Ull: IvVI: lr:/'\H I: Mlili/fl.l.OW |::(i< I1 I'lsli./; I! V , ^ l^'l -V .' ' UK The Rockefeller Foundation Annual Report 1920 The Rockefeller Foundation 61 Broadway, New York .1 Air.1 M:i 0 UH AO H no n AJIIII -i YH A JIM I.I >nn>Y wi M 37?,31 TSE RUMFORD PRESS, CONCORD, N. H. 1425 CONTENTS THE ROCKEFELLER FOUNDATION PAGE President's Review 1 Report of the Secretary 65 Report of the Treasurer 289 INTERNATIONAL HEALTH BOARD Report of the General Director 75 Appendix 137 CHINA MEDICAL BOARD Report of the General Director 219 DIVISION OF MEDICAL EDUCATION Report of the Director 271 ILLUSTRATIONS PAGE World map of activities of Rockefeller Foundation 4-5 New medical school building of McGill University, Montreal.. 9 Medical schools of Canada receiving Foundation aid 10 The University College Hospital, London 21 View of portico, University College, University of London.... 22 Vegetation along the banks of a bayou 45 Domestic animals aid in malaria prevention by cropping vege- tation along the banks of bayous, streams, and ponds.... 46 Scene in India, from the hookworm film 51 Baby clinic: a growing phase of county health work 52 The late Major William Crawford Gorgas 89 History taking in clinic work. Campaign against tuberculosis. France 95 Traveling unit used by Educational Division, Commission for Prevention of Tuberculosis in France 96 Type of ditch to carry off drain water and prevent mosquito breeding. Malaria control operations, Southern States 105 Ditching gang at work. Malaria control by anti-mosquito measures, Southern States 106 Decline in hookworm incidence among school children in South- ern States during ten-year period, 1911 to 1920...' 113 Carrying the gospel of sanitation to native peoples. Village of Gamilababa, Trobriand Islands, Papua 114 Growth of anti-hookworm effort in Brazil. States conducting work and posts maintained, 1917-1920 117 Tuberculosis patients cared for by public health clinic. Grenada* county, Mississippi 121 Baby clinic, where children from six months to five years were given free medical examination. Grenada county, Mississippi 122 Czechoslovak!an commission just before sailing to make a tour of medical centers in England and the United States 127 The International Health Board has provided thirty-four fellow- ships for advanced training in public health. The map indi- cates countries from which the students have come 128 Worms recovered from nine-year-old boy as result of one treat- ment with oil of chenopodium 145 Laborers at estate camp in island of Mauritius , 146 vii THE ROCKEFELLER FOUNDATION Staff for the relief and control of hookworm disease in Siam.... 159 Lecture on hookworm disease for plantation laborers, Colombia 160 Sanitary latrines just completed under supervision of Jefferson county health department. Suburbs of Port Arthur, Texas.. 163 Insanitary condition of alleys and yards in suburbs of Port Arthur, Texas ,.. 164 View of interior of change house, South Mine, Broken Hill, New South Wales 167 Surface latrine showing pails for use underground. Zinc Cor- poration Mine. Australia 167 Department of soil sanitation, Republic of Colombia 168 Durable and efficient type of public latrine. Bucket system with concrete superstructure. Heneratgoda, Ceylon 171 Well-built pail latrine and incinerator. Ceylon 172 Excellent type of pit latrines for estates. Ceylon 172 Demonstrating the actuality of hookworms to native peoples. Sankampang, Siam. 177 Training microscopists for field work. La Mesa, Colombia.... 178 Group of village headmen assembled to hear a lecture on hook- worm disease. Ceylon 181 Eager listeners to chart lecture at Parnassus Creole Barracks. Jamaica 182 Colonel T. C. Lyster administering Noguchi yellow fever vaccine. Los Amates, Guatemala 189 Receptacles such as these were a favored breeding place of yel- low fever mosquitoes at beginning of control effort in Guaya- quil, Ecuador 190 Corrugated iron lining for pit latrines, adopted for use in Grenada county, Mississippi 197 Inexpensive superstructure erected over lined pit. Grenada county, Mississippi 198 Anti-plague work, Beaumont, Texas: to the left, rat catcher start- ing out on daily rounds; to the right, rat catchers returning with their catch 201 Sign board displayed at Logan, the county seat of Logan county, West Virginia . 