﻿IX, B, 2 Sanitary Survey in Mindoro 189 



sician. To visit officials and families, employees sick in quarters, 

 and all sick persons. In charge of mosquito brigade and sani- 

 tary corps. 



Chief sanitary inspector. — Directly responsible to the visiting 

 physician. To have charge of the carrying out of all rules 

 relating to general sanitation. Five sanitary inspectors should 

 assist him in the performance of his duties. 



Because the work of the sanitary department is so compre- 

 hensive and the work to be done is of such magnitude and so 

 urgent, it is recommended that the chief physician organize 

 his department into four individual divisions, namely: (a) Ad- 

 ministration division ; (6) hospital and dispensary ; (c) mosquito- 

 suppression division; and (d) sanitary division. 



Administration division. — This should be in immediate charge 

 of the superintendent of the hospital, and should consist in the 

 institution and maintenance of a satisfactory system of records, 

 professional as well as those of accountability of property, etc. ; 

 these records, of course, to include the preparation of the neces- 

 sary pay roll, requisitions, receipts, etc. connected with the run- 

 ning of the department. It should have charge of the general 

 questions of employees, housing, property, supplies, commissa- 

 ries, mess hall, cooks, kitchens, and dormitories for attendants. 

 The superintendent must, of course, have the necessary book- 

 keeper, clerks, and other employees for the proper administration 

 of the division. 



Hospital and dispensary. — This division should be directly 

 under the resident physician for his professional work, the 

 chief nurse for her professional work, and the superintendent 

 for the administrative work — all these three, in turn, being 

 responsible to the chief physician. The division of the sanitary 

 department needs some strengthening in personnel, as is in- 

 dicated above, and its duties should be increased successfully to 

 care for all sick people of the community. It is not possible to 

 conduct this division with any degree of efficiency under the 

 present construction and arrangement of the hospital. A rough 

 sketch outline of suggested additions to the hospital has been 

 furnished. The committee is fully aware of the fact that ad- 

 ditional construction is expensive, but the most important con- 

 dition to be met in Mindoro at the present time is to get rid 

 of as much of the malaria now there as is possible. To do this 

 will require expansion of the hospital, the establishment of a 

 fairly large free dispensary service, and good cooperative work 

 on the part of the sanitary department. With increased hospital 

 space and increased personnel, the hospital days of the average 



