The Philippines: Past and Present Volume I Part 49

to provide facilities for the examination of fibres, etc. Obviously there would be a large amount of work for the general government in connection with investigation of the mineral resources of the country, and the testing of coals, cements and road materials.

Smallpox was decimating the population. There was need of the manufacture of great quant.i.ties of virus with which to combat it, and of other common and necessary serums and prophylactics as well.

Here then was a golden opportunity to start right. In imagination I saw a Bureau of Science for scientific research and for routine scientific work, a great General Hospital, and a modern and up-to-date College of Medicine and Surgery, standing side by side and working in full and harmonious relationship. The medical school would give to the youth of the land the best possible facilities for theoretical training in medicine and surgery, while access to the wards of the hospital would make possible for them a large amount of practical bedside work. Its operating amphitheatres would increase the opportunity for clinical instruction, as would a great free outpatient clinic, conducted primarily for the benefit of the poor. Professors in the college would hold positions on the hospital staff, not only in order to give to them and to their students every facility for clinical demonstration work, but to enable them constantly to "keep their hands in." Promising Filipino graduates would be given internships and other positions on the house staff of the hospital. Patients would be admitted to its free beds subject to the condition that they allow their cases to be studied by the faculty and students of the college. The necessary biological and chemical examinations for the hospital would be made in the laboratories of the Bureau of Science, which would at the same time afford every facility for the carrying on of scientific investigation by advanced students, by members of the faculty of the college and by members of the hospital staff. Members of the staff of the biological laboratory would have the use of the great volume of pathological material from the hospital, and with free access to its rooms and wards, would have an almost unparalleled opportunity for the study of tropical diseases, while some of the officers and employees of the Bureau of Science and of the Bureau of Health might be made members of the faculty of the college and their services utilized as instructors.

As we had neither laboratories, hospital nor college at the time, the realization of this somewhat comprehensive scheme seemed rather remote. It was commonly referred to as "Worcester's dream," and one of my friends in the army medical corps probably quite correctly voiced public sentiment when he said, "Poor Worcester has bats in his belfry." However, he laughs best who laughs last! After the lapse of a good many years my dream came true. The three great inst.i.tutions which I hoped might sometime be established are to-day in existence, and are doing the work which I hoped that they might perform. Now let us consider how they came to be.

In the early days I drafted an act providing for the establishment of a Bureau of Government Laboratories which should perform all of the biological and chemical work of the government under the direction of one chief, and on July 1, 1901 the commission pa.s.sed it.

I was more than fortunate in securing as the director of this bureau Dr. Paul C. Freer, then professor of general chemistry at the University of Michigan.

Dr. Freer obtained leave of absence for a year, in order to help us get started. This leave was twice extended for additional periods of one year each, and in the end he decided to sever his connection with the university and throw in his lot with the Philippine government.

He remained in charge of the Bureau of Government Laboratories and of its successor, the Bureau of Science, until his death on April 17, 1912.

Himself a chemist and investigator of note, he had a wide and catholic knowledge of science in general, and no better man could have been found for this important piece of constructive work. For nearly a year the two of us laboured over plans for the laboratory building and lists of the necessary books, instruments, apparatus, gla.s.sware, chemicals and other supplies. At the end of this time we submitted to the commission what I do not hesitate to say was the most complete estimate for a large project which ever came before it. Much forethought was necessary in order to time the orders for books, instruments and apparatus so that it would be possible to house them properly when they arrived, and the estimated expense was distributed over a period of two and one-half years.

Meanwhile work had begun in cramped temporary quarters in a hot little "shack," for it deserved no better name, back of the Civil Hospital. Here under almost impossible conditions there were performed a large volume of routine biological and chemical work, and a considerable amount of research, the results of which proved to be of far-reaching importance.

With the employment of the first chemists and bacteriologists there arose a cla.s.s of questions which I determined to settle once for all. There is a regrettable tendency among some scientific men to try to build barbed-wire fences around particular fields of research in which they happen to be interested, and to shoo every one else away.

