- Email: [email protected]
COLONIAL MEDICAL SERVICE.
468
Nigeria, the Gold Gambia, is one service. Service, which serves Nyasaland, Somaliland,
serves
Coast, Sierra Leone, and the (b) The East African Medical Kenya, Uganda, Zanzibar, and the
Tanganyika
Terri-
(c) In practice the medical services of the Straits Settlements and the Malay States may be regarded as one, as the officers may be and frequently are transferred from the Colony to the tory is
one
service.
States or vice versa. The Colonies, Protectorates, and Mandated Territories to which medical officers are appointed by the Secretary of State for the Colonies are (a) the West African-viz., Nigeria, the Gold Coast, Sierra Leone, and the Gambia; (b) the East African-viz., the Kenya Colony and Protectorate, the Uganda, Nyasaland, Somaliland, and Zanzibar Protectorates, the
Tanganyika Territory, and Northern Rhodesia; (c) Eastern-viz., Ceylon, the Straits Settlements Malay States, Hong-Kong, Mauritius, and Seychelles ; (d) the West Indian-viz., British Guiana, Jamaica, Trinidad, the Windward Islands, the Leeward Islands, Barbados, British Honduras, and the Bahamas ; (e) Fiji and the Western Pacific, Cyprus, Gibraltar, St. Helena, Bermuda, and the Falkland Islands ; and (f) Palestine. In Ceylon, Mauritius, Jamaica, Barbados, the
the and
Bahamas, and Bermuda vacancies
are
practically
always filled locally by the appointment of qualified native candidates, or-in the case of some of the higher posts-by transfer from other Colonies. Appointments in Malta are all filled locally. Vacancies occur most regularly and frequently in the West African Medical Staff, the East African Medical Service, and the Straits Settlements and Malay States. All applicants for medical appointments in the gift of the Secretary of State for the Colonies should be between the ages of 23 and 35,1 and must be doubly qualified ; preference will be given to those who have held hospital appointments as house physicians and 15 than service. £1500 if he has 10 but not less years’commissioned 15 £2500 15 or more than house surgeons ; testimonials to character and professional competence will be required, and every Short-service officers will be eligible on passing to officer before being definitely appointed will be the Reserve for gratuities on the following scale : examined by one of the consulting £100 for each of the first two complete years of service, medically of the Colonial Office : Sir William Prout, £150 for each of the third and fourth complete years, physicians C.M.G., O.B.E., and Dr. A. E. Horn, C.M.G., 79, and ;t200 for the fifth complete year ; that is :Harley-street, London, W. 1 ; Sir J. Hawtrey Benson, For three years’ service on the active list.. 350 57, Fitzwilliam-square, Dublin ; Dr. Foster Coates, For five .. £700 9, Shaftesbury-square, Belfast; Lieut.-Colonel Glen These gratuities will not be payable to officers granted Liston, C.I.E., I.M.S., 33, Comely Bank, Edinburgh; pe. manent commissions, but their service on a short- and Dr. R. H. Kennan, 2, St. James’s-road, service commission will count towards retired pay. Liverpool. Applications for such appointments must be addressed to the Private Secretary (Appointments), Colonial Office, 38, Old Queen-street, S.W.I.
Gratu ities.—A permanent officer allowed to retire before having qualified for retired pay may be granted a gratuity provided he has not less than ten years’ commissioned service, namely :"
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COLONIAL MEDICAL SERVICE.
EAST AFRICAN MEDICAL SERVICE. Medical staffs of the Kenya Colony and IN the self-governing dominions, Canada, Australia, Protectorate, the Uganda, Nyasaland, Somaliland, New Zealand, the Union of South Africa, and New- and Zanzibar Protectorates, and the Tanganyika foundland, and territories under their control, such as Territory form one service, the members of which Papua and the Cook Islands, medical appointments are liable to be posted to any of the Dependencies are made concerning which information can be obtained as the exigencies of the service may require. The from the High Commissioners or Agents-General in preferences of individual officers are, however, taken London ; appointments in Egypt and the Soudan are into consideration as far as possible. regulated from the Foreign Office ; in Southern Selected candidates are appointed as medical Rhodesia the appointments are made by the local officers on probation in the first instance for two Government, but the British South Africa Company, years, at the end of which period their appointLondon Wall Buildings, E.C., act as their agents in ments are made permanent if their service has this country ;-, in North Borneo application should been Unless the Secretary of Htate satisfactory. be made to the British North Borneo Company, 37, directs to the contrary, they are required to Threadneedle-street, E.C., for appointments ;5 and attend a course of instruction at the London those in Sarawak are in the hands of H.H. the Rajah. or Liverpool School of Tropical Medicine before Much valuable information will be found in the taking up their appointments. If such a course Professional Handbook," Part II., issued by the is not taken before proceeding to East Africa, they Oversea Settlement Office, 3 and 4, Clement’s Inn,, are required to take it during their first leave of Strand, London, W.C. 2, price 9d. absence. Medical oiyieers (but not sanitation officers) As a general rule, each Colony or Protectorate has permitted to take private practice at some its own public service distinct from that of every stations, on the understanding that they give preother ; and it is usually only the higher officers who 1 In the case of East Africa, preference will be given to candiare transferred by the Secretary of State from one who are over 25 years of age. In the case of Fiji and the Colony to another. There are three exceptions to dates Western Pacific, preference will be given to candidates who are this rule : (a) The West African Medical Staff, which under 30.
IB
The
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are
469 .cedence to their official duties. It must be understood that additions to their income from this source are not likely to be substantial, and that the privilege is liable to withdrawal at any time. Salaries and allowances are issued locally in respect of resident service at a fixed rate of 20 shillings to the pound sterling. Officers are provided with quarters free of rent or the Government may provide temporary accommodation, or an allowance in lieu of quarters calculated at 15 per cent. of the initial salary of an officer’s appointment may be paid. The salary of a medical or sanitation officer in Kenya, Uganda, the Tanganyika Territory, or Zanzibar is f:600 per annum, rising by annual increments of f:30 to f!840, and thence by increments of C40 to £920, subject to an efficiency Senior medical officers and senior bar at £840. sanitation officers in those Dependencies are paid on the scale £1000 by annual increments of 250 to £1100. The application of these scales to Nyasaland and Somaliland is under consideration ; at present the scale for medical officers in those Dependencies is £600 by £25 to £900, with efficiency bars at £700 and £800. Officers who possess the Diploma in Public Health on entering, or who acquire it while in the - Service, receive two special increments in the scale. Officers of the East African Medical Service are permitted to retire with gratuity, if they wish, instead of waiting to retire on pension as follows : (a) After nine years’ service, of which at least six must have been spent in East Africa, .61000 ;(b) after 12 years’ .service, of which at least eight must have been spent in East Africa, £1250. If an officer elects to retire with gratuity, he thereby foregoes all claim to
pension.
The grades and salaries (apart from ordinary medical and sanitation officers) in the medical departments
are as
follows
:-
of Medical and Sanitary Director of Medical Service, £1200
Keraya.—Director £1500 ; Deputy
Director of Sanitary Service, £1200 ; 91200 ; Director of Laboratory, £1200.
Services, ; Deputy
Surgical Specialist,
TTganda.-As Kenya. Tanganyika Territory.-As Kenya, except that there is no surgical specialist. Nyasaland.—Director of Medical and Sanitary Services, £1000 ; Senior Medical Officer and Senior Sanitation Officer, X800 by £25 to B900. Zanzibar.—Director of Medical and Sanitary Services, £1400 ; Deputy Director of Sanitary Service, £1200. Somaliland.—Principal Medical Officer, £300 by £50 to .BlOOO.
