K.I: 10 •; i;.-/-,|i c /;-vi fiU |:-f I 1 l: 1 11 /: I; Y- ' ' The Rockefeller Foundation Annual Report 1921 The Rockefeller Foundation 61 Broadway, New York ,1 AH-fW M J) t-l Jl AO il MW I'l A,') Nil YMAJIH I.I >Uin Y W i M CONTENTS THE ROCKEFELLER FOUNDATION FACE President's Review 1 Report of the Secretary 75 Report of the Treasurer 339 INTERNATIONAL HEALTH BOARD Report of the General Director 85 Appendix 159 CHINA MEDICAL BOARD Report of the Director 243 DIVISION OF MEDICAL EDUCATION Report of the General Director... 311 ILLUSTRATIONS PAGE Map of world-wide activities of the Rockefeller Foundation 4-5 Full-time health workers in United States, 1921 IS Professional training of health officials 17 Students at work in the bacteriological laboratory of the School of Hygiene and Public Health of Johns Hopkins University 25 Class in protozoology, Johns Hopkins School of Hygiene and Public Health 25 Architect's drawing of proposed new building to house the School of Hygiene and Public Health of Johns Hopkins University 26 The " Pay Clinic " of Cornell University Medical College 26 Staff and students of the Peking Union Medical College 41 Academic procession at dedication of the Peking Union Medical College 42 A part of the academic procession at the dedication of the Peking Union Medical College, September 19, 1921 42 Map used in anti-malaria campaign in Louisiana 58 Yellow fever map of the Western Hemisphere 96 Scene of violent yellow fever epidemic in Peru during 1921....... 98 Three aspects of yellow fever control effort in Peru during 1921.... 101 A small model showing the types of water containers used about the dwellings in Merida, Yucatan 102 Driven well for preventing Stegomyia breeding, Nicaragua 102 Map of Mexico and Central America showing towns visited by yellow fever in 1921 105 Yellow fever cases in Mexico and Central America, 1920 and 1921.. 106 What malaria has cost the towns of Bamberg and Chester, South Carolina, during the years 1918 to 1921 110 Reduction In physicians' calls for malaria in Groveton and South Groveton, Texas Ill Record of malaria incidence for town of Hamburg, Arkansas 113 How malaria has been brought under control in Crossett, Arkansas 114 Tuberculosis exhibit at Pasteur Institute, Paris 117 Traveling educational units in anti-tuberculosis work, France 118 The hookworm story of Richmond county, Virginia 122 Decline in incidence of dysentery and typhoid fever, Troup county, Georgia 12S Appropriations of legislatures to state boards of health in eleven southern states, 1910-1921 126 Control of hookworm disease as result of campaign measures applied in 1918 in Jacarepagua, Brazil 128 vii VI11 THE ROCKEFELLER FOUNDATION Reduction of hookworm disease as result of control measures, Governor's Island, Brazil 128 Effect of treatment and installation of latrines on severity of hook- worm infection 129 Increase in funds for rural sanitation appropriated by Federal and local governments in Brazil, 1917-1921 130 States of Brazil that have funds available for a program of rural sanitation 131 Reduction of hookworm infection rate on estates in Jamaica 132 Carrying the gospel of sanitation to the natives of Solomon Islands 137 Group of Moors assembled at village dispensary, Ceylon 137 Three phases of field operations against hookworm disease in Papua 138 Counting hookworms expelled by treated patients 147 Group assembled at typhoid exhibit at Prague 147 Counties having full-time health officers at close of 1921 148 Localities visited in Madras Presidency, India 162 Incidence of bowel complaints, Trichinopoly jail, India, 1918 to 1921 164 Worms harbored by 1,878 prisoners in Trichinopoly jail, India... 165 Ancient temples in Siam put at service of hookworm commission., 167 Groups of natives assembled for treatment, Tupile, Panama 168 Average number of worms harbored by seventy-four coolies at work on the Mudis tea estates, Madras Presidency, India 170 Number of patients in Lionel Town hospital, Jamaica, 1918-1921.. 171 Effect of hookworm treatment in Rio Cobre Home, Jamaica 172 Hemoglobin indices of 18,514 persons in Costa Rica 173 Group assembled to hear lecture and receive treatment for hook- worm disease, Fusagasuga, Colombia 177 Exhibit on hookworm disease at the National Agricultural Exposi- tion, Brisbane, Australia 177 Negro family, residents of Federal District, Brazil 178 Examining board and other apparatus used in Jamaica in examining a^ • fecal specimens by the salt-flotation process 178 Number of persons examined and treated in world-wide campaign against hookworm disease, 1910-1921 181 Sanitary conditions on first and last inspections compared for the five main geographical divisions of world-wide campaign against •"3^ hookworm disease, 1910-1921 182 Ditch before and after draining, Demopolis, Alabama 189 "V"-shaped ditch, a part of the drainage system installed to control malaria in and near La Puebla-Rivas, Nicaragua 189 Anti-malaria, impounding water experiment at Mound, Louisiana. View across bayou, 700 yards above dam site, before clearing.. 