476 
in  the  examining  of  children.  All  others,  whom  the  exigencies  of 
space  forbid  me  to  mention,  I  mast  ask  to  accept  my  most  grateful 
thanks. 
II.  INTRODUCTORY 
In  preparing  this  report,  i  have  kept  two  objects  m  view  ;  first 
of  all,  to  give  as  scientific  and  accurate  a  description  as  possible  of 
the  prevalence  and  distribution  of  Malaria  in  Jamaica  and  of  the 
measures  necessary  to  diminish  it,  which  I  hope  may  be  of  some 
value  and  interest  to  other  medical  and  scientific  men  who  have  to 
deal  with  similar  problems  elsewhere  ;  and,  secondly,  at  the  same 
time,  to  do  so  in  such  a  manner  as  will  place  the  facts  before  the 
Executive  and  the  general  public  of  Jamaica  in  simple  and  non¬ 
technical  language.  For  this  purpose  I  have  thought  it  advisable 
to  enter  into  some  details  as  to  the  history  of  malaria,  the  life 
history  of  the  parasite,  and  the  habits,  etc.,  of  the  mosquito,  which 
are  now  well  known  to,  and  accepted  by,  the  scientific  world,  but 
which  my  visit  to  Jamaica  showed  me  were  not  fully  appreciated 
by  the  laity  in  the  Island.  Doubtless  these  details  could  be  obtained 
from  various  reports  and  works,  but  experience  shows  that  people  will 
not  take  the  trouble  to  wade  through  numerous  blue  books  and  papers 
in  order  to  extract  the  necessary  information  from  a  mass  of  other 
details,  and  I  hope  that  in  thus  condensed  form  it  will  receive  the 
careful  study  of  those  upon  whom  devolve  the  various  health  problems 
of  the  Island,  and  that  a  serious  effort  will  be  made  to  bring  Jamaica 
abreast  of  modern  progress  in  this  direction.  Jamaica  has, 
unfortunately,  allowed  itself  to  fall  somewhat  behind ;  the  sister 
islands  in  the  West  Indies  are  taking  active  measures  in  the  direction 
of  anti-malarial  and  anti-mosquito  sanitation,  and  lamaica  must  bestir 
itself  if  it  is  not  to  be  outstripped. 
And  I  should  like  to  say  that  this  condition  of  affairs  is  not  due 
to  want  of  appreciation  of  its  necessity  on  the  part  of  the  Head  of 
the  Medical  Department  and  the  medical  profession  generally  in  the 
Island.  One  still  occasionally  meets  a  medical  man  who  does  not 
believe  in  the  so-called  mosquito  '  theory  ’  of  malaria.  If  such  exist 
I  did  not  meet  any  of  them.  But  I  did  find  a  body  of 
men,  most  keen,  energetic,  enthusiastic,  and  fully  up-to-date  in 
modern  scientific  methods  and  in  knowledge  of  the  vast  strides  which 