Sanitation officers are selected from the ranks of medical as occasion arises.
officers
ASIA. Straits Settlements and Federated Malay States.European medical officers are appointed on the scale of salaries:$440 per mensem, rising to $480 per mensem during three years’ probation ; then, if they are placed on the pensionable establishment, rising to$500 per mensem, and thence by annual increments of$25 per mensem to$800 per mensem, with a strict efficiency bar at$600 per
following
This scale of salaries has been fixed on the that medical officers join the service at about the age of 27. Above the concluding figure of $800 per mensem there are certain higher appointments as follows : Principal Civil Medical Officer, Straits Settlements, and Principal Medical Officer, mensem.
supposition
Seychelles.—The chief medical officer receives Rs.7000 and Rs.300 in fees. There are three assistant Government medical officers, two receiving Rs.6500, with free quarters, or an allowance of Rs.500 per One assistant annum in lieu, the other Rs.6000. is provided with free quarters in the New Hospital. Hong-Kong.—The present establishment of the medical department is: principal civil medical officer, £1000- £50- £1200 ; eight medical officers, £600- £25£1000 ; three port health officers, £600- £25- £1000 ; bacteriologist, £100- £25- £1000 ; two health officers, £600-£25- £1000, are also attached to the Sanitary Department. A temporary allowance on a scale varying with the sterling exchange value of the dollar is at present payable. Salaries are converted locally at the rate of 2s. =$1. Free quarters are not provided, but in certain instances a rent allowance is paid by the Government. AlIER.ICA. British Gitiana.-There are the following posts in the medical service of the Colony: one surgeongeneral, £1000- £1200 per annum, with consulting practice ; one medical officer of health, £900 ; one bacteriologist, £450- £700 (increment £25), with £50 allowance in lieu of fees ; 34 medical officers at £500- £25- £700. Some of the senior posts also carry duty allowances (varying from £50 to £300 per annum) and quarters. All the junior appointments in which private practice is not allowed carry duty allowances. Private practice is allowed in certain cases. Trinidad and Tobago.-In Trinidad and Tobago there are over 40 appointments. On appointment Government medical officers, who are provided with free unfurnished quarters, receive salary at the rate of £400 per annum with annual increments of £25 accruing from the date of first appointment as supernumerary medical officers, until reaching the maximum of £600. An officer appointed to a district receives, in addition to his salary, a travelling allowance varying from £100 per annum in a normal district to £150 per annum, and is allowed private practice, the value of which is estimated at from £50 to £800 Officers employed in institution work per annum. receive allowances in lieu of private practice varying from £50 (and furnished quarters) to Medical officers having completed 10 years’ resident service are pensionable at the age of 55. Windward Islands (Grenada, St. Lucia, St. Vincent). There over 25 are The chief appointments. medical and health officer, Grenada, receives £600— £700. The chief medical officer, St. Lucia, receives £600- £700 plus forage and subsistence allowances ; the post is pensionable, but private practice is not allowed except as a consultant. Most of the remaining appointments are district appointments with the right to private practice attached ; the salaries paid by Government vary from £400-£500, and with The Governor has allowances in certain cases. the power to transfer a medical officer from one island to another. Appointments are pensionable. ! Leeward Islands (Antigua, St. Christopher and
:6300.
Nevis, are
£375
20
Dominica. Montserrat, Virgin Islands).-There appointments with salaries varying from
to 2400 of the same nature as in the Windward Islands and pensionable. An officer when first sent out is not appointed to a particular island but to the service of the Leeward Islands, with a Federated Malay States,$1200 per mensem. salary varying from £312 to £400, according to station, seven posts at$1050 per mensem. Class B : nine and the Governor decides as to the district which is to be allotted to him. He is liable to be transferred at posts at$850, rising by$30 to$1000 per mensem. The following temporarv allowances are at present the Governor’s discretion to any medical district in paid to all officers recruited from Europe in the I the Leeward Islands, and in certain districts may be Government Services of the Straits Settlements and required to perform magisterial duties. The medical Federated Malay States : unmarried officers, 10 per officers receivefees for successful vaccinations, posteent. of salary ; married officers, 20 per cent. of mortem examinations, evidence at courts of justice, salary. Private practice by Government medical certificates of lunacy, and, in the larger islands, for officers is not allowed. They may, however, do, and burial certificates. Thev are also, as a rule, allowed receive fees for, consultative work, if approved by the private practice. The chief medical officer, St. Kitts, £700-£25-£750 without private practice. Government. Information about general conditions in Malaya is obtainable from the Malay States Antigua. — Medical Superintendent, Holburton Information Agency, 88, Cannon-street, E.C. 4. Hospital, and Chief Medical Officer is in receipt of *
Class A :
receives
470 Chief Medical Officer Fees average £100.
and
with an allowance of £50 per annum in lieu of quarters. Private practice is shared between the colonial surgeon and the assistant colonial surgeon. The office of British Honduras.—There are seven medical appointcolonial surgeon is pensionable. ments (besides the principal post of colonial surgeon) Palestine. 2—The grades and salaries of superior of which six are at a salary of$2430 per annum with increments of$120 to$3150. Unless they already appointments in the Department of Health are: possess a diploma of public health, medical officers Director, £E1100-50-1400, plus £E100 expatriation allowance. are liable to be required, before they join the colony, Deputy director, senior medical officer to undergo a course of instruction at a laboratory of (laboratory section), and senior medical officer district) .SE800-50-1100 plus ;BE100 public health or analogous institution. The salary (Jerusalem-Jaffa Chemical analyst, three of the Principal Medical Officer is$4008, with one expatriation allowance. increment of$120 to$4128. The value of the dollar senior medical officers, and medical officer (Jerusalemis approximately the same as that of the United States. Jaffa district) £E550-25-750 plus £E50 expatriation of the staff is recruited ,II allowance. The remainder OTHER OVERSEAS APPOINTMENTS. locally. The salaries of the two highest grades will Fiji and the Western Pacific.-In Fiji the Govern- be reduced as vacancies occur. ment medical officers receive a salary of £400, rising I LEAVE AND PENSIONS. by annual increments of £25 to £600, with partly ’i Leave and Passages.-Leave of absence in East furnished quarters, or a house allowance of £50. In Africa on full salary is granted in the normal case some districts a medical officer is also a district a tour of residential service (of not less than after of £150. with an allowance additional commissioner, 20 and more than 30 months) to an amount They are allowed private practice, on the under- of six not usually for each completed month of residence days not are that their duties official neglected. standing Private practice, however, cannot be guaranteed, and (or three days when for any reason the officer is in most districts it is very small in amount. Where not returning to East Africa) exclusive of the periods of the voyages to and fro, for which full pay is also no private practice exists, a duty allowance of £50 is serving in certain stations in Kenya granted. They are required either to take charge given. Officers are allowed five (or two and a half) of hospitals or of districts, at the discretion of the and Nyasaland, days’ leave in respect of each month of service authorities. The posts are pensionable. In addition to a chief medical officer (£800 a year, instead of six (or three) days’ leave respectively. In special leave regulations exist which rising to £1000), a medical officer of health, Suva Somaliland for an officer taking leave after a shorter (£750-£900, not subject to bonus addition), a medical provide superintendent, Colonial Hospital (£700-£750, in- tour of service than in other parts of East Africa. clusive of allowance as officer in charge of the Medical Free first-class passages are provided for the officer first appointment and on leave, and in certain School), and a medical superintendent, Makogai on cases assistance towards family passages is given. to there are in £800), Leper Asylum (£600 rising In the Malay Peninsula two months’ leave of absence Fiji 12 medical officers, live of whom are also district commissioners. The salaries in Fiji are with full salary may be granted in respect of each subject to temporary increases, the rate of bonus at year’s service, and this leave may be accumulated up the present time being 15 per cent. of the salary with to a maximum of eight months. Additional leave on half-pay may be granted on special grounds. Up to the addition of £22 10s. The staff in the British Solomon Islands Protec- the end of 1928 free passages are granted on first torate consists of one senior medical officer (£700 appointment and on leave, and free passages on first and hospital fees) and two medical officers (£550 rising appointment or transfer are granted permanently for to £650 ). A local allowance at the rate of £50 per officers with salary under £800. In other Colonies outside Tropical Africa, subject annum is also paid in respect of actual resident service in the Protectorate. In the Gilbert and Ellice Islands to the necessities of the service, leave of absence on may be granted after a period of three Colony there is one medical officer in charge (£650 half salary resident service without any special grounds. rising to £750). Officers may be transferred from years’ It may be given before the expiration of that period in Fiji to the Western Pacific and vice versa at the case of serious indisposition, or of urgent private discretion of the Secretary of State. affairs. In the absence of special grounds, the leave Cyprus.