5^5 
In  the  interior  of  the  Island,  after  its  re-introduction  in  1905, 
Yellow  Fever  continued  to  spread,  and  this  was  attributed  to  the 
great  lapse  in  Sanitation,’  and  the  lack  of  hearty  co-operation  on 
the  part  of  native  Cubans.  Consequently '  an  act  was  promulgated 
in  August,  nationalizing  the  Sanitary  Service,  abolishing 
Municipal  Boards,  and  placing  public  health  affairs  in  charge  of  a 
‘  central  body,  presided  over  by  the  Chief  Sanitary  Officer,’  and  no 
doubt  in  the  Annual  Report  for  1909  the  effect  will  be  apparent. 
In  Havana,  the  result  of  the  new  Sanitary  administration  has  been 
at  once  apparent,  as  shown  in  the  following  statistics  :  — 
Cases  of  Yellow  Fever  Deaths  Percentage 
Year  ending  30th  June,  1906  .  82  28  34 
•'  ),  61  Q 
»  J  -  1908  ...  . .  .  Q  [  II 
The  necessity  of  continuity,  system,  and  permanence  in  Sanitary 
administration,  to  which  I  shall  draw  attention  later,  is  here 
exemplified  in  the  most  striking  manner. 
IX.  ANTI-MALARIAL  MEASURES  IN  JAMAICA 
Measures  Already  in  Force 
The  first  question  is,  what  steps  have  already  been  taken  in  the 
direction  of  the  Prevention  of  Malaria,  and  an  inquiry  showed  that 
these  are  practically  nil.  The  following  replies  from  the  District 
Medical  Officers  give  the  results  :  — 
Stoney  Hill:  ‘No  anti-malarial  measures  are  taken  in  this 
district.’ 
Morant  Bay  i  ‘  Nets  used  by  the  better  classes.  Some  families 
take  some  care  in  dealing  with  possible  breeding'  places 
for  mosquitoes.  No  general  preventive  measures  have 
been  adopted.’ 
Hordley :  ‘  None,  so  far  as  I  am  aware.’ 
Port  Antonio:  ‘No  anti-malarial  measures  taken  by  the  Local 
Sanitary  Authorities.  Mr.  Mitchell  has  filled  in  ten  acres 
of  morass  privately.’ 
St.  Ann’s  Bay :  '  Beyond  drainage,  no  anti-malarial  measures 
have  been  taken  in  the  district.’ 