202 Counties or rural districts of United States having health depart- ments with a whole-time health officer in charge 204 Entrance to hospital and nurses' home, showing native Chinese buildings in foreground 231 North residence compound which contains residences for sixteen families. 232 ILLUSTRATIONS IX Soldiers wounded in the summer of 1920 being cared for at the College hospital ' 239 Dining room for hospital staff, in private patients' pavilion.... 240 One of the rooms of the library in the chemistry building 249 Lobby of nurses' home, showing Chinese interior and decorative screen 250 Map of China, showing medical institutions aided by the China Medical Board 252 Number of fellowship and scholarship holders, by years, since creation of China Medical Board, with amounts expended or pledged 261 One of the private laboratories in pathology building 262 A children's ward, University College Hospital ." 279 New anatomy building, University College, University of London 280 Physiology, chemistry, and anatomy buildings, Peking Union Medical College 283 One of the laboratories of Peking Union Medical College 284 Ninety individuals representing thirteen different countries received fellowships from the Rockefeller Foundation during 1920. The map shows the countries from which the students came 286 THE ROCKEFELLER FOUNDATION OFFICERS, MEMBERS, AND COMMITTEES 1920 Members JOHN G. AGAR STARR J, MURPHY WALLACE BUTTRICK JOHN D. ROCKEFELLER SIMON FLEXNER JOHN D. ROCKEFELLER, JR. HARRY EMERSON 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 Executive Committee GEORGE E. VINCENT, Chairman WALLACE BUTTRICE STARR J. MURPHY SIMON FLEXNER WICKLIFFE ROSE 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 GEORGE E. VINCENT Secretary EDWIN R. EMBREE Treasurer LOUIS GUERINEAU MYERS Comptroller ROBERT H. KIRK Gewral Director of tfie 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 x THE ROCKEFELLER FOUNDATION OFFICERS, MEMBERS, AND COMMITTEES 1921 Members 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 Executive Committee GEORGE E. VINCENT, Chairman WALLACE BUTTRICK WICKLIFFE ROSE 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 GEORGE E. VINCENT Secretary EDWIN R. EMBREE Treasurer LOUIS GUERINEAU MYERS Comptroller ROBERT H. KIRK w> 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 Director of Information Service CHARLES C. WILLIAMSON *Dled April 4, 1 **Resl«ned February 28, 1921, XI THE ROCKEFELLER FOUNDATION President's Review To the Members of the Rockefeller Foundation: Gentlemen: I have the honor to transmit herewith a general review of the work of the Rockefeller Foundation for the period January 1, 1920, to December 31, 1920, together with the detailed reports of the Secretary and the Treasurer of the Foundation, the General Director of the International Health Board, the General Director of the China Medical Board, and the Director of the Division of Medical Education. Respectfully yours, GEORGE E. VINCENT, President. ATLANTIC OCEAN A F H I "C A PACIFIC OCEAN Hookworm Control or Survey Malaria Work County Health Work including Hookworm and &alarl* B YtHow Few Tuberculosis Ottsr Pubtte Health Wor* O Public Health Education Fig. 1.—World map of activities of OCKAJff AUSTRALIA , Mtdlcil Schoot Supported In Fu8 A Pre-medfcat Schools Aided X Hospitals MM A Emergency Assistance providing Scientific Eqtrfpmwl tnd Medical Joumsls O Food Relief Gin to Anwrlcan Relief Awoclation Rockefeller Foundation during 1920 PRESIDENT'S REVIEW The Year in Brief During the year 1920 the Rockefeller Founda- tion (1) aided six medical schools in Canada, (2) gave a large sum to a medical training center in London, (3) appropriated a million francs for the Queen Elisabeth Foundation for Medical Re- search in Belgium, (4) agreed to contribute to- ward the complete rebuilding of the medical school of the University of Brussels, (5) provided American and English medical journals or labo- ratory supplies for eleven medical schools and medical libraries in five European countries, (6) continued to construct and to maintain in Peking, China, a modern medical school with a pre-medi- cal department, (7) aided thirty-one hospitals in China to increase their efficiency in the care of patients and in the further training of doctors and nurses, (8) supported the School of Hygiene and Public Health of the Johns