-There is a chief medical officer paid at the must not exceed one-sixth of the officer’s resident rate of £750, rising by annual increments of £25 to service ; on special grounds it may exceed that period £900, and three district medical officers paid at the by six months. In addition to the above, vacation rate of £500 a year, rising by annual increments of £20 leave on full pay may be granted, if no inconvenience to £600 a year, all enjoying private practice (except or expense is caused thereby, not exceeding three the chief medical officer, who is allowed consulting months3 in any two years. In British Guiana assisted practice only) and receiving 2s. per diem forage passages are granted to officers proceeding on leave and allowance. There is also a medical officer of health officers are allowed to accumulate full-pay leave at on £600, rising by £20 increments to £720 without the rate of six weeks for each year’s service up to private practice; these are the only medical appoint- six months, and no leave of absence may (except in ments open to English candidates. very special circumstances) exceed six months in all Gibraltar.—There is a surgeon of the Colonial unless the officer has served for five years or more Hospital receiving £750, and private practice. There without leave, in which case two months on half-pay are also two assistant surgeons with a salary of £720 may be taken in addition to six months’ full-pay per annum, who are allowed private consulting leave. On first appointment an officer will, except in practice only. Free quarters, unfurnished, are the case of a few Colonies possessing Representative provided for all three officers. St. Helena.-The colonial surgeon at present Assemblies, be provided by the Crown Agents for the receives £550 per annum, £20 fees as health officer, Colonies with free passages to the Colony for himself and £30 horse allowance. Private practice is allowed. and his wife and children, if any, not exceeding four The assistant colonial surgeon at present receives persons besides himself. The officer so appointed £500 a year and a horse allowance, and is allowed will be required to execute an agreement binding him For contracts and to repay the cost of the passage or passages so obtained a share of the private practice. in the event of his the Government service appointments the colonial surgeon also receives within three years. leaving An officer taking leave out of the about £250 a year and the assistant about £150. Colony has in most cases to provide his own passages. Falkland Islands.-There are two appointments. 2 £1 Egyptian (of 100 piastres) is equivalent to £1 0s. 6d. The colonial surgeon is paid at the rate of £600 per sterling. The with assistant 3 free furnished annum, quarters. Or, in the case of Fiji and the Western Pacific and the colonial surgeon is paid at the rate of £500 per annum, alklan d Islands 4½ months in any three years. a salary of £600, plus £50 as travelling allowance of £25.
*
I
471 Instruction in Tropical Medicine.—Every candidate Pensions.-East Africa.-Officers on the pension-able establishment retire on attaining the age of selected for appointment will, unless the Secretary of 50 years or after 20 years’ East African service, State decides otherwise, be required to undergo a whichever is earlier ; but they may be retained in course of instruction for five to six months, either at the service, with their own consent, for such further the London School of Hygiene and Tropical Medicine. period as the Government may recommend. Earlier Endsleigh-gardens, N.W. 1, or at the Liverpool retirement in the event of ill-health is also provided Schoolof Tropical Medicine, University, Liverpool. for. Pension is computed at one-sixtieth of pension- The cost of tuition will be borne by the Government, able emoluments-i.e., salary and value of free but candidates must make their own arrangements for quarters4-at the time of retirement, two years’ board and lodging ; an allowance of £3a week will service being reckoned as three years for this purpose, be paid to them monthly in arrear for this purpose. subject to an average of emoluments for the last two A daily allowance of 5s. (but no salary) will be paid years before retirement instead of the actual emolu- to each candidate monthly in arrear during the course, ments at the time of retirement being taken as the and may be continued up to the date of embarkation. He will be botznd to refund (1) if he declines to accept basis for calculation in certain circumstances. Other Colonies.-In most of the other Colonies an an appointment in any of the Colonies or Protectorates officer holding a pensionable appointment may be for which he may be selected ; (2) if he fails to allowed in the case of ill-health to retire on a pension obtain a certificate in regard to progress and efficiency, after ten full years’ resident service ; otherwise he or (3) if he relinquishes the Service for any other must have attained the age of 55. For ten full years’ reason than mental or physical infirmity, or is removed resident service fifteen-sixtieths of the average annual for misconduct, within three years of his arrival in Africa. salary of the retiring officer’s fixed appointments for West If at the end of the session there exists no vacancy three years prior to retirement may be awarded, to which one-sixtieth may be added for each additional in the Staff to which a candidate can be appointed, year’s service ; but no addition will be made in respect he will be placed in a Reserve and granted an allowof any service beyond 35 years. For pension purposes ance at the rate of 200 a year until the occurrence of absence on vacation leave counts as full service, and a vacancy. Leave of Absence.—European officers in West leave on half-pay as half service. In a few cases the Africa may be granted vacation leave on full salary is 60 and the after ten retiring age pension years’ service is ten-sixtieths instead of fifteen. In the not exceeding in all one week’s leave in the United Straits Settlements and Malay States, an officer may, Kingdom for every completed calendar month of with the consent of Government, retire at age 50. total residential service in West Africa, plus the time Pensions are calculated on a basis of length of service necessarily taken on the journey to the United Kingdom, and, if the officer is returning to West in months instead of years. Africa for further service, the time necessarily taken WEST AFRICAN MEDICAL STAFF. on the journey from the United Kingdom to the Applicants for appointment as medical officers in Colony. Vacation leave may be granted without any the West African Medical Staff (the higher grades will special grounds after 18 consecutivecalendarmonths of usually be filled by promotion from the lower) must be residential service in West Africa. An officer will British subjects of European parentage and between not be required to serve a tour of more than 24 23 and 35 years of age ; preference is given to candi- consecutive calendar months’ residential service dates who are over 25 years of age. Applicants must except in special circumstances ; and the Governor possess a complete double qualification, and must be may grant vacation leave to any officer at any time on the Medical Register. Passages for wives and after he has completed 12 consecutive calendar children are not provided by the Government, and months’ residential service. Vacation leave on full houses for the wives of junior medical officers are salary may also be granted to an officer if he is invalided rarely available. Officers are not allowed to take from West Africa after less than 12 consecutive their wives and young children out with them until calendar months’ residential service, and sick leave they have acquired experience of the local conditions on full salary may be granted for any period not exceeding six calendar months. and have obtained the sanction of the Governor. Appointments and Salaries.-The Medical Services Candidates whom it is proposed to select for appointment will have to be medically examined by of the West African Colonies and Protectoratesone of the medical advisers of the Colonial Office (or, namely, the Gambia, Sierra Leone, the Gold Coast in the case of those residing in a Colony, by a medical (including Ashanti and the Northern Territories), and officer appointed by the Colonial Government), and Nigeria (Southern and Northern Provinces)-form one service under the name of the West African Medical no appointment will be made unless the candidate is declared to be physically fit for service in West Africa. Staff. All the medical officers for the service are Candidates are allowed to express a preference for selected by the Secretary of State for the Colonies, any particular Colony or Protectorate, and their and are on one list for employment and promotion. wishes in this respect will be borne in mind and met The grades and emoluments of the Staff are at present as follows :as far as possible, but they are liable to be posted in The Director of the Medical and Sanitary Service, Nigeria, the first instance, or transferred afterwards if necessary to any other West African Colony or Protectorate at receives a salary of £1800 a year, with a duty allowance at the discretion of the Secretary of State. Candidates the rate of £360 a year. The Director of Medical and who wish to be posted to the Northern Provinces of Sanitary Service in the Gold Coast receives a salary of £1600 a year, with a duty allowance at the rate of £320 a Nigeria should be able to ride. Transfers from one year. The Director of Medical and Sanitary Service in Colony or Protectorate to another will be made as Sierra Leone receives a salary of £1400 a year, with a duty seldom as possible. Candidates should on no account allowance at the rate of R280 a year. The Deputy apply for, or accept, a West African appointment Director of Medical and Sanitary Service, Nigeria, and the in the expectation of ultimately being transferred. Deputy Director of Sanitary Service, Nigeria, receive salaries Those transferred to pensionable Crown appoint- of £1500 a year, with duty allowances at the rate of £300 a ments elsewhere than in West Africa do not forfeit year. The Deputy Director of Medical and Sanitary Service, Gold Coast, receives a salary of £1400 a year, with duty allowtheir claim to pension in respect of their West African ance at the rate of JE280 a year. Assistant Directors Medical service on final retirement, provided that they have Service : There are nine appointments on this grade, six in been members of the staff for at least 12 months. Nigeria, two in the Gold Coast, and one in Sierra Leone. The Every officer selected for appointment is required to salary is at the rate of £1300 a year, with duty allowance at have himself revaccinated before proceeding to West the rate of £260 a year. The Assistant Director of Sanitary Service, Nigeria, the Deputy Director of Sanitary Service in Africa, unless one of the medical advisers of the ; the Gold Coast and the Deputy Director of Sanitary Service Colonial Office certifies that this is unnecessary. in Sierra Leone receive salary at the rate of £1300 a year, ,
4 The value of free quarters for pension purposes is taken 15 per cent. of the minimum salary of the grade in which officer is serving at the time of retirement.
