In several instances perfectly sound people have been thrust among lepers who were being taken on board steamer for transfer to Culion.

This grievous wrong was committed by their enemies under cover of darkness, and in the confusion which attends the embarking of a number of people in a heavy sea.

The reason why the services of Americans are often specially requested for diagnostic work is not far to seek! It is a significant fact that our greatest success in establishing satisfactory provincial sanitary conditions has been achieved in certain of the "special government provinces," where the people are under the very direct control of American officials.
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.
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.