[Distributed to the Council Official No. : C . 118. M . 3 8 . 1930. III. and the Members of the League.] [C.H. 842.] Geneva, February 12th, 1930. LEAGUE OF NATIONS HEALTH ORGANISATION PROPOSALS OF THE NATIONAL GOVERNMENT OF THE REPUBLIC OF CHINA FOR COLLABORATION WITH THE LEAGUE OF NATIONS ON HEALTH MATTERS. CONTENTS Page Memorandum o n Consultation w it h t h e N a t io n a l G o v e r n m e n t of t h e R e p u b l ic of Ch in a , w it h N o t e s o n t h e P r o p o se d Collaboration : Origin of th e M is s io n ................................................................................................................. 3 Scope of the Enquiry : Correspondence with the National Government of the Republic of China, and the Action taken by the Health Committee at the Special Session at Geneva convened for this Purpose, March 5th to 8th, 1 9 3 0 .......... 4 Chapter I. — N o t e s o n P u b l ic H e a l t h a n d M o d e r n M e d ic in e in Ch in a .... 8 Chapter II. — N o te s o n M e d ic a l E d u c a t io n ........................................................................... 25 Chapter III. — P o rt H e a l t h O rganisation a n d P r o c e d u r e in Ce r t a in Ch in e s e P orts 31 Annexes. Letter from the Medical Director of the Health Section of the League of Nations to the Acting Minister of Health, Nanking ................................................................................ 43 2- Requirements laid down by the Council on Medical Education of the China Medical Association for Registration in the Association as an " Approved Medical School in C hina..................................................................................................................................... 51 3' Itinerary ...................................................................................................................................................... 51 Series of League of Nations Publications III. HEALTH 1930. III. 3. ERRATUM C.118 .M.38.1930. 111 (CH,842) On p a g e 5 under 2(b ), second to la s t lin e, read "positions" for position. On page 15, first line paragraph 6, read sixteen thousand for sixteen hundred. On page 23, footnote, read "as for ''ifv after birthrat es. On page 22, 3rd paragraph, under the Peiping Health Centre, add "divisions’1 after ’ th re e " . Page 42, the su b title Acknowledgements should appear at the top of the page. — 4 — Health Organisation of the League to make a survey on port health and maritime quarantin ” The Council having declared, after examination of the request, that full assistance should b' given to China in her efforts for her development, the Secretary-General, in consultation with tV President of the Health Committee, instructed the Medical Director and Doctor F. G. Boudreau of the H ealth Section to proceed to China in order to discuss w ith the com petent authorities detailed project to be submitted to the Health Committee. Scope of the Enquiry: Correspondence with the National Government of the R epublic of China, and the Action taken by the H ealth Committee at the Special Session at Geneva convened for this Purpose, March 5 th t o 8th, 1930. On our arrival in Shanghai, on November 9th, 1929, we were informed that the Minister of H ealth desired us to un d ertak e, in ad d itio n to a prelim inary survey of the q u aran tin e arrangements at certain ports, and an examination of steps to be taken for the establishment of a National Quarantine Service, a general study of the organisation and working of medical and sanitary institutions in various special municipalities and administrative divisions, with particular reference to medical education, to the training of sanitary personnel, to the status of a provincial health organisation, to the work of the National Epidemic Prevention Bureau, and to the problem of the control of cholera and smallpox in the Shanghai area. We were cordially welcomed at Shanghai by representatives of the Chinese Government who assured us of their wish to afford us every facility in our work. A detailed memorandum on health organisation in China,1 prepared for us on the order of the Minister of Health by an official of th a t M inistry, w as presented to us, a n d arrangem ents w ere m ade for our transport. Members of the staff of the Ministry of Health were detailed to accompany us throughout our stay in China. The Minister of Health himself accompanied us whenever his duties permitted him to leave Nanking. Provincial and municipal officials gave us a warm welcome and spared no pains to make our stay as profitable as possible. If, in spite of the civil war and the disturbances incident to the political stabilisation of a large country after a successful revolution, we were able to examine a wide range of medical and public health developments, and to secure a large amount of useful information on these subjects, credit must be given to those officials of the National, Provincial and Municipal Governments who left no stone unturned in their efforts to assist the purpose of our visit. As soon as possible after our arrival in Shanghai, we proceeded to Nanking2, the capital, where we were received most hospitably by the Government. The Minister of Health prepared an itinerary for the Mission, which he considered would enable us to secure the largest amount of information on health conditions in China in the limited time at our disposal. During our stay in Nanking, we had the opportunity of numerous conferences with the Minister of Health and his technical assistants, who furnished us with information concerning Chinese health problems and the methods adopted or planned for their solution. Before we left China, the following letters were received from the Minister of Health and the Minister of Education, which contain the text of the proposals of the National Government of the Republic of China for co-operation with the League of Nations in health matters; " Ministry of Health, " Nanking, December 26th, 1929. “ In acknowledgment of your letter of December 16th,3 confirming your understanding of our proposals for collaboration, I am pleased to be able to inform you that this programme was approved by the Government on December 24th, and that steps are being taken to secure an extraordinary appropriation for the establishment of the various institutions necessary for its success. I am attaching the approved proposals for you to present to the Lea.gue of Nations Health Committee for confirmatory action. I am seeking the necessary authorisation to attend the forthcoming session of the Health Committee at Geneva, when the plan is coming up for discussion. “ May I avail myself of this opportunity to express the appreciation of the Government for the spirit in which the League acceded to its invitation to send your Mission to China. The members of the Government, most of whom had had opportunities of discussing pertinent phases of the proposals with you, expressed not only admiration for the manner in which the Mission had acted upon our specific suggestions, but felt that, almost as im p ortan t as the results of your visit, has been the increased appreciation o f th e League itself. To the Mission, and especially to yourself, the Ministry of Health wishes to record its appreciation for the very signal service that has already been rendered. 1 " Health Organisation in China, and Brief Surveys of the Special Municipalities of Canton, Peiping, Shang ai, Nanking, Tientsin and Hankow ”, by Tsefang F. H u a n g , M.D., Counsellor, Ministry of Health. 2 See itinerary of Mission, Annex 3. * See Annex 1. — 5 — " The Ministry of Health would gladly follow your suggestions as to the designation of medical and health leaders in China for association with specific studies engaged upon by the League and would recommend that Dr. F. C. Yen, the Dean of the Central University Medical College, be associated with studies of the Commission on Education in Hygiene and Preventive Medicine; Dr. Robert Lim, Professor of Physiology at the Peiping Union Medical College, and President of the National Medical Association, with the work of the Health Committee on vitamins and cognate subjects; Dr. Tsu Min Yi, Member of the Central Executive Committee, with the studies on physical education; and Dr. Shisan F. Fang, former Director of the National Epidemic Diseases Prevention Bureau, with the work of the Commission on social m edicine. " The Government has learned with satisfaction of the appointment of one of the Ministry's officers to the Health Section of the Secretariat, and more especially that you yourself could visit China periodically. (Signed) J . H e n g L i u .” " Proposals for Collaboration with the League of Nations Health Organisation. “ I . The presentation to the Government of the proposals of the Ministry of Health for collaboration with the League of Nations Health Committee was made the occasion for re-defining the general scope of the work of the Ministry, including the manner in which the League’s assistance would contribute to its success. It was pointed out that, before effective nation-wide results could be achieved in such fields as child, school, and industrial health, social hygiene, vital statistics, general sanitation, epidemiology and communicable diseases control, etc., there were two necessary pre-requisities : first, the development of administrative principles best adapted to local means and conditions and, second, the provision of facilities for training personnel in the different branches of medical practice.