At the outset I gave all employees clearly to understand that such an unscientific and ungenerous spirit would not be tolerated in the Bureau of Government Laboratories. The field which opened before us was enormous. There was work enough and more than enough for all, and we should at the outset adopt a spirit of friendliness and helpfulness toward every scientific man who desired to lend a hand.

This rule of conduct has been steadfastly adhered to. Numerous well-known scientists have visited the Philippines and to each we have extended all possible a.s.sistance, furnishing laboratory quarters, instruments, apparatus and reagents, and, whenever practicable, material as well. Indeed, many of our scientific guests have been made employees of the bureau without pay, so that there might be no questioning of their right to use government equipment.

Two important results have followed this policy. One is that we have established the friendliest and most helpful relations with numerous research inst.i.tutions. The other is that we have been able to a.s.sist in the performance of much valuable work which has borne important results, and which would perhaps have remained undone had it not been possible for us to aid those who undertook it.

In due course of time came our fine new building, with good facilities for performing all kinds of laboratory work. When it was equipped and occupied, we were able to say that the opportunities offered at Manila for investigating tropical diseases were probably unequalled elsewhere, and there was a deal of such investigation urgently needing to be made. Our equipment for chemical research was also very complete and the vast undeveloped natural resources of the islands presented a practically virgin field for such investigation.

At the outset absurd rumours spread as to the cost of buildings and equipment, and there was much popular outcry against the supposed wastefulness of the government. A simple statement of the facts served to kill these foolish tales, and people soon began to see that the creation of the Bureau of Government Laboratories was merely the application of common-sense to existing conditions and had resulted in greatly increased economy and efficiency. Indeed, at the suggestion of a committee appointed to make a study of the government service and suggest measures for its betterment, the principle which I had adopted was carried still further. Not only was all zoological and botanical work transferred to this bureau, but the Bureau of Ethnology and the Bureau of Mines were abolished as separate ent.i.ties and were made divisions of it, and its t.i.tle was changed to "The Bureau of Science." Little by little the scope of the work has steadily widened.

The scientific books and periodicals of the government were scattered among half a dozen different bureaus and were not being well cared for. I arranged to have them all temporarily transferred to the library of the Bureau of Science and catalogued there. Those said to be really needed for frequent reference were then returned to the several bureaus but were kept under observation by the bureau of science librarian, who took particular pains to look after the binding of serial publications as rapidly as the volumes were completed.

The list of books requested by the several bureau chiefs for reference was suspiciously long. I gave orders that each set of bureau bookshelves be provided with cards and a box into which to drop them, and each time a book was used a card was made out for it and placed in the box. After six months I quietly gathered up the cards and had them checked against the lists of books for which the several bureau chiefs had asked, and was then able to order a large proportion of them back to the library for the reason that they had not been used at all.

The result of this policy is that we have to-day a central scientific library in which are catalogued all the scientific books of the government. Books needed by the several bureaus for frequent reference are placed where they can be used conveniently, and the card catalogue indicates where they are, so that they can readily be found. In this way it has been possible to avoid much needless and expensive duplication. The library now contains 26,652 bound volumes.

We were extremely fortunate in the men whose services we secured in the early days, and the volume of research work turned out was unexpectedly large. The question of how best to arrange for the prompt publication of our results became urgent, and in the end we answered it by publishing the _Philippine Journal of Science_, now in its eighth year and with an a.s.sured and enviable position among the scientific journals of the world.

In the early days before we knew what we now know about the preservation of health in tropical countries there was a deal of sickness among government officers and employees. While the army was more than liberal in helping us meet the conditions which arose, it was of course very necessary that we should establish our own hospital as soon as possible.

On October 12, 1901, the so-called "Civil Hospital" was opened in a large private dwelling, obtained, as we then fondly imagined, merely as a temporary expedient. Together with two adjoining and even smaller buildings it continued to be our only place for the treatment of ordinary medical and surgical cases until September 1, 1910! I can here only very briefly outline the causes of this long delay.