as an
with duty allowance at the rate of £260 a year. Specialists : The number of these appointments is not fixed, officers of outstanding professional merit being eligible for appointment.
472 The salary is at the rate of £1300 a year, with duty allowance at the rate of £260 a year. After five years’ approved service as such, the specialist officer is eligible to receive a salary at the rate of £1400 a year, with duty allowance at the rate of £280 a year. There are at present tive officers appointed specialists in Nigeria and four in the Gold Coast. Senior Medical Officer: There are twenty appointments of this grade, with salary at the rate of £1000 a year, rising by annual increments of B50 to £1150 a year, and seniority The Senior Medical allowance at the rate of B100 a year. Officer, Gambia, is allowed " staff pay " of £150 a year, in addition to duty allowance, but he is debarred from private practice. Senior Sanitary Officer :There are six appointments of this grade, with salary at the rate of £1050 a year, rising by annual increments of £50 to £1200 a year, and a duty allowance at the rate of 2210 a year. Medical Officer : The salary attached to this grade is at the rate of £600 a year, rising by annual increments of £30 to £720 a year. Then, if confirmed in the appointment, £720 a year, rising by annual increments of £40 to B960, with seniority allowance at the rate of £72 a year. Before passing £800, medical officers are required to take a special course of study for three months. If they obtain satisfactory certificates at the end of the course they draw their further increments up to £960 a year.
A medical officer who has served for three years on the maximum salary of this scale (£960) without obtaining promotion is eligible, if recommended by the Governor, to be placed on the scale £1000-£50.81150, with £100 seniority allowance (as for Senior Medical Officers). Special Appointments.-The Director of the Medical Research Institute, Lagos, and the Director of Research, Accra, receive a salary of £1300 a year, with a duty allowance of £260 a year, rising after five years’ approved service to a salary at the rate of £1400 a year and duty allowance at the rate of £280 a year. Salary at the rate of £800 a year, rising by annual increments of £40 to £960 a year is attached to about 17 posts (those of assistant at the Medical Research Institute, Lagos, and medical officers of health at various places), irrespective of the seniority of the officer holding the appointment. In addition to the seniority allowance (£72 a year), staff pay at the rate of £150 a year is also attached to these posts ;and the holder of the appointment draws half of the staff pay during leave of absence, the remainder being drawn by his locum tenens. The holders of these appointments are not allowed private practice. Duty allowances, seniority allowance, and staff pay are not pensionable emoluments. Increments.—Increments to salaries are payable only when the service of an officer during the period of employment qualifying for increment is approved. Payment of Salaries.—Information as to the payment of officers’ salaries or of monthly remittances to persons in England may be obtained from the Crown Agents for the Colonies, 4. Millbank, S.W. 1. All allowances are paid locally. All officers of the staff, except directors, deputy directors, assistant directors, senior sanitary officers, and a few other officers holding special appointments, at present allowed to take private practice, are provided that it does not interfere with the faithful and efficient performance of their official duties, but it is within the power of the Governor to withdraw or suspend the privilege in such places and for such periods as he may consider desirable. Private practice does not exist at the majority of stations, and no guarantee can be given that an officer will be posted to a station in which he will be able to practise privately. As a general rule, and subject to the exigencies of the service, stations where there is private practice are allocated to senior members of the Staff. Pensions and Gratuities.-Pensions and gratuities on retirement are granted in accordance with the law and regulations of each individual Colony. Fuller information can be obtained from the Private Secretary, Colonial Office. 38, Old Queen-street,
London, S.W.1. SUDAN MEDICAL SERVICE. This service is responsible for carrying out civil medical and public health duties in the Sudan. The staff consists of :—(a) A Director—pay £1500-£1800. (b) A Senior Physician and a Senior Surgeon to the
Khartoum and Omdurman Civil Hospitals-pay £1200-£1750. (e) An Assistant Director and Medical Officer of Health, Khartoum Province—pay JE1200. (This post is of a temporary nature and the terms and nature of the duties are subject to alteration.) (d) Twenty-four *’Senior Medical Inspectors" and Medical Inspectors " who are all British. The pay of the Inspectors commences at .E720, and rises, subject to the recommendation of the Director, by five biennial increases to £1080, and thence, after 13 years service. to £1200. The Senior Medical Inspectors All are eligible by selection to the four senior posts. Medical Inspectors are appointed on probation for two years. If at the expiration of this time they are taken on the permanent service of the Government, the increase of pay is subject to passing such examination in Arabic as may be required by the regulations. (e) A number of medical officers trained at one of the Syrian medical schools. (f) A number of assistant medical officers, natives of the Sudan, who have been given a purely clinical training in one of the larger Sudan hospitals. Among the attractions of the service are : The annual leave of 90 days for every year’s service, which under ordinary circumstances is granted each year, study-leave for some definite purpose, and two years granted towards pension to those who have obtained special qualifications and experience. The pension for a medical inspector retiring after 20 years’ service is, as a rule, not less than £500 a year. Private practice is limited to a few of the larger towns, but may be carried on so long as it does not in any way interfere with official duties. These duties include acting as consultant to the principal hospitals, and "
supervising smaller hospitals or dispensaries; initiating and supervising the medical and sanitary work of a province; the medical supervision of schools; the
examination of candidates for Government service and pension ; and the training of assistant medical officers and native sanitary overseers. In the Khartoum medical school there are opportunities for teaching ; the Registrar receives £250 a year, and the other teachers receive remuneration in addition to their pay. The country is developing rapidly and the Medical Department is being enlarged to meet the increased requirements of the service. Four additional medical inspectors have recently been appointed, bringing the total number up to 28, and there will be further vacancies next year. Candidates must be single, under 30 years of age, and they must have held a resident post, preferably house surgeon, in a large general hospital. They are required to take out a course of Tropical Medicine in this country before leaving; the fees, in addition to an allowance of £4 15s. per week during this period, will be paid by the Sudan Government. Applications for further information should be made to Dr. Acland, 19, Bryanston-square, W. 1, or to the Deans of the principal medical schools. THE DEGREE OF M.D. BRUSSELS. To obtain the degree of M.D. Brussels all foreign graduates must submit their degrees or diplomas for consideration to the Secretary of the University of Brussels. According to the standard of the qualification, a period of one, two, or three years must be spent in attending lectures, clinics, and practical work at Brussels before examinations, which are conducted orally in French. Further information may be obtained from Dr. A. D. Wcolf, 13, The Avenue, Highams Park, E. 4. D O N A T I O N S
A N D
B E Q U E S T S. — The
late
Louisa E. Harlancl. of Harefield, left by will, among other bequests, £1000 to the Church of England Zenana Missionary Society.—Among other bequests the late Sir F. G. Painter left £1000 to the Bristol Infirmary for general purposes, £500 each t.o the Bristol General Hospital, the rational Society for the Prevention of Cruelty to Children, and the British Home and Hospital for Incurables,
Streatham.
