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On arrival at the school we saw the M. V. John Brown leaving and to 
our waves and shouts that they stop the overloaded tiny coastal trawler 
simply sailed on and the students and teachers waved greetings and good 
bye's to us. On the black sands of the beach some 300 remaining 
students and Miss Ann Anderson, a New Zealand teacher, greeted us and 
invited us to a comfortable two-story school building where we started 
to bleed. We bled some 273 students in about three hours and with Miss 
Anderson, a Solomon Island teacher and Judy and myself all recording, 
we had the bleeding lists done by noontime. I sent out all 1 students 
who had Mantoux tests over 15 mm in diameter when Richard Lee tested 
them last month to the Alpha Helix for chest X-rays and then all the 
standard 6A, 6B, 7A and 7B students plus a few of the older standard 
Standard 5A, 5B and 4 students for chest X-rays. It was a grueling task. 
We made one major error which I knew was an error when it started and 
which foolishly I did not stop in time. Thus, as I was getting the 16 
Mantoux positive students located and hand numbered with felt-tipped 
ink serial numbers on the back of their hands before sending them to the 
ship for X-rays, the others started bleeding upstairs in the school 
building. This produced so much anxiety and worry in the over 200 
assembled students outside that I had to quickly insist that my doctors 
move the operation outside to the lawns in the midst of the students where 
they should have been at the start. It was a bit too late however and a 
moderate level of anxiety had crept into most of them. I managed, 
however by quickly starting to bleed out of doors among them, to provoke 
some laughter and when we all moved out into the open things went far 
better. However, the first wave of anxiety had its effect. One student 
fainted ten minutes after being bled and during the morning three others 
did as well. 
We had broken several of my tenets about taking blood specimens from 
villagers; 
“Bleed only in public and in the open 
-Bleed only after the whole group is assembled and all seated and lined 
in sequence and holding their venules. 
-Do not let anyone move around or stand up after bleeding (they can best 
be bled standing) and let no one set down their own blood. 
-Let no one hold blood for another, not even for a toddler. 
-Bleed first any child who whimpers, cries, indicates possible flight or 
otherwise shows high anxiety. 
-Do not collect blood specimens and "release" any subject until all 
the population is assembled and "captured" and laughter and relaxation 
characterize the operation. If there are many bleeders then work at 
different parts of the assembled group and quickly shift to any part 
of the line where boredom, anxiety or too much discussion develops. 
-Bleed small children first and capture the anxious and "wise guy" 
adolescents quickly. 
—Employ as assistants holding arms and cotton wads and alchohol and 
venules all the children who might otherwise lead flight or dissent... 
mostly adolescents. 
-Keep subjects out of heat and sun before and after bleeding. 
