74 ALASKA FISHERIES AND FUR INDUSTRIES IN 1917. 



garded as prejudicial to tlie interests of the Bureau and without compensating 

 benefit. 



(b) The physician shall keep an accurate record of all ca-ses treated, giving name of 

 patient, diagnosis, treatment, and results. He shall also make periodical physical 

 examinations of all natives and record findings on health cards kept in the dispensary 

 for this purpose. These records shall be open to inspection by proper persons. 



(c) The physician shall report daily to the agent in charge the names of workmen 

 who are totally disabled, those partially disabled, and those detained at home on 

 account of sickness in the family. These men shall not be called upon for work unless 

 approved by the physician. 



(d) The physician shall report monthly to the agent in charge all medical and 

 surgical cases treated during the month, giving the results of treatment; number of 

 births, giving name, sex, and date of birth; number of deaths, giving name, age, 

 sex, and cause of death; and other pertinent information. The forms of blanks sub- 

 mitted by the agent under date of December 5, 191G, for birth certificates, death 

 certificates, rejwrts of surgical operations, and christening certificates are approved 

 by the Bureau and mil be used until otherwise directed. Copies are to be furnished 

 to the Bureau. 



(e) The physician shall report at least annually to the Commissioner of Fisheries 

 all medical, surgical, sanitary, or other work done during the year or period covered 

 by such report, offering any recommendations for health improvement he may deem 

 necessary. This report shall begin when the last preceding report ended, so that 

 there will be no period of time not covered by a report. The original and two copies 

 of each report shall be delivered to the agent in charge, who will forward the original 

 to the Commissioner of I^^sheries with such comments as he deems proper, retain one 

 copy for the official files of the island, and forward one copy to the agent in charge 

 of St. George Island for the information of the physician on that island. A copy shall 

 also be retained in the files of the dispensary on St. Paul Island. 



(/) The physician is authorized to condemn supplies of foodstuffs when he knows 

 beyond any reasonable doubt that they are unfit for human or other consumption. 



(g) The physician shall make weekly inspections of all houses in the village and the 

 surrounding grounds and report to the agent in charge any person breaking the health 

 regulations. 



(h) From time to time the physician will make necessary inspections of the live 

 stock. 



(i) Owing to the nature of the physician'-s work and the likelihood of his being 

 called at any time, day or night, he will not be required to do any station work other 

 than his regular duties unless the circumstances are unusual or of an emergency 

 nature. The physician will no doubt at times be glad to assist in some phases of the 

 work not directly connected with his duties. 



St. Paul Island. — In October an epidemic of influenza assumed 

 such proportions that the vigor of the natives was materially im- 

 paired and fall sealing operations were noticeably affected. 



The use of the hospital on St. Paul has been continued to advantage. 

 The Bureau was fortunate in being able to arrange for the cooperation 

 and services of a trained nurse, the wife of the resident physician. 



It was reported that the new priest for the native congregation 

 had shown a wilUngness to cooperate in an educational way in 

 lessening insanitary church customs. 



St. George Island. — In March, 1917, there broke out on this island 

 an epidemic reported by the physician as varicella. The epidemic 

 reached its height in April and continued into May. There were 

 about 48 cases, and all occurred in children under 10 years of age. 

 The physician called attention to the long lapse of time between the 

 arrivalV the last steamer, which reached the island November 3, 

 1916, and the commencing of the epidemic, March 21, 1917, a period 

 of four and one-half months. Later in the year there was an epidemic 

 of influenza, said to have been introduced from Unalaska. There 

 were a number of mild cases, a few serious ones, and one death 

 resulted. 