Nigeria, the Gold Gambia, is one service. Service, which serves Nyasaland, Somaliland,
serves
Coast, Sierra Leone, and the (b) The East African Medical Kenya, Uganda, Zanzibar, and the
Tanganyika
Terri-
(c) In practice the medical services of the Straits Settlements and the Malay States may be regarded as one, as the officers may be and frequently are transferred from the Colony to the tory is
one
service.
States or vice versa. The Colonies, Protectorates, and Mandated Territories to which medical officers are appointed by the Secretary of State for the Colonies are (a) the West African-viz., Nigeria, the Gold Coast, Sierra Leone, and the Gambia; (b) the East African-viz., the Kenya Colony and Protectorate, the Uganda, Nyasaland, Somaliland, and Zanzibar Protectorates, the
Tanganyika Territory, and Northern Rhodesia; (c) Eastern-viz., Ceylon, the Straits Settlements Malay States, Hong-Kong, Mauritius, and Seychelles ; (d) the West Indian-viz., British Guiana, Jamaica, Trinidad, the Windward Islands, the Leeward Islands, Barbados, British Honduras, and the Bahamas ; (e) Fiji and the Western Pacific, Cyprus, Gibraltar, St. Helena, Bermuda, and the Falkland Islands ; and (f) Palestine. In Ceylon, Mauritius, Jamaica, Barbados, the
the and
Bahamas, and Bermuda vacancies
are
practically
always filled locally by the appointment of qualified native candidates, or-in the case of some of the higher posts-by transfer from other Colonies. Appointments in Malta are all filled locally. Vacancies occur most regularly and frequently in the West African Medical Staff, the East African Medical Service, and the Straits Settlements and Malay States. All applicants for medical appointments in the gift of the Secretary of State for the Colonies should be between the ages of 23 and 35,1 and must be doubly qualified ; preference will be given to those who have held hospital appointments as house physicians and 15 than service. £1500 if he has 10 but not less years’commissioned 15 £2500 15 or more than house surgeons ; testimonials to character and professional competence will be required, and every Short-service officers will be eligible on passing to officer before being definitely appointed will be the Reserve for gratuities on the following scale : examined by one of the consulting £100 for each of the first two complete years of service, medically of the Colonial Office : Sir William Prout, £150 for each of the third and fourth complete years, physicians C.M.G., O.B.E., and Dr. A. E. Horn, C.M.G., 79, and ;t200 for the fifth complete year ; that is :Harley-street, London, W. 1 ; Sir J. Hawtrey Benson, For three years’ service on the active list.. 350 57, Fitzwilliam-square, Dublin ; Dr. Foster Coates, For five .. £700 9, Shaftesbury-square, Belfast; Lieut.-Colonel Glen These gratuities will not be payable to officers granted Liston, C.I.E., I.M.S., 33, Comely Bank, Edinburgh; pe. manent commissions, but their service on a short- and Dr. R. H. Kennan, 2, St. James’s-road, service commission will count towards retired pay. Liverpool. Applications for such appointments must be addressed to the Private Secretary (Appointments), Colonial Office, 38, Old Queen-street, S.W.I.
Gratu ities.—A permanent officer allowed to retire before having qualified for retired pay may be granted a gratuity provided he has not less than ten years’ commissioned service, namely :"
"
"
11
"
"
"
"
COLONIAL MEDICAL SERVICE.
EAST AFRICAN MEDICAL SERVICE. Medical staffs of the Kenya Colony and IN the self-governing dominions, Canada, Australia, Protectorate, the Uganda, Nyasaland, Somaliland, New Zealand, the Union of South Africa, and New- and Zanzibar Protectorates, and the Tanganyika foundland, and territories under their control, such as Territory form one service, the members of which Papua and the Cook Islands, medical appointments are liable to be posted to any of the Dependencies are made concerning which information can be obtained as the exigencies of the service may require. The from the High Commissioners or Agents-General in preferences of individual officers are, however, taken London ; appointments in Egypt and the Soudan are into consideration as far as possible. regulated from the Foreign Office ; in Southern Selected candidates are appointed as medical Rhodesia the appointments are made by the local officers on probation in the first instance for two Government, but the British South Africa Company, years, at the end of which period their appointLondon Wall Buildings, E.C., act as their agents in ments are made permanent if their service has this country ;-, in North Borneo application should been Unless the Secretary of Htate satisfactory. be made to the British North Borneo Company, 37, directs to the contrary, they are required to Threadneedle-street, E.C., for appointments ;5 and attend a course of instruction at the London those in Sarawak are in the hands of H.H. the Rajah. or Liverpool School of Tropical Medicine before Much valuable information will be found in the taking up their appointments. If such a course Professional Handbook," Part II., issued by the is not taken before proceeding to East Africa, they Oversea Settlement Office, 3 and 4, Clement’s Inn,, are required to take it during their first leave of Strand, London, W.C. 2, price 9d. absence. Medical oiyieers (but not sanitation officers) As a general rule, each Colony or Protectorate has permitted to take private practice at some its own public service distinct from that of every stations, on the understanding that they give preother ; and it is usually only the higher officers who 1 In the case of East Africa, preference will be given to candiare transferred by the Secretary of State from one who are over 25 years of age. In the case of Fiji and the Colony to another. There are three exceptions to dates Western Pacific, preference will be given to candidates who are this rule : (a) The West African Medical Staff, which under 30.
IB
The
"
are
469 .cedence to their official duties. It must be understood that additions to their income from this source are not likely to be substantial, and that the privilege is liable to withdrawal at any time. Salaries and allowances are issued locally in respect of resident service at a fixed rate of 20 shillings to the pound sterling. Officers are provided with quarters free of rent or the Government may provide temporary accommodation, or an allowance in lieu of quarters calculated at 15 per cent. of the initial salary of an officer’s appointment may be paid. The salary of a medical or sanitation officer in Kenya, Uganda, the Tanganyika Territory, or Zanzibar is f:600 per annum, rising by annual increments of f:30 to f!840, and thence by increments of C40 to £920, subject to an efficiency Senior medical officers and senior bar at £840. sanitation officers in those Dependencies are paid on the scale £1000 by annual increments of 250 to £1100. The application of these scales to Nyasaland and Somaliland is under consideration ; at present the scale for medical officers in those Dependencies is £600 by £25 to £900, with efficiency bars at £700 and £800. Officers who possess the Diploma in Public Health on entering, or who acquire it while in the - Service, receive two special increments in the scale. Officers of the East African Medical Service are permitted to retire with gratuity, if they wish, instead of waiting to retire on pension as follows : (a) After nine years’ service, of which at least six must have been spent in East Africa, .61000 ;(b) after 12 years’ .service, of which at least eight must have been spent in East Africa, £1250. If an officer elects to retire with gratuity, he thereby foregoes all claim to
pension.
The grades and salaries (apart from ordinary medical and sanitation officers) in the medical departments
are as
follows
:-
of Medical and Sanitary Director of Medical Service, £1200
Keraya.—Director £1500 ; Deputy
Director of Sanitary Service, £1200 ; 91200 ; Director of Laboratory, £1200.
Services, ; Deputy
Surgical Specialist,
TTganda.-As Kenya. Tanganyika Territory.-As Kenya, except that there is no surgical specialist. Nyasaland.—Director of Medical and Sanitary Services, £1000 ; Senior Medical Officer and Senior Sanitation Officer, X800 by £25 to B900. Zanzibar.—Director of Medical and Sanitary Services, £1400 ; Deputy Director of Sanitary Service, £1200. Somaliland.—Principal Medical Officer, £300 by £50 to .BlOOO.
