry to plague, point to the advisability of inspection, whilobservations in the slaughter-house as to the Kistence of disen-e in som of the animals slaughtered emphasise the importance of a careful examina tion of every bing suspici- us not in the ordinary manner but also by the microscope. For this purpose there should be attached to the animal 14. These duties, it will be seen, are distinct depot a small laboratory for the age of the from the nidinary routine of the Sanitary veterinary surgeon. Mse claborate investiga Department, which is occupied chiefly in mat tions could always be referred to the bacterioters relating to the scavenging and couservancy logist of the Calais.

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It will be gathered from this statement dat the measures taken, if any, are not sufficient to prevent importation of disease, and that in consequence the Colony is subjected much risk of being attacked by outbresks of infectious disease, and to a considerable così in dealing | with these outbreaks when they accur

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(16) The keeping of the necessary registers The distribution of handbills in Chinese and notices, also builetins received from South: among householders, merchants, storehouse ern China, and the issuing of the weekly re-keepers, employers of labour, junk owners, and ports.

others, explaining the causes and symptoms of plague, the dangers connected with it, the im portance of notification of sickness to the Sani- iary Department in order to prevent the disease spreading, and the ordinary measures of pre- of the City of Victoria, the villages, and Kow-vention, would assist in dispelling the present toon; to the abatement of nuisances, &c.; to ignorance on the subject, and would likely have the drainage of houses; and to the dealing with a more or less beneficial result. - cases of snail-pox, cholem, d phtheria, and other infect ous disease. It is only the latter denies that could be combined with those of plague prevention.

fe. In addition to the inspection in in- migrants 1 would advise that emigration be regulated as it is elsewhere; and, with thi- in view, arrangements should be made that the emigrant houses are known, registereil, and kept under sp cial cratrol; "that they are in- spected ibuly; that their sanitary condition as Neither do the du ies in any way touch the regards cleanliness, superficial area, cubic larger sanitary questions of the Calony, such space, sunlight, and ventilation is thoroughly as the distribution of the water-supply and its looked after; that a proper register of the names purity, as apart from the constructive work, of the inmates is kept by the emigrant house the maintenance of the sewerage and its dush- keeper; and that the state of health of every ing arrangements, the laying out of streets, emigrant in the Colony is also known ; and this public and private, profecting new streets and can only be obtained by regular medical in-scavenging lanes, improving the line of old spection of the emigrants in the emigrant streets, the reservation of open spaces, the houses and immediate compulsory natification construction of healthy houses, the space to be of all sickness, whether infectious or not, by left in and about buildings to secure fee cir- the emigrant house keeper.

culation of air, the reservation of land for publio purposes, and the provision of markets, bath and wash-houses for men and women, and of public and private latrines and urinals. Nor do they include the abolition of cubicles with out windows nor the larger questions relating to insanitary property. There are areas, such as Mo. 5 district, in which nothing short of RC- quiring the property, compensating the owners, And demolishing and reconstructing, can im- prove the sanitary conditions, and there are others in which the conditions can be gradually improved. There is also the very important duty of preventing what is actually even now 12. The first remedial measure which it is taken place, of insanitary areas springing up. advisable to adopt is the employment of a in the town; and of blocks of buildings being small but specially organized st ff, well trained erected to contain hundreds of inmates without to deal with plague, and not to be dependent the owner of buildings being obliged to pro- on a supply of untrained men hurriedly collect-vide for each house a latrine in the backyard, ed, who are practically useless, and accordingly and for every block a public latrine with a very costly,

proportional number of seats to the number of inmates the block is likely to contain.

11. Coming to the internal causes, it is in- possible to remove, exost gradually, the suucturally insanitary houses which have been described and which promote the continuance ef plague, but it is not impossible to at once appoint a staff which shall be exclusively engaged in dealing with plagas in the bumas being or in rats, and which shall pay special attention to the removal of those conditions known to be directly connected with the spread of plague. Ity this means the disease can be kept with a moderate limits, and both panic and disturbance of trade be prevented.

Amall but special Plague Department under the control and direction of the Medical

Officer of Health has sufficient duties to per- form to keep it fully occupied, both during the plague season, and in the autuma and winter, when there is little or no plague.

As stated in my memorandum of March 20th, the lague work should be independent of the enclinary, sanitary rou ine work of the day, and therefore requires a special establishment which can work in conjunction with the Sanitary De partment and get the benefit of its assistance. But the two should not be amalgamated to that degree that one set of duties are lost in the other Director and executive head of both should be the Medical Officer of Health for the Colony. His time must not, however, be occupied with clerical work, which should be relegated to a capable head c'e k, or, if neces sary, several clerks working in his office. I would recommend that the weelly bulletins received by the Governmen', and all official documents relating to the health of the Colony or to nuibrears of disease in other countries should be sent direct to the Medical Officer of Health; while official documents relating purely to administrative work should be addressed to the administrative president of the Sanitary

Board.

