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Background to Post-War Reconstruction¹

Part I. Preliminary Report on Parasitic and Other Infectious Diseases of the Japanese Mandated Islands and Guam

Introduction. The Japanese Mandated Islands include four major Micronesian groups: the Palaus, the Marianas (except Guam), the Carolines, and the Marshalls. They were placed under Japanese mandate in 1919. Guam, geographically one of the Marianas, has been under United States sovereignty since 1899 but is at present in the hands of the Japanese.

The most recent comprehensive work on disease distribution, the late Dr. E. B. McKinley's Geography of Disease (1935), makes no mention of the Japanese Mandated Islands, and the information on Guam contained therein is in need of revision.

Of the sixty-six diseases discussed below, forty-three are of sufficient military importance to be included in General George C. Dunham's Military Preventive Medicine (1938). The remaining twenty-three, although they may not necessarily be important to an army in the field, will interest administrators who may be called upon to set up public health organizations in this area.

¹ In adapting the Pacific Islands Research carried on in association with Professor G. D. Hale Carpenter, M.D., of Oxford, since 1938, to the immediate war effort and problems of post-war reconstruction, assistance has been received from the National Academy of Sciences, the Josiah Macy Jr. Foundation, the Carnegie Corporation of New York, the Ella Sachs Plotz Foundation, the Rosenberg Foundation, the Viking Fund, the May Esther Bedford Fund Inc. of Connecticut, the British Association for the Advancement of Science, and the Higher Studies Fund at Oxford.

The manuscript was read prior to publication by Chancellor Ray Lyman Wilbur, M.D., Professors G. S. Luckett, M.D., Alfred C. Reed, M.D., and W. C. T. Herre of Stanford University, Wilbur B. Sawyer, M.D., Director, International Health Division of the Rockefeller Foundation and S. M. Lambert, M.D. formerly of that division, Rear Admiral L. Sheldon, Jr., M.D., Acting Chief of the Bureau of Medicine and Surgery, Navy Department, Brigadier General James S. Simmons, M.D., Chief of the Division of Preventive Medicine, Office of the Surgeon General, Colonel George A. Callender, M.D., Director of the Army Medical School, and Colonel Richard P. Strong, M.D., Director of Tropical Medicine, Army Medical School, Professor Henry E. Meleney, M.D., Chairman, Subcommittee on Tropical Diseases of the National Research Council, Dr. Paul Fejos, M.D., Director of the Viking Fund, Dr. Walter H. Brown, M.D., Chairman, Department of Hygiene, and Professor K. F. Meyer, M.D., Director of the Hooper Foundation of the University of California, and Professor E. C. Faust, Acting Head, Department of Tropical Medicine, Tulane University of Louisiana.

Assistance has also been received from Professor George P. Murdock of Yale University, and Professor Gordon H. Ball and Dr. Robert C. Stebbins of the University of California at Los Angeles.

For facilities made available at Stanford University thanks are due to Chancellor Ray Lyman Wilbur and Dean C. V. Taylor.