At the outset the building was large enough to meet immediate needs. At the time when it began to grow inadequate there was a plan on foot for a large private inst.i.tution, in which the government was to secure accommodations for its patients, and a hospital building was actually erected, but interest in this project waned, the private backing which was believed to have been a.s.sured for it failed, and the whole scheme went by the board. Then plans for a great general hospital were called for. A very large amount of time was consumed in their preparation and when they were finished the expense involved in carrying them out was found to be far beyond the means of the government. Ultimately I was charged with the duty of securing other plans involving a more moderate expenditure. Again long delay necessarily ensued. When semi-final plans were submitted, the consulting architect insisted on a series of arches along the sides of the several ward pavilions which were doubtless most satisfying from an artistic point of view, but would have shut off light and fresh air to an extent which I could not tolerate. A three months' deadlock was finally broken by his acceding to my wishes, but in October, 1906, just as the completed plans were finally ready to submit to the commission, I was compelled by severe illness to return to the United States. There remained three American and three Filipino members of the commission. One of the former was Mr. W. Morgan Shuster, then secretary of public instruction. Prior to the time when he became a candidate for a secretaryship he had been bitter in his criticism of the Filipinos. Coincidently with the development of this ambition he became almost more pro-Filipino than some of the Filipino politicians themselves. For a time he seemed to control the Filipino vote on the commission and largely as a result of his activities every important matter which I left pending, including that of the establishment of the great general hospital so vitally needed by the people of the islands, was laid on the table. I was informed that Mr. Shuster had announced that we could have $125,000 for the hospital and no more! We needed $400,000.

Beginning on the day after my return the following April these several projects, including that for the Baguio Hospital and that for the Philippine General Hospital. were taken from the table and pa.s.sed.

Construction work goes slowly in the tropics. One ward pavilion of the Philippine General Hospital was occupied on September 1, 1910. Soon afterward the four others came into use.

On June 10, 1907, a medical college was opened. It was called "The Philippine Medical School." Its creation at this time was made possible by the existence of the Bureaus of Science and Health. Its staff was at the outset recruited very largely from these two bureaus. The director of the Bureau of Science was made its dean and continued to hold this position until his death. To his unselfish efforts and to those of the director of health is due the well-organized modern college which we have to-day. In lieu of better quarters the first cla.s.ses were held in an old Spanish government building which was altered and added to until it answered the purpose reasonably well.

The preparation of the act which provided for the establishment of this college was intrusted to me. I called for the a.s.sistance of a committee of technical experts and asked that they submit a draft for my consideration, which they did. It contained a provision to the effect that the college should be under the administrative control of the secretary of the interior. I struck out the words "secretary of the interior" and inserted in lieu thereof the words "secretary of public instruction" for two reasons. First, the school theoretically belongs under that official, in spite of its necessarily close relationship with the Bureau of Science and the Bureau of Health. Second, I wanted the support of the secretary of public instruction for the measure, as it involved considerable expenditure and I was not sure how the bill might fare in the commission. It happened that the inc.u.mbent of that position was very much inclined to take a liberal view of bills which extended his jurisdiction. Mr. Taft, when he visited the Philippines in 1909, reached the conclusion that I was guilty of an error of judgment in doing this, and a little later expressed the view that the Medical College ought to be under the control of the secretary of the interior, because of its intimate relationship with the bureaus above mentioned. I might perhaps even then have had this change made, but refrained from attempting to do so, believing that all would go well under the existing arrangement. So long as Dr. Freer lived this was the case.

He was a man of absolute honesty and sincerity of purpose, and was far-seeing enough fully to realize that the interests of the government, and of individuals as well, would best be served by carrying out the broad and liberal policy which was then in effect.

The next event of importance was the establishment of the University of the Philippines, which was provided for by an Act pa.s.sed on June 18, 1908.