13. The duties of the special Plague Depart- ment, summarized, are :---

(*) The discovery, location, and m'scrosco- pical examination of plague cases, whether →

Rat plague,

Human plague.

(2) The iracing out the history of the human plague and the connection with others, if any, of each case, and the following out the course

from one house to another.

(4.) The examination of contacts and dis infection of the contacts' effects.

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8. The system of medical inspection now in vogue is not protective. The Health Officer f the Port is only called upon to inspect a vessel or make inquiries as to the health of those an board when it comes from an it fected port which it has been declared by the Government of Hongkong and published in the Greeffe in | of rat plague. be an infected port, which is likely to be a very (3) The removal and disinf ction of clothes, tardy mode of procedure; or when vessel &c. If no person were permitted during the arrives which has on board' sickness which is plague season to remove furniture from any believed to be of an infectious nature. A de-house without a certificate granted by the Police claration of this kind, involving after all only' or Sanitary Department, a check would be medical inspection of the ships and no quaran placed on the wholesale removal of infected tipe of the vessel, but a detention at the most clothing and "furniture which now take place of a few hours, in the event of illines, being on board, is misunderstond in other ports, and is opt to be followed by the inposition of quaran tine on the ships from the port whi. b has been declared infected as well as on all ships from Hongkong. The two measures will bear no comparison. Medical inspection deals with the (7) The seeing that infected buildings and sick or those suspect d to be sick on board, adjoining buildings are made rat-proof, and that and the delay caused by this and the disinfec-nir and light are admitted into these buildings tion of the ship if necessary is counted by Much good work can, in many instances, be hours, and in the event of ne sickness by less, done by windows so situated as to let light and whereas quarantine deals with the ship whether air into the room. It is necessary to make the infected or not, and the delay is counted by houses ral-proof, for so sooner is one house days. Ten days is placed as the maximum by cleansed on account of infected rats than an the Venice Convention, and those that have other in the vicinity has to be cleansed because not agreed to the terms of the Venice Conven- infected rats are found in it, and so the process tion may.fix any period they many think fit. In goes on. There is a continual cropping up is the one case the inconvenience to the shipping different houses in the same block of rats in very alight, while in the other it amounts to which are infected. The cleansing and pour- a serious hindrance to trade and great financial ing of carbolic acid down the rat run has only Joss to shipping,

a temporary effect on the house, and can have

The vacating of buildings, 6. The special destruction of rats and the cleansing of infected building.

15. These sanitary duties, which are now more or less carried out by diferent and in- dependent officers, are not co-ordinated under the Head of a department, and do not and can not under present arrangements receive the attention which they absolutely require, and it is obvious that a San tarý Board meeting in frequently and having a President who, as it happens, is particularly well fitled for the pa ition, but who is not expected to devole his whole time to the duties or even the greater portion of his time, who has no administrative or executive powers other than carrying out the decisions of the Bourd in meeting, and whe is not on the Executive Council of the Govers. ment, cannot give that continuous and detailed attention to the sanitary requirements which the rapidly growing City of Victoris on one side of the harbour, and the town of Kowloon on the other, deinand,

16. The result is that notwithstan ing the efforts of the Government since 1894, and the excellent work done by, Dr. Clark, the Medical Officer of Health of the Colony, whose sanitary duties are both administratvie and executive, à combination which is too onerous when plague also has to be dealt with, the housing in Hong- kong according to Mr. Chadwick is no better but rather worse than it was twenty years ago, when he first visited Hongkong, while in sami tary matters generally it is evident that there is an absence of a continuously progressive, prospective, and controlling policy, culminat ing in scarcity of water and the general un- satisfactory condition of municipal matters re- ferred to in this report. All constructive work is excellent and worthy of the Colnay, whether it relates to water supply, sewerage, reads on the hill-side, the slaughter house or animal depot, while the general scavenging of the streets is the best in the East, and is remark- ably good considering the conditions under which it has to be carried out

17. With a full recognition of these good works, there still remains the fact that the existing arrangements are inadequate for the sanitary requirements of the Colony. All mat ters relating to sanitation should be centralized and deal with by one department, viz., a Public Health Department, which should be administered by an officer who should devote the whole of his time to such duties and who should be ex-officio chairman of the board and head of the department This afficer, whose functions would be that of a Sanitary Commis- sloper, should be a medical mon specially uained and skilled in sanitary affairs and responsible to the Government for the efficient administration of the department, just as the Director of Public Works is respons Els for his.

