There is not a regularly organized province in the Philippines in which the towns are as clean as are those of Mindoro, where, until recently, we have never had a resident district health officer.
I believe that nowhere in the tropics can there be found native towns which are cleaner or more healthful than are those of Bukidnon, inhabited in some instances by people who have literally been brought down out of the tree-tops within the last two or three years. We have never had a resident health officer in this subprovince.
I mention these facts not as an argument against health officers, but as a proof of what can be done without them by intelligent Americans vested with proper authority.
A Negrito Family and their “House”
It has given me especial pleasure to see the fundamental change which has come about in public sentiment relative to medical, surgical and sanitary work. At the outset sanitary inspectors and vaccinators carried on their work at serious risk of personal violence. Indeed, several of them were killed. Incredible tales were believed by the populace, with the result that cholera victims sometimes had to be taken to the hospital by force. In later years it has been by no means unusual for them to come in voluntarily and request treatment.
General hospitals were in the old days regarded as places where people so unfortunate as to have no homes to die in might go to end their days. It was almost impossible to get any other class of persons into them.
Now we constantly turn away deserving patients from the Philippine General Hospital because of lack of room. The common people are flocking to it in rapidly increasing numbers. We even have “repeaters,” and persons who drop in just to get a comfortable bed and a bath while waiting for an examination which will inevitably show that there is nothing wrong with them.
Our difficulties were increased at the outset by the fact that many foreign medical men working in the Far East good-naturedly ridiculed our efforts to better conditions, claiming that in tropical colonies it was customary to take only such steps as would safeguard the health of European residents, and that it was really best to let the masses live as they would, since orientals were incapable of sanitary reform, and the attempt to bring it about involved a waste of effort that might be more profitably directed elsewhere. Furthermore these men were, in their several countries, practising what they preached.