Obstetrics and Gynaecology

St. Lucia, the Leewards, and Bahamas, and also in British Guiana. In none of these areas does a tuberculosis scheme, as we know it, exist, and notification and certification are uncertain indices of the prevalence and deaths from tuberculosis. The lack of a sufficient number of doctors resulting in considerable overwork for those there are, and the social stigma attaching to tuberculosis in the islands, does not make the detection of early treatable cases an easy matter. To add to this, the radiological facilities are of the scantiest, and hospital beds for tuberculosis cases almost nonexistent. Dr. Santon Gilmour tells an interesting story of the history of tuberculosis in the islands. Apparently there was little tuberculosis among negro slaves, but following emancipation, when slaves were free to live where and as they liked, the disease spread, and at times reached epidemic proportions. Death rates as high is 700 per 100,ooo are said to have occurred, although by the end of last century they had fallen to approximately one-third of this figure. Recently recorded death rates from the disease have fallen continuously during the present century. In Trinidad, for instance, they have been reduced from 275 in i896-1900, to ioo in