20. Outside the Sanitary Department and in the domain of hospital administration, which is ably and admirably controlled by the Principal Medical Officer of the Colony, is the Govern- ment Infectious Hospital, to which plague pa- tients are sent for treatment. This hospital was not originally built for the purpose for which it is now used, and is consequently de- ficient, in many respects, in the accommoda- tion necessary for such institutions even though it has been supplemented by a number of ex- cellent mat sheds and also by the Hospital Ship, the "Hygein."

It was provided rather for an emergency than is a permanent infectious hos, ital. There are no detached and suitable observation wards in which a patient suffering from lever of a suspi- cious character can be isolated with absolute safety, and with separate attendance, until it is determined whether the disease is plague or not. A patient of this kind cannot be placed in a plague ward, or even in the plague hospi ial block. Without suitable and properly si tuated observation wards in connection with the hospital, the isolation of suspicious cases, or of cases which it is considered necessary to isolate for a cenain period, and which may have been taken from board ship or from shore, is very much handicapped if not rendered im possible. There is also no proper accommo- dation for nurses. If a nurse is required for a female plague or small-pox patient, she has to be taken from the General Hospital, and is subjected to much inconvenience if she has to remain as it is most desirable she should, in the Infectious Hospital, for nursing plague patients, and at the same time residing in a general hospital could not be countenanced. There are also no special quarters outside the hospital block for the wardmasters or for the resitient physicians, one of whom should always be on the premises. There are, moreover, 1.0 separate blocks for small-pox or for cholera, and it is quite possible, as happened, in 1902, that small-pox, cholera, and plague may be prevalent at the same time.

it is necessary in a well-arranged infectious hospital that separate buildings be provided for each of these diseases, both for Europeans and Chinese to the near future the accommoda- tion for Chinese suffering from infections di- sease will be materially improved by the new Tungwa Hospital, which is being built on mn dern principles, close to the infectious hospi tal. The new Tungwa Hospital will meet a distinct want, but it is advisable that the Gov. crnment Infections Hospital should also be re-modelled as soon as possible. The existing building would do well for the accommodation of the staff and as the administrative block of an enlarged and more modern hospital, with extensive observation wards in a convenient but well-isulated position.

2. In connection with the Emigration Ser- vice, which is a service of crowds of coolies, there should be an observation station, for with such large numbers of emigrants, amounting to over 100,cco yearly, returning to Hongkong from different foreign ports, it must occasionally happen that the ship arrives infected. Many of the sips bring goo and sometimes over 1,003 at one time.. The Health Officer of the Port instanced the necessity of an observation station in the case of the "Cheangchew," which arrived from Singapore in 1901, and which on arrival was found to be infected with cholera. The patients were sent to hospital, but owing to there being no observation station the other passengers had to be accommodated in junks whi'e the ship was being cleansed and dis- infected, an arangement which was most unsatisfactory, as the passengers ware exposed to the inclemency of the weather, and there could be not proper sanitary arrangements for them. Moreover, as it was advisable, under the circumstances, to keep them several days under observation, inen, women, and children were mixed up in the junk, which in a few days became most insanitary. There is nothing to prevent a similar: occurrence in the future unless special provision is made beforehand for these contingencies.

There is at Kap-si-mún, on the small island of Mawan, the old custom house, which has come into the possession of the Hongkong Government since the recent addition of new territory. It is admirably situated and, with Biti jer few alterations, well adapted for an isolatioa er 18. As regards the housing in Hougkeng, it observation, stallon, and it is accordingly re- has been fully dealt with by Mr. Chadwick and commended to be fitted and used for that me in our report of May 14th, 1920, a copy of}: purpoKE?

which is appended. The bill which was deafted | * 27. In conclusion it may be stated that the by us with the assistance of Dr. Clark, at the remedial measures depend on what in known

savitary matters as its administrative chief, who shall be ex-officio President of the Sanitary Hoard, and who shall be responsible to the Government for the efficient administration of the department.

By these measures an effectual control will be obtained over the outbreaks of plague, and it wil be possible to deal gradually but effec- tively and on a commensurate scale with the numerous problems connected with the housing question and the general insanitary condition of Hongkong which serve to perpetuate the continuance of plague in the Colony.

W. J. SIMPSON, M.D., F.R.C.P. December 22nd, 1902.

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M. DE VARVILLE,

The Famous Spiritualistic Medium in modern American Magic presenting THE BRIGANDS' BOX

A SIMLA SEANCE, The Dramatic Illusion "SHE, or only a dream," in which a lady is consumed in flames, and all the intést novelties in the

MODERN AMERICAN MAGIC.