Sanitation officers are selected from the ranks of medical as occasion arises.
officers
ASIA. Straits Settlements and Federated Malay States.European medical officers are appointed on the scale of salaries:$440 per mensem, rising to $480 per mensem during three years’ probation ; then, if they are placed on the pensionable establishment, rising to$500 per mensem, and thence by annual increments of$25 per mensem to$800 per mensem, with a strict efficiency bar at$600 per
following
This scale of salaries has been fixed on the that medical officers join the service at about the age of 27. Above the concluding figure of $800 per mensem there are certain higher appointments as follows : Principal Civil Medical Officer, Straits Settlements, and Principal Medical Officer, mensem.
supposition
Seychelles.—The chief medical officer receives Rs.7000 and Rs.300 in fees. There are three assistant Government medical officers, two receiving Rs.6500, with free quarters, or an allowance of Rs.500 per One assistant annum in lieu, the other Rs.6000. is provided with free quarters in the New Hospital. Hong-Kong.—The present establishment of the medical department is: principal civil medical officer, £1000- £50- £1200 ; eight medical officers, £600- £25£1000 ; three port health officers, £600- £25- £1000 ; bacteriologist, £100- £25- £1000 ; two health officers, £600-£25- £1000, are also attached to the Sanitary Department. A temporary allowance on a scale varying with the sterling exchange value of the dollar is at present payable. Salaries are converted locally at the rate of 2s. =$1. Free quarters are not provided, but in certain instances a rent allowance is paid by the Government. AlIER.ICA. British Gitiana.-There are the following posts in the medical service of the Colony: one surgeongeneral, £1000- £1200 per annum, with consulting practice ; one medical officer of health, £900 ; one bacteriologist, £450- £700 (increment £25), with £50 allowance in lieu of fees ; 34 medical officers at £500- £25- £700. Some of the senior posts also carry duty allowances (varying from £50 to £300 per annum) and quarters. All the junior appointments in which private practice is not allowed carry duty allowances. Private practice is allowed in certain cases. Trinidad and Tobago.-In Trinidad and Tobago there are over 40 appointments. On appointment Government medical officers, who are provided with free unfurnished quarters, receive salary at the rate of £400 per annum with annual increments of £25 accruing from the date of first appointment as supernumerary medical officers, until reaching the maximum of £600. An officer appointed to a district receives, in addition to his salary, a travelling allowance varying from £100 per annum in a normal district to £150 per annum, and is allowed private practice, the value of which is estimated at from £50 to £800 Officers employed in institution work per annum. receive allowances in lieu of private practice varying from £50 (and furnished quarters) to Medical officers having completed 10 years’ resident service are pensionable at the age of 55. Windward Islands (Grenada, St. Lucia, St. Vincent). There over 25 are The chief appointments. medical and health officer, Grenada, receives £600— £700. The chief medical officer, St. Lucia, receives £600- £700 plus forage and subsistence allowances ; the post is pensionable, but private practice is not allowed except as a consultant. Most of the remaining appointments are district appointments with the right to private practice attached ; the salaries paid by Government vary from £400-£500, and with The Governor has allowances in certain cases. the power to transfer a medical officer from one island to another. Appointments are pensionable. ! Leeward Islands (Antigua, St. Christopher and
:6300.
Nevis, are
£375
20
Dominica. Montserrat, Virgin Islands).-There appointments with salaries varying from
to 2400 of the same nature as in the Windward Islands and pensionable. An officer when first sent out is not appointed to a particular island but to the service of the Leeward Islands, with a Federated Malay States,$1200 per mensem. salary varying from £312 to £400, according to station, seven posts at$1050 per mensem. Class B : nine and the Governor decides as to the district which is to be allotted to him. He is liable to be transferred at posts at$850, rising by$30 to$1000 per mensem. The following temporarv allowances are at present the Governor’s discretion to any medical district in paid to all officers recruited from Europe in the I the Leeward Islands, and in certain districts may be Government Services of the Straits Settlements and required to perform magisterial duties. The medical Federated Malay States : unmarried officers, 10 per officers receivefees for successful vaccinations, posteent. of salary ; married officers, 20 per cent. of mortem examinations, evidence at courts of justice, salary. Private practice by Government medical certificates of lunacy, and, in the larger islands, for officers is not allowed. They may, however, do, and burial certificates. Thev are also, as a rule, allowed receive fees for, consultative work, if approved by the private practice. The chief medical officer, St. Kitts, £700-£25-£750 without private practice. Government. Information about general conditions in Malaya is obtainable from the Malay States Antigua. — Medical Superintendent, Holburton Information Agency, 88, Cannon-street, E.C. 4. Hospital, and Chief Medical Officer is in receipt of *
Class A :
receives
470 Chief Medical Officer Fees average £100.
and
with an allowance of £50 per annum in lieu of quarters. Private practice is shared between the colonial surgeon and the assistant colonial surgeon. The office of British Honduras.—There are seven medical appointcolonial surgeon is pensionable. ments (besides the principal post of colonial surgeon) Palestine. 2—The grades and salaries of superior of which six are at a salary of$2430 per annum with increments of$120 to$3150. Unless they already appointments in the Department of Health are: possess a diploma of public health, medical officers Director, £E1100-50-1400, plus £E100 expatriation allowance. are liable to be required, before they join the colony, Deputy director, senior medical officer to undergo a course of instruction at a laboratory of (laboratory section), and senior medical officer district) .SE800-50-1100 plus ;BE100 public health or analogous institution. The salary (Jerusalem-Jaffa Chemical analyst, three of the Principal Medical Officer is$4008, with one expatriation allowance. increment of$120 to$4128. The value of the dollar senior medical officers, and medical officer (Jerusalemis approximately the same as that of the United States. Jaffa district) £E550-25-750 plus £E50 expatriation of the staff is recruited ,II allowance. The remainder OTHER OVERSEAS APPOINTMENTS. locally. The salaries of the two highest grades will Fiji and the Western Pacific.-In Fiji the Govern- be reduced as vacancies occur. ment medical officers receive a salary of £400, rising I LEAVE AND PENSIONS. by annual increments of £25 to £600, with partly ’i Leave and Passages.-Leave of absence in East furnished quarters, or a house allowance of £50. In Africa on full salary is granted in the normal case some districts a medical officer is also a district a tour of residential service (of not less than after of £150. with an allowance additional commissioner, 20 and more than 30 months) to an amount They are allowed private practice, on the under- of six not usually for each completed month of residence days not are that their duties official neglected. standing Private practice, however, cannot be guaranteed, and (or three days when for any reason the officer is in most districts it is very small in amount. Where not returning to East Africa) exclusive of the periods of the voyages to and fro, for which full pay is also no private practice exists, a duty allowance of £50 is serving in certain stations in Kenya granted. They are required either to take charge given. Officers are allowed five (or two and a half) of hospitals or of districts, at the discretion of the and Nyasaland, days’ leave in respect of each month of service authorities. The posts are pensionable. In addition to a chief medical officer (£800 a year, instead of six (or three) days’ leave respectively. In special leave regulations exist which rising to £1000), a medical officer of health, Suva Somaliland for an officer taking leave after a shorter (£750-£900, not subject to bonus addition), a medical provide superintendent, Colonial Hospital (£700-£750, in- tour of service than in other parts of East Africa. clusive of allowance as officer in charge of the Medical Free first-class passages are provided for the officer first appointment and on leave, and in certain School), and a medical superintendent, Makogai on cases assistance towards family passages is given. to there are in £800), Leper Asylum (£600 rising In the Malay Peninsula two months’ leave of absence Fiji 12 medical officers, live of whom are also district commissioners. The salaries in Fiji are with full salary may be granted in respect of each subject to temporary increases, the rate of bonus at year’s service, and this leave may be accumulated up the present time being 15 per cent. of the salary with to a maximum of eight months. Additional leave on half-pay may be granted on special grounds. Up to the addition of £22 10s. The staff in the British Solomon Islands Protec- the end of 1928 free passages are granted on first torate consists of one senior medical officer (£700 appointment and on leave, and free passages on first and hospital fees) and two medical officers (£550 rising appointment or transfer are granted permanently for to £650 ). A local allowance at the rate of £50 per officers with salary under £800. In other Colonies outside Tropical Africa, subject annum is also paid in respect of actual resident service in the Protectorate. In the Gilbert and Ellice Islands to the necessities of the service, leave of absence on may be granted after a period of three Colony there is one medical officer in charge (£650 half salary resident service without any special grounds. rising to £750). Officers may be transferred from years’ It may be given before the expiration of that period in Fiji to the Western Pacific and vice versa at the case of serious indisposition, or of urgent private discretion of the Secretary of State. affairs. In the absence of special grounds, the leave Cyprus.