By remedying overcrowding, improving drainage, installing sewers and regulating diet along scientific lines, the rate was reduced in six months to 70 per 1000, and there it stuck.
A systematic examination of the stools of prisoners was then made. Eighty-four per cent were found to be afflicted with at least one intestinal parasite. Fifty per cent had two or more, and twenty per cent had three or more. Fifty-two per cent of the total had hookworm. Active treatment for the elimination of these parasites was begun in one barrack, and after the work was completed it was noted that there was much less disease there than in the remainder. All of the thirty-five hundred prisoners were ultimately examined, and intestinal parasites eradicated if present. The death rate then dropped to thirteen to the thousand, and has remained at or near this figure up to the present time.
I have already referred to the discovery of the cause of beri-beri, and to the effect of the governor-general’s order forbidding the use of polished rice in government institutions or by government organizations.
I subsequently made a strong effort to secure legislation imposing a heavy internal revenue tax on polished rice, thus penalizing its use. I failed, but such effort will be renewed by some one, let us hope with ultimate success.
In Spanish days cholera, leprosy, smallpox and other dangerous communicable diseases were constantly reintroduced from without. This is no longer the case. The United States public health and marine hospital service has stretched an effective defensive line around the archipelago and has sent its outposts to Hongkong, Shanghai and Amoy, to prevent, so far as possible, the embarkation for Manila of persons suffering from such ailments. We now have the most effective quarantine system in the tropics, and one of the best in the world. At Mariveles there is a very large and complete disinfecting plant, and vessels may also be satisfactorily disinfected at Cebú and Iloilo.
This quarantine service kept the Philippines free from bubonic plague for seven years, and has repeatedly prevented the entry of pneumonic plague, that most deadly of all known diseases.
A peculiar and shockingly disfiguring disease known as yaws occurs somewhat infrequently in the Philippine lowlands and is very prevalent in a number of places in the highlands. In many ways it resembles syphilis, and indeed at one time was considered to be syphilitic in its origin. Doctor Richard P. Strong, of the Bureau of Science, made the very important discovery that salvarsan is an absolute specific for it. The effect of an injection of this remedy closely approaches a miracle in medicine. In five or six days the condition of the patient begins to improve rapidly. By the end of the second week his horrible sores have healed.
It was with this remedy that we began our health work among some of the wilder head-hunters of northern Luzón. Think of the advantage of being absolutely certain of curing such an ailment in every case, and think of the gratitude of poor wretches, undergoing untold suffering, when they were almost immediately relieved!
Soon after this use for salvarsan was discovered, I caused a liberal supply of it to be sent to the Bontoc Hospital. For some time we were unable to persuade any victims of yaws to undergo treatment, but finally we found one at Barlig who was guilty of a minor criminal offence, arrested him, and took him to Bontoc. Instead of putting him in jail there, we sent him to the hospital for treatment.
At first he complained bitterly that we were putting no medicine on his sores. Then the remedy began to work and he decided it was “strong medicine.” By the tenth day he was running around town joyfully exhibiting his rapidly healing body to every one who would look at it. On the fourteenth day he suddenly disappeared, to the deep regret of the medical men, who had hoped that they might keep him as an example of what could be done, and thus persuade others to undergo treatment. A few days later, however, he reappeared with thirteen victims of yaws from his home town, having meanwhile twice covered on foot the great distance which separates Barlig from Bontoc, and assembled and brought in his fellow-sufferers.