190 Same as Fig. 57, showing bayou filled with water 190 Quinine treatment of malaria, Sunflower county, Mississippi 195 Proportionate rates of sickness from malaria and other diseases among rural population of seven counties in Southeast Missouri 198 ILLUSTRATIONS IX Effect of screening and construction of houses on incidence of malaria 199 Yellow fever operations in Mexico and Central America 201 Tank at Colima, Mexico, from which are distributed the small fish placed in water containers at the homes 202 Transporting fish from landing place to headquarters 202 Growth in funds for county health work, nine southern states.... 206 Reduction of hookworm infection rates in ten southern states 207 Deaths from typhoid fever in nine North Carolina counties 208 Health officer vaccinating children in rural school of Mason county, Kentucky 209 Trachoma clinic at Maysville, Kentucky 209 Class of midwives, with their instructor , 210 Diphtheria immunization, Lenoir county, North Carolina 210 Control of typhoid fever in Pearl River county, Mississippi 213 Graduates and students, 1921, Training School for Nurses, Peking Unfon Medical College 2SS Medical-ward building and pathology building, Peking Union Medical College 256 General plan of Peking Union Medical College 264-265 A part of the academic procession at the dedication of the Peking Union Medical College, September 19, 1921 269 Graduate students attending summer course in roentgenology at Peking Union Medical College in 1921 270 Entrance court, Peking Union Medical College 270 Electrocardiograph room in hospital, Peking Union Medical College 273 An operating room in the Peking Union Medical College Hospital.. 273 Laboratory of physiological chemistry, Peking Union Medical College 274 Dissecting room, anatomy building, Peking Union Medical College 274 Ward in Central Hospital, Peking 287 Nursing demonstration and practice room, Nurses' Home, Peking Union Medical College 287 Corridor connecting units of the hospital group, Peking Union Medical College 288 Surgical ward of hospital building, Peking Union Medical College.. 288 Important schools of medicine in the Far East 316 Medical schools in Japan , 318 Building for pathology and tropical medicine, Faculty of Medicine, Hong Kong University 321 College of Medicine and Surgery, University of the Philippines 321 Wing of General Hospital, Manila, Philippine Islands 322 New medical building, University of Alberta, Canada 322 The new medical center in Brussels 329 Institute of Anatomy, University College, University of London... 329 Fellows from eighteen countries 330 THE ROCKEFELLER FOUNDATION OFFICERS, MEMBERS, AND COMMITTEES 1921 Member! JOHN G. AGAR **STARR J. MURPHY WALLACE BUTTRICK JOHN D. ROCKEFELLER SIMON FLEXNER JOHN D. ROCKEFELLER, JR. RAYMOND B. FOSDICK WICKLIFFE ROSE FREDERICK T. GATES JULIUS ROSENWALD A, BARTON HEPBURN MARTIN A. RYERSON *CHARLES E. HUGHES FREDERICK STRAUSS HARRY PRATT JUDSON GEORGE E. VINCENT ExeciUive Committee GEORGE E. VINCENT, Chairman WALLACE BUTTRICK WICKLIFFE Rosfe RAYMOND B. FOSDICK FREDERICK STRAUSS EDWIN R. EMBREE, Secretary Finance Committee JOHN D. ROCKEFELLER, JR., Chairman A. BARTON HEPBURN FREDERICK STRAUSS Chairman of the Board, of Trustees JOHN D. ROCKEFELLER, JR. President QEORGE E. VINCENT General Director of the International Health Board WICKLIFFE ROSE General Director of the China Medical Board GEORGE E. VINCENT General Director of the Division of Medical Education RICHARD M. PEARCE Secretary EDWIN R. EMBREE Treasurer LOUIS GUEIUNEAU MYERS Comptroller ROBERT H. KIRK Director of Information Service CHARLES C. WILLIAMSON *Rc3lgned February 28,1921 •** Died April 4, 1921. THE ROCKEFELLER FOUNDATION OFFICERS, MEMBERS, AND COMMITTEES 1922 Members JOHN G. AGAR VERNON KELLOGG WALLACE BUTTRICK JOHN D. ROCKEFELLER JOHN W. DAVIS JOHN D, ROCKEFELLER, JK. SIMON FLEXNER WICKLIFFE ROSE RAYMOND B. FOSDICK JULIUS ROSENWALD FREDERICK T. GATES MARTIN A. RYERSON *A. BARTON HEPBURN FREDERICK STRAUSS HARRY PRATT JUDSON GEORGE E. VINCENT Executive Committee GEORGE E. VINCENT, Chairman WALLACE BUTTRICK VERNON KELLOGG RAYMOND B. FOSDICK WICKLIFFE ROSE EDWIN R. EMBREE, Secretary Finance Committee JOHN D. ROCKEFELLER, JR., Chairman RAYMOND B. FOSDICK FREDERICK STRAUSS Chairman of the Board of Trustees JOHN D. ROCKEFELLER, JR. President GEORGE E. VINCENT General Director of the International Health Board WICKLIFFE ROSE Director of the China Medical Board ROGER S. GREENE General Director of the Division of Medical Education RICHARD M.