-There is a chief medical officer paid at the must not exceed one-sixth of the officer’s resident rate of £750, rising by annual increments of £25 to service ; on special grounds it may exceed that period £900, and three district medical officers paid at the by six months. In addition to the above, vacation rate of £500 a year, rising by annual increments of £20 leave on full pay may be granted, if no inconvenience to £600 a year, all enjoying private practice (except or expense is caused thereby, not exceeding three the chief medical officer, who is allowed consulting months3 in any two years. In British Guiana assisted practice only) and receiving 2s. per diem forage passages are granted to officers proceeding on leave and allowance. There is also a medical officer of health officers are allowed to accumulate full-pay leave at on £600, rising by £20 increments to £720 without the rate of six weeks for each year’s service up to private practice; these are the only medical appoint- six months, and no leave of absence may (except in ments open to English candidates. very special circumstances) exceed six months in all Gibraltar.—There is a surgeon of the Colonial unless the officer has served for five years or more Hospital receiving £750, and private practice. There without leave, in which case two months on half-pay are also two assistant surgeons with a salary of £720 may be taken in addition to six months’ full-pay per annum, who are allowed private consulting leave. On first appointment an officer will, except in practice only. Free quarters, unfurnished, are the case of a few Colonies possessing Representative provided for all three officers. St. Helena.-The colonial surgeon at present Assemblies, be provided by the Crown Agents for the receives £550 per annum, £20 fees as health officer, Colonies with free passages to the Colony for himself and £30 horse allowance. Private practice is allowed. and his wife and children, if any, not exceeding four The assistant colonial surgeon at present receives persons besides himself. The officer so appointed £500 a year and a horse allowance, and is allowed will be required to execute an agreement binding him For contracts and to repay the cost of the passage or passages so obtained a share of the private practice. in the event of his the Government service appointments the colonial surgeon also receives within three years. leaving An officer taking leave out of the about £250 a year and the assistant about £150. Colony has in most cases to provide his own passages. Falkland Islands.-There are two appointments. 2 £1 Egyptian (of 100 piastres) is equivalent to £1 0s. 6d. The colonial surgeon is paid at the rate of £600 per sterling. The with assistant 3 free furnished annum, quarters. Or, in the case of Fiji and the Western Pacific and the colonial surgeon is paid at the rate of £500 per annum, alklan d Islands 4½ months in any three years. a salary of £600, plus £50 as travelling allowance of £25.
*
I
471 Instruction in Tropical Medicine.—Every candidate Pensions.-East Africa.-Officers on the pension-able establishment retire on attaining the age of selected for appointment will, unless the Secretary of 50 years or after 20 years’ East African service, State decides otherwise, be required to undergo a whichever is earlier ; but they may be retained in course of instruction for five to six months, either at the service, with their own consent, for such further the London School of Hygiene and Tropical Medicine. period as the Government may recommend. Earlier Endsleigh-gardens, N.W. 1, or at the Liverpool retirement in the event of ill-health is also provided Schoolof Tropical Medicine, University, Liverpool. for. Pension is computed at one-sixtieth of pension- The cost of tuition will be borne by the Government, able emoluments-i.e., salary and value of free but candidates must make their own arrangements for quarters4-at the time of retirement, two years’ board and lodging ; an allowance of £3a week will service being reckoned as three years for this purpose, be paid to them monthly in arrear for this purpose. subject to an average of emoluments for the last two A daily allowance of 5s. (but no salary) will be paid years before retirement instead of the actual emolu- to each candidate monthly in arrear during the course, ments at the time of retirement being taken as the and may be continued up to the date of embarkation. He will be botznd to refund (1) if he declines to accept basis for calculation in certain circumstances. Other Colonies.-In most of the other Colonies an an appointment in any of the Colonies or Protectorates officer holding a pensionable appointment may be for which he may be selected ; (2) if he fails to allowed in the case of ill-health to retire on a pension obtain a certificate in regard to progress and efficiency, after ten full years’ resident service ; otherwise he or (3) if he relinquishes the Service for any other must have attained the age of 55. For ten full years’ reason than mental or physical infirmity, or is removed resident service fifteen-sixtieths of the average annual for misconduct, within three years of his arrival in Africa. salary of the retiring officer’s fixed appointments for West If at the end of the session there exists no vacancy three years prior to retirement may be awarded, to which one-sixtieth may be added for each additional in the Staff to which a candidate can be appointed, year’s service ; but no addition will be made in respect he will be placed in a Reserve and granted an allowof any service beyond 35 years. For pension purposes ance at the rate of 200 a year until the occurrence of absence on vacation leave counts as full service, and a vacancy. Leave of Absence.—European officers in West leave on half-pay as half service. In a few cases the Africa may be granted vacation leave on full salary is 60 and the after ten retiring age pension years’ service is ten-sixtieths instead of fifteen. In the not exceeding in all one week’s leave in the United Straits Settlements and Malay States, an officer may, Kingdom for every completed calendar month of with the consent of Government, retire at age 50. total residential service in West Africa, plus the time Pensions are calculated on a basis of length of service necessarily taken on the journey to the United Kingdom, and, if the officer is returning to West in months instead of years. Africa for further service, the time necessarily taken WEST AFRICAN MEDICAL STAFF. on the journey from the United Kingdom to the Applicants for appointment as medical officers in Colony. Vacation leave may be granted without any the West African Medical Staff (the higher grades will special grounds after 18 consecutivecalendarmonths of usually be filled by promotion from the lower) must be residential service in West Africa. An officer will British subjects of European parentage and between not be required to serve a tour of more than 24 23 and 35 years of age ; preference is given to candi- consecutive calendar months’ residential service dates who are over 25 years of age. Applicants must except in special circumstances ; and the Governor possess a complete double qualification, and must be may grant vacation leave to any officer at any time on the Medical Register. Passages for wives and after he has completed 12 consecutive calendar children are not provided by the Government, and months’ residential service. Vacation leave on full houses for the wives of junior medical officers are salary may also be granted to an officer if he is invalided rarely available. Officers are not allowed to take from West Africa after less than 12 consecutive their wives and young children out with them until calendar months’ residential service, and sick leave they have acquired experience of the local conditions on full salary may be granted for any period not exceeding six calendar months. and have obtained the sanction of the Governor. Appointments and Salaries.-The Medical Services Candidates whom it is proposed to select for appointment will have to be medically examined by of the West African Colonies and Protectoratesone of the medical advisers of the Colonial Office (or, namely, the Gambia, Sierra Leone, the Gold Coast in the case of those residing in a Colony, by a medical (including Ashanti and the Northern Territories), and officer appointed by the Colonial Government), and Nigeria (Southern and Northern Provinces)-form one service under the name of the West African Medical no appointment will be made unless the candidate is declared to be physically fit for service in West Africa. Staff. All the medical officers for the service are Candidates are allowed to express a preference for selected by the Secretary of State for the Colonies, any particular Colony or Protectorate, and their and are on one list for employment and promotion. wishes in this respect will be borne in mind and met The grades and emoluments of the Staff are at present as follows :as far as possible, but they are liable to be posted in The Director of the Medical and Sanitary Service, Nigeria, the first instance, or transferred afterwards if necessary to any other West African Colony or Protectorate at receives a salary of £1800 a year, with a duty allowance at the discretion of the Secretary of State. Candidates the rate of £360 a year. The Director of Medical and who wish to be posted to the Northern Provinces of Sanitary Service in the Gold Coast receives a salary of £1600 a year, with a duty allowance at the rate of £320 a Nigeria should be able to ride. Transfers from one year. The Director of Medical and Sanitary Service in Colony or Protectorate to another will be made as Sierra Leone receives a salary of £1400 a year, with a duty seldom as possible. Candidates should on no account allowance at the rate of R280 a year. The Deputy apply for, or accept, a West African appointment Director of Medical and Sanitary Service, Nigeria, and the in the expectation of ultimately being transferred. Deputy Director of Sanitary Service, Nigeria, receive salaries Those transferred to pensionable Crown appoint- of £1500 a year, with duty allowances at the rate of £300 a ments elsewhere than in West Africa do not forfeit year. The Deputy Director of Medical and Sanitary Service, Gold Coast, receives a salary of £1400 a year, with duty allowtheir claim to pension in respect of their West African ance at the rate of JE280 a year. Assistant Directors Medical service on final retirement, provided that they have Service : There are nine appointments on this grade, six in been members of the staff for at least 12 months. Nigeria, two in the Gold Coast, and one in Sierra Leone. The Every officer selected for appointment is required to salary is at the rate of £1300 a year, with duty allowance at have himself revaccinated before proceeding to West the rate of £260 a year. The Assistant Director of Sanitary Service, Nigeria, the Deputy Director of Sanitary Service in Africa, unless one of the medical advisers of the ; the Gold Coast and the Deputy Director of Sanitary Service Colonial Office certifies that this is unnecessary. in Sierra Leone receive salary at the rate of £1300 a year, ,
4 The value of free quarters for pension purposes is taken 15 per cent. of the minimum salary of the grade in which officer is serving at the time of retirement.