POPULAR PRICES. $3, 2, and 1. 834

Plans op ca to-morrow morning at Robinson's"? $11.67 and Seats can be booked from 9 am to 4.30

63.60 p.m. ..25 3/16

Doors open at 8 p.m. Overture at 9 p.m.

under the direction of

Per chest .@ $900/920 960/980

E. J. CHARD. Hongkong, 18th May, 1903

(5954

1,010/1,040

@ 1,010 1,007 Nominal

D-VAYI Advertisements,

POSTPONEMENT. DOUGLAS STEAMSHIP COMPANY, LIMITED.

FOR SWATOW, AMOY AND TAMSUL THE Company's Steamship

"HAILOONG," Captain Gibson, will be despatched for the above l'orts, TO-MORROW, ihe 22nd instant,

at 11 AM

For Freight or Passage, apply to

DOUGLAS, LAPRAIK & Co., General Managers.

Hongkong, 21st May,

1903.

EQUITABLE LIFE

HENRY

STRON HYDE, Founder,

IN TH

thing that quitable polic

efore nowhole

Wales, Nors

cy

thecis desirable in a is ever Write for infrighding the superiori

di,other compan

Hongkong.

F. KIENE. Manager,

AUSTRIAN

[19

[599€

LLOYD'S STEAM NAVIGA- TION COMPANY. NOTICE TO CONSIGNEES. FROM TRIESTE, FIUME, PORT SAID, ADEN BOMBAY, COLOMBO, PENANG AND SINGAPORE.

THE Steamship

FEDERATED MALAY STATES. NEGRI SEMBILAN GOVERNMENT, ASSISTANT SURGEONS

WANTED.

1. Applications will be received for the Post of qualified ASSISTANT SURGEONS in the NEORI SEMBILAN GOVERNMENT SERVICE. FEDERATED MALAY STATES. Salary $1,188 per Annum with Annual Increments (to be granted subject to conduct being satisfactory) as specified hereunder, and free furnished Quarters and allowance for Lighting,

2. Appointments will be made, in the first instance, ON PROBATION ONLY FOR SIX MONTHS, at the end of which time, if satisfactory the holder of an Assistant Surgency will be confirmed. He will then be required to sign agreement for 5 years, on expiry ofwhich, should his service continue to be satisfactory he will be put on the Fixed (Pensionable) Establishment.

3 Candidates niust hold some such a dip- loma as the L.M. and S. of a recognised Medical College.

4. Applications with Copies of recent testi- monials will be received by the Secretary to Resident, Negri Senthilan, Malay Peninsula.

5. Free 2nd class passage to Negri Sembilan

will be grated TO THE CANDIDATE APPOINTED and on his being confirmed in the appointment, to his wife and not more than

2 children. If he is not confirmed and his conduct his beco satisfactory his passage back to India will also be defrayed by Government. 6. Free fully furnished quarters and lighting will be allowed.

SCALE OF SALARY.

1st year agreement..............$1,188.

طار

גל

2nd

3rd

タト

#1

sth 11

6th

$1

7th

8th

9th 91

futh

15th

12th Examination......... Final

1,348,

1,320.

1.370.

1,452

1,584.

1,7.16.

.1,848.

1,980.

2,316.

2,316.

*2316.

*** 2,520. N. H.-Candidates should note :

(4) That the present VALUE OF $1 is

about 1/8 or Rs. 14.

(& That NO PRIVATE PRACTICE will

be allowed.

(c) That 4 % is deducted from salary monthly as a contriburion to Widows and Or. pbans Pension Fund after confirma- iton in appointment.

VINDOBONA," having arrived, Consignees of Cargo are hereby informed that their Goods are being landed at (d) That qualification for pension cannot be their risis, into the Godoins of the Hongkong attained before the age of 55except and Kowloon Wharf and Godown Company, "on' the grounds of ill-health or aboli- Limited, whence delivery may be obtained.

Mion of office MORTEN ER MAN Optional Cargo will be discharged here.unless Approved candidates will be expected to notice to the contrary be given immediately assist the State Surgeon is discharging, in No Claims will be admitted after the Goods addition to ordinary Medical and Surgical have left the Godowns, and all Clatins must be duties, and without extra remuneration, anch sent in to the Office of the Undersigned before services as Government may require ofdbem. Nooo, on the 28th instant, or they will not be The following are some of those now re recognized.LV PENGKOL SA 'quired pag

No Fire Insurance has been effected, and any (1) To take and record Meteorological Obser- Goods remaining in the Godownsj after the 28th [*]

vations.

PRAKTIKA instant, will be subject to rent.

(i) Test for polson, etc. and for adulteration,

of milk, food, ate

Bills of Lading will be countersigned by

SANDER WIELER & Co., My Agents, Hongkong, arst May, 1903

{5974

(ii) Perform Post Mortem Examinations and

give Medical Evidence in Courts of Lawy