It is believed that about one Filipino in five suffers from tuberculosis in some form during his life and the work we have thus far accomplished in many fields must be considered as in a way a clearing of the decks for action against this, the greatest enemy of all. However, the Philippines do not differ essentially from other civilized countries, in all of which tuberculosis is a very serious factor in the death rate.
As regards infant mortality the situation is different. More than fifty per cent of the babes die before completing their first year of life. The causes which lead to this appalling result have been made the subject of careful investigation which still continues. Popular interest has been aroused, but it is undoubtedly true that many years of patient work will be necessary before anything approaching satisfactory results can be brought about.
The physical condition of the average Filipino is undoubtedly bad. Of one hundred seventy-eight university students recently examined sixty-nine were found to be suffering from serious organic troubles. Unquestionably the great mass of the people are underfed. This is largely due to the poor quality of the rice which they consume, and to the fact that rice forms too large a part of their diet. I am firmly convinced that much of the so-called laziness of the Filipinos is the direct result of physical weakness due to improper and insufficient food.
Since the American occupation a large amount of time has been successfully devoted to the working out of a good all-around diet made up of local products the cost of which comes within the means of the poor. The next thing will be to get them to adopt it, and there comes the rub. Incalculable good would result, if we could only persuade the people of these islands to sleep with their windows open. Thousands upon thousands of infant lives would be saved annually, if mothers could be persuaded not to give solid food to their little ones during the early months of their existence.
In the educational campaign which we have thus far conducted with some considerable degree of success, two agencies have proved invaluable, namely the Catholic Church and the public schools. Again and again I have begged Apostolic Delegate Monsignor Agius and Archbishop Harty to bring to bear the influence of the Church in favour of simple sanitary regulations, the general adoption of which was imperatively necessary in combating some epidemic of disease. They have invariably given me invaluable assistance.
Through the public schools we reach more than half a million children, and they take the information which we convey to them home to their parents. Simple rules for the prevention of cholera have been universally taught in the schools. When the use of English has become generalized the difficulty now encountered in reaching the common people will largely disappear. The truth is that they are singularly tractable and docile when their reason can be effectively appealed to. The readiness with which they have submitted to the rigorous measures necessary for the elimination of leprosy is a lasting honour to them.
A Typical Negrito
The people of this tribe of woolly-headed blacks are believed to be the aborignes of the Philippines. Only about twenty-five thousand of them remain.
Would the sanitary campaign so vitally important to the people of the Philippines be effectively continued if American authority were withdrawn at this time? With regret I must answer this question emphatically in the negative. We have succeeded in training a few good physicians and surgeons. We have thus far failed to train really efficient sanitary officers. What is lacking is not so much knowledge as to what should be done as initiative and courage to do it. Until this condition changes radically for the better, Filipinos cannot safely be intrusted with the sanitary regeneration of their country. Under American control the population of the islands is steadily and rapidly increasing. It is my firm conviction that if Filipinos were at this time placed in control of the health work, the population would steadily and rapidly decrease.