as an
with duty allowance at the rate of £260 a year. Specialists : The number of these appointments is not fixed, officers of outstanding professional merit being eligible for appointment.
472 The salary is at the rate of £1300 a year, with duty allowance at the rate of £260 a year. After five years’ approved service as such, the specialist officer is eligible to receive a salary at the rate of £1400 a year, with duty allowance at the rate of £280 a year. There are at present tive officers appointed specialists in Nigeria and four in the Gold Coast. Senior Medical Officer: There are twenty appointments of this grade, with salary at the rate of £1000 a year, rising by annual increments of B50 to £1150 a year, and seniority The Senior Medical allowance at the rate of B100 a year. Officer, Gambia, is allowed " staff pay " of £150 a year, in addition to duty allowance, but he is debarred from private practice. Senior Sanitary Officer :There are six appointments of this grade, with salary at the rate of £1050 a year, rising by annual increments of £50 to £1200 a year, and a duty allowance at the rate of 2210 a year. Medical Officer : The salary attached to this grade is at the rate of £600 a year, rising by annual increments of £30 to £720 a year. Then, if confirmed in the appointment, £720 a year, rising by annual increments of £40 to B960, with seniority allowance at the rate of £72 a year. Before passing £800, medical officers are required to take a special course of study for three months. If they obtain satisfactory certificates at the end of the course they draw their further increments up to £960 a year.
A medical officer who has served for three years on the maximum salary of this scale (£960) without obtaining promotion is eligible, if recommended by the Governor, to be placed on the scale £1000-£50.81150, with £100 seniority allowance (as for Senior Medical Officers). Special Appointments.-The Director of the Medical Research Institute, Lagos, and the Director of Research, Accra, receive a salary of £1300 a year, with a duty allowance of £260 a year, rising after five years’ approved service to a salary at the rate of £1400 a year and duty allowance at the rate of £280 a year. Salary at the rate of £800 a year, rising by annual increments of £40 to £960 a year is attached to about 17 posts (those of assistant at the Medical Research Institute, Lagos, and medical officers of health at various places), irrespective of the seniority of the officer holding the appointment. In addition to the seniority allowance (£72 a year), staff pay at the rate of £150 a year is also attached to these posts ;and the holder of the appointment draws half of the staff pay during leave of absence, the remainder being drawn by his locum tenens. The holders of these appointments are not allowed private practice. Duty allowances, seniority allowance, and staff pay are not pensionable emoluments. Increments.—Increments to salaries are payable only when the service of an officer during the period of employment qualifying for increment is approved. Payment of Salaries.—Information as to the payment of officers’ salaries or of monthly remittances to persons in England may be obtained from the Crown Agents for the Colonies, 4. Millbank, S.W. 1. All allowances are paid locally. All officers of the staff, except directors, deputy directors, assistant directors, senior sanitary officers, and a few other officers holding special appointments, at present allowed to take private practice, are provided that it does not interfere with the faithful and efficient performance of their official duties, but it is within the power of the Governor to withdraw or suspend the privilege in such places and for such periods as he may consider desirable. Private practice does not exist at the majority of stations, and no guarantee can be given that an officer will be posted to a station in which he will be able to practise privately. As a general rule, and subject to the exigencies of the service, stations where there is private practice are allocated to senior members of the Staff. Pensions and Gratuities.-Pensions and gratuities on retirement are granted in accordance with the law and regulations of each individual Colony. Fuller information can be obtained from the Private Secretary, Colonial Office. 38, Old Queen-street,
London, S.W.1. SUDAN MEDICAL SERVICE. This service is responsible for carrying out civil medical and public health duties in the Sudan. The staff consists of :—(a) A Director—pay £1500-£1800. (b) A Senior Physician and a Senior Surgeon to the
Khartoum and Omdurman Civil Hospitals-pay £1200-£1750. (e) An Assistant Director and Medical Officer of Health, Khartoum Province—pay JE1200. (This post is of a temporary nature and the terms and nature of the duties are subject to alteration.) (d) Twenty-four *’Senior Medical Inspectors" and Medical Inspectors " who are all British. The pay of the Inspectors commences at .E720, and rises, subject to the recommendation of the Director, by five biennial increases to £1080, and thence, after 13 years service. to £1200. The Senior Medical Inspectors All are eligible by selection to the four senior posts. Medical Inspectors are appointed on probation for two years. If at the expiration of this time they are taken on the permanent service of the Government, the increase of pay is subject to passing such examination in Arabic as may be required by the regulations. (e) A number of medical officers trained at one of the Syrian medical schools. (f) A number of assistant medical officers, natives of the Sudan, who have been given a purely clinical training in one of the larger Sudan hospitals. Among the attractions of the service are : The annual leave of 90 days for every year’s service, which under ordinary circumstances is granted each year, study-leave for some definite purpose, and two years granted towards pension to those who have obtained special qualifications and experience. The pension for a medical inspector retiring after 20 years’ service is, as a rule, not less than £500 a year. Private practice is limited to a few of the larger towns, but may be carried on so long as it does not in any way interfere with official duties. These duties include acting as consultant to the principal hospitals, and "
supervising smaller hospitals or dispensaries; initiating and supervising the medical and sanitary work of a province; the medical supervision of schools; the
examination of candidates for Government service and pension ; and the training of assistant medical officers and native sanitary overseers. In the Khartoum medical school there are opportunities for teaching ; the Registrar receives £250 a year, and the other teachers receive remuneration in addition to their pay. The country is developing rapidly and the Medical Department is being enlarged to meet the increased requirements of the service. Four additional medical inspectors have recently been appointed, bringing the total number up to 28, and there will be further vacancies next year. Candidates must be single, under 30 years of age, and they must have held a resident post, preferably house surgeon, in a large general hospital. They are required to take out a course of Tropical Medicine in this country before leaving; the fees, in addition to an allowance of £4 15s. per week during this period, will be paid by the Sudan Government. Applications for further information should be made to Dr. Acland, 19, Bryanston-square, W. 1, or to the Deans of the principal medical schools. THE DEGREE OF M.D. BRUSSELS. To obtain the degree of M.D. Brussels all foreign graduates must submit their degrees or diplomas for consideration to the Secretary of the University of Brussels. According to the standard of the qualification, a period of one, two, or three years must be spent in attending lectures, clinics, and practical work at Brussels before examinations, which are conducted orally in French. Further information may be obtained from Dr. A. D. Wcolf, 13, The Avenue, Highams Park, E. 4. D O N A T I O N S
A N D
B E Q U E S T S. — The
late
Louisa E. Harlancl. of Harefield, left by will, among other bequests, £1000 to the Church of England Zenana Missionary Society.—Among other bequests the late Sir F. G. Painter left £1000 to the Bristol Infirmary for general purposes, £500 each t.o the Bristol General Hospital, the rational Society for the Prevention of Cruelty to Children, and the British Home and Hospital for Incurables,
Streatham.