On May 15 there began a rapid and quite steady decline in the number of cases.
In June, however, it increased. During July it grew steadily larger, and on the 25th of that month there were ninety-one cases, the largest number which has ever occurred in Manila on any day since the American occupation.
Throughout the early months of the epidemic Major Maus had laboured unceasingly to check it, displaying an energy and an indifference to fatigue and personal discomfort which were highly commendable. The long-continued strain ultimately began to tell on him severely. On May 17 orders were received from the Adjutant-General’s Office providing for his relief on or about July 30, and stating that Major E. C. Carter, of the United States Army Medical Corps, would be available for detail as commissioner of public health on that date, if his services were desired. Arrangements were accordingly made to have Major Carter proceed to the Philippines. Major Maus’s resignation was accepted, effective July 31. Dr. Frank S. Bourns was urged to take temporary charge of the situation, and consented to do so.
In Hostile Country
Colonel Villamor and the author at Bakídan’s place in the Kalinga country. The four chiefs were not as yet ready to lay down their shields or head-axes.
On the 8th of August Major Carter arrived and announced his readiness to assume his duties, but it was suggested to him that he ought first to have some time to familiarize himself with them, and Dr. Bourns was left free to carry out the special work for which he had been appointed.
This he did with promptness and despatch, the number of cases for August being but seven hundred twenty as against thirteen hundred sixty-eight for the previous month. On the 8th of September, having brought the disease under control at Manila, he insisted on resigning in order to attend to his private affairs, which were suffering from neglect, and his resignation was reluctantly accepted.
Dr. Bourns’s remarkable success in dealing with a very difficult situation was largely due to his ability to devise measures which, while thoroughly effective, were less irritating to the public than were those which had been previously employed.