The Philippine Medical School was in due time incorporated with the university as its College of Medicine and Surgery, pa.s.sing under the executive control of the university board of regents.

At this time the plan of which I had dreamed so many years before was in full force and effect and was working admirably. Members of the Bureau of Science staff served on the college faculty and held appointments in the Philippine General Hospital as well, one of them being the chief of a division there. Members of the college faculty carried on research work at the Bureau of Science. The great working library installed in the building of the latter bureau served as the medical library. Members of the college faculty also rendered important service in the Philippine General Hospital, where two of them were chiefs of divisions, two held important positions on the house staff and numerous others served as interns. Officers of the Bureau of Health were appointed to the faculty of the college and carried on research work at the Bureau of Science. The staff of the latter bureau made the chemical and biological examinations needed in connection with the work of the hospital as well as those required by the Bureau of Health. The Bureau of Science manufactured the sera and prophylactics required by the Bureau of Health in its work. The two large operating amphitheatres in the Philippine General Hospital were planned with especial reference to the accommodation of students, who could pa.s.s along a gallery from one to the other. The work of the free clinic, attended daily by hundreds of Filipinos seeking relief, was largely turned over to the college faculty, and increased opportunities were thus given for medical students to study actual cases.

The arrangement was an ideal one. It excited the admiration of numerous visiting European and American experts, who were competent to judge of its merits, and its continued success was dependent only upon the honesty of purpose, loyalty and good faith of the several parties to it.

Then came the untimely death of Dr. Freer. A few months later an attempt was made by certain university officers to secure control of the professional work of the hospital for that inst.i.tution, leaving the director of health and the secretary of the interior in charge of the nurses, servants, accounts and property, and burdened with the responsibility for the results of work involving life and death, but without voice in the choice of the men who were to perform it.

Those who were responsible for this effort evidently had not taken the trouble to read the law, and I had only to call attention to its provisions in order to end for the time this first effort to disturb the existing logical distribution of work between the two inst.i.tutions.

Before I left Manila in October, 1913, a second attempt was being made to secure control of the professional work of the hospital for the university, but this time the plan was more far-reaching, in that it contemplated the transfer to the university of control of the Bureau of Science as well; and more logical, in that a bill accomplishing these ends had been drafted for consideration by the Filipinized legislature.

The original plan for the coordination of the scientific work of the Philippine government was sound in principle and will, I trust, eventually be carried out, whatever may be done temporarily to upset it during a period of disturbed political conditions. There is much consolation to be derived from contemplating the fact that pendulums swing.

NOTES

[1] Cuyo, Palawan, Balabac, Cagayan de Jolo, Jolo proper, Basilan, Mindanao, Panay, Guimaras, Negros, Siquijor, Cebu, Bohol, Samar, Leyte, Masbate, Marinduque and Mindoro.

[2] I employ the noun Filipinos to designate collectively the eight civilized, Christianized peoples, called respectively the Cagayans, Ilocanos, Pangasinans, Zambalans, Pampangans, Tagalogs, Bicols and Visayans, or any of them; the adjective Filipino to designate anything pertaining to these peoples, or any of them; the noun Philippines to designate the country, and the adjective Philippine to designate anything pertaining to the country as distinguished from its people.

[3] Busuanga, Culion, Tawi Tawi, Tablas, Romblon and Sibuyan.

[4] I use the word "Insurgents" as a proper noun, to designate the Filipinos who took up arms against the United States, hence capitalize it, and the adjective derived from it.

[5] General Aguinaldo.

[6] Beginning with the letters "P.I.R."

[7] See pp. 53, 55, 68.

[8] See pp. 27, 47, 49, 63 of this book for repet.i.tions and variations of this charge of Aguinaldo.

[9] See p. 31 of his book, "The American Occupation of the Philippines," in referring to which I will hereafter use the word Blount, followed by a page number.

[10] U. S. Consul General Rounseville Wildman of Hongkong.

[11] U. S. Consul O. F. Williams of Manila.