322 MUSGRAVE AND SISON. 



living inay be an ideal house. What should be done is to move that house 

 out on the Pasay beach, or anywhere else where there will be ample room, 

 use its doors and windows for firewood, and reduce the occupants to a 

 sensible number. 



In a recent paper read before the Manila Medical Society, 3 we stated 

 in part as follows : 



With our more or less limited funds and the peculiar local conditions modifying 

 our problems, its solution along the usual lines of the employment of sanatoriums 

 and other methods which must take a winter climate into consideration, is 

 neither practical nor advisable. The continuous summer, the abundance of cheap 

 and available real estate and the cheapness of residence construction makes large 

 tenement houses unnecessary. In a city in the United States or Europe real 

 estate is of such great value that reasonble air space for its tuberculous poor 

 may be obtained only at enormous expense, while here there are thousands of 

 hectares of cheap land in and near all cities, the cost of construction of very 

 satisfactory buildings is exceedingly small, and, finally, the art of building 

 houses from bamboo is a common inheritance of the people. 



The construction of sanatoriums of the colony type for the control of tuber- 

 culosis is not a new idea and has been carried out more or less extensively in 

 Europe and in the United States for some years; but in these countries the 

 expense of construction and of real estate has made it too expensive of application 

 on a large scale in congested centers. 



The Philippine Islands seem to be peculiarly well adapted to colonization along 

 very economical lines, and we, therefore, recommend the adoption of the method 

 of the elective colony sanatorium together with the immediate construction of 

 an experimental colony in or near Manila, and hereby submit a tentative set of 

 plans for such a colony which have been prepared for us by Mr. C. A. Barretto, 

 of the Bureau of Public Works. 



If, as we believe it will, this colony proves itself successful, the plan is econom- 

 ical enough to allow of its extension throughout the Islands. 



In general, we would say that the colony should be built and maintained under 

 the direction of the Government. The expense of construction should be light, 

 the Government furnishing the land, building material (bamboo and nipa), and 

 the tenants constructing their own houses according to plans furnished them; 

 the necessary streets and public buildings, such as hospital, schoolhouses, and 

 residence for officials, being constructed by the Government. 



The operation of such a colony need not add additional expense to the budget, 

 for officials of the Bureau of Education, Bureau of Health, and Medical School 

 could care for the respective departments with less effort than is now being 

 expended by them in caring for the same tuberculous people scattered here and 

 there in their homes and in Government clinics. 



With an abundance of land lying idle, cheap building material, and a class 

 of patients who are able and willing to build their own homes, the cost of con- 

 struction of an experimental colony to accommodate 250 persons should be small, 

 and we feel confident that the expense of maintenance would be less than the 

 sum which the Government is now paying for the care of a few of its tubercular 

 citizens. At the International Congress of Tuberculosis which met in Washington 

 this year, Doctor Jacobs made a preliminary report of what he termed a "Farm 

 Colony" established in connection with the Maryland Hospital for Consumptives, 

 in which he stated that the colony was practically self-supporting after one year. 



"Bull. Manila Med. Soc. (1910), 1, 6. 



