﻿190 The Philippine Journal of Science isw 



case of malaria should be reduced from two to four days, the 

 patients, of course, being required to come to the free dispen- 

 sary daily, every other day, or twice a week, as the case may be, 

 for subsequent treatment until the disease has been completely 

 eradicated. 



Mosquito-suppression division. — This division should be im- 

 mediately under the direction of the visiting physician who, in 

 turn, is responsible to the chief physician. 



Mosquito-suppression measures of economy and of approved 

 value should be carried out by the chief mosquito inspector 

 and such additional employees as are necessary. Modification and 

 method of procedure in this division as well as in all others 

 should be indicated by written circulars of instruction from the 

 chief of the department. Such detailed rules and regulations 

 as will insure daily inspection of breeding places of mosquitoes, 

 location of infected mosquitoes, infected patients, etc. should 

 be made very explicit and be very rigidly enforced. This 

 division of the work in San Jose is already in a very satisfactory 

 condition. The chief mosquito inspector might well be a male 

 trained nurse who has had special instruction in this branch 

 of work. 



The mosquito-suppression division and the sanitary division 

 should be the advance guard in opening any new camp or new 

 spot of civilization or in any other method of extension of the 

 activities of the company. 



The sanitary division. — This division is a very important one. 

 The chief sanitary inspector should be a male trained nurse 

 who has had special instruction in general sanitary work. He 

 should be directly responsible to the visiting physician and have 

 such additional help as may be necessary. He should inspect 

 daily every habitation and every camp and report on every 

 case of illness, particularly persons suffering with fever and 

 requiring hospital or free dispensary attendance. He should 

 see that sleeping quarters are not overcrowded, are kept with 

 at least a semblance of cleanliness, and that they are properly 

 ventilated. He should enforce rules regarding the distribution 

 and use of water; the collection and disposal of sewage and 

 garbage; should locate and destroy the breeding places of flies; 

 and should carefully inspect and control the sanitary condition 

 particularly of kitchens, mess halls, and other places where food 

 refuse of any kind is apt to accumulate. 



It hardly seems necessary to indicate further the numerous 

 minor details connected with the efficient administration of these 

 two divisions. 



