of cholera had occurred in Manila, and requested that an adequate military force be despatched to the valley of the Mariquina River to protect the city water supply from possible contamination.
This request was promptly acceded to, and the guard thereafter maintained proved adequate to prevent infection of the city water, although there are three towns on the river above the intake, and it was the custom of their people to bathe and wash their clothing in this stream. Many of the filthy surface wells of the city were filled as rapidly as possible, and those that could not be filled were closed.
The people, entirely unaccustomed as they were to any sanitary restrictions, believing that the disease was not cholera, and firm in their conviction that they had a right to do whatever they liked so long as they kept on their own premises, bitterly resented the burning or disinfection of their houses and effects, and the restriction of their liberty to go and come as they pleased, and in spite of the fact that the number of cases was kept down in a manner never before dreamed of at Manila, there arose an increasingly bitter feeling of hostility toward the work of the board of health. In fact, the very success of the campaign proved an obstacle, and we were assured that the disease could not be cholera, as, if it were, there would be a thousand deaths a day!
An educational campaign was immediately begun, and simple directions for avoiding infection were published and scattered broadcast. Distilled water was furnished gratis to all who would drink it, stations for its distribution being established through the city and supplemented by large water wagons driven through the streets. The sale of foods likely to convey the disease was prohibited. Large numbers of emergency sanitary inspectors were immediately appointed, and every effort was made to detect all cases as soon as possible. A land quarantine was established around the city, to protect the provinces.
In anticipation of a possible extensive outbreak of contagious disease a detention camp capable of accommodating some twenty-five hundred people had been established previously on the San Lazaro grounds, and to this place were taken the cholera “contacts.” A cholera hospital was opened near this camp, and the stricken were removed to it from their homes as speedily as possible, the buildings which they had occupied being thoroughly disinfected, or burned if disinfection was impracticable.
The bodies of the dead were at the outset either buried in hermetically sealed coffins or cremated. When the detention camp and hospital at San Lazaro threatened to become crowded, a second camp and hospital were established at Santa Mesa. At this latter place both “contacts” and the sick were obliged to live in tents.
The Spanish residents were allowed to establish a private cholera hospital in a large and well-ventilated _convento_ on Calle Herran. As the