EDITORIAL. 443 



we can get these matters straightened out, but I want simply to emphasize 

 the fact that much of what we call insanitary conditions in the provinces 

 can be laid to the door of the municipalities. 



Dr. Henry Fraser, director of the Institute for Medical Research, Kaula 

 Lumpur, F. M. S. : The country which we have occupied for thirty years, 

 The Federated Malay States, is healthful and attention is, of course, 

 directed to the water supply, and not to the particular factors in life. 

 The main work is clone in the outlying districts. 



As regards our efforts in sanitation, such as the combating of malaria, 

 the government has expended large sums of money which are now 

 bringing about good results. In reference to the education of the laity 

 in combating disease, instructions are given in simple language to the 

 school children and by them given to their parents. This method has 

 proved satisfactory. 



Dr. Jackson: I am sorry that my paper has been taken as a reflection 

 on the health authorities and the Government. I believe in the Govern- 

 ment of the Philippine Islands, but on the other hand I think the 

 individual has a right to his views, and I only expressed views that I 

 have observed in conversation with other Americans. My own personal 

 view, which is all I put forward here, is that the native of the Philippines 

 has a great respect for law, and I believe these laws as they now exist 

 can be enforced without expense, and I believe with Dr. Saleeby that 

 the trouble lies with the local authorities. 



I do not hesitate to say that the conditions as they are now can, within 

 a very few months, without the expenditure of very much money, be 

 remedied and the ordinances relating to sanitation be enforced. I 

 know the Filipino people well enough to know that if the leading men 

 of the towns were instructed and told what to do, they would help us. 

 If the enforcement of these laws could be placed upon the health officers 

 of the provinces and at the expense of their positions, I think that the 

 laws would be obeyed in six months' time. I do not lay much value 

 on the sweeping up of towns, and in this respect I have nothing to 

 offer to the Health Department or to the Government, but I think what 

 we need is criticism. My criticisms in this matter are entirely friendly 

 and I am sorry that anyone should take any other view of it. 



Dean 0. Worcester: I regret that Dr. Jackson should feel that anyone 

 connected with the Bureau of Health would object to honest criticism. 

 He certainly ought to know by this time that it has become impossible 

 to hurt the feelings of Dr. Heiser or of myself. We have developed 

 hides as thick as those of a pair of rhinoceri and the darts of the enemy 

 produce not the slightest impression upon them. 



But Dr. Jackson must not expect to make criticisms without drawing 

 our fire in return. I understand this to be a fitting occasion for the free 

 interchange of ideas. I spoke somewhat hastily, as I had a good deal 

 to say and knew that Dr. Musgrave was holding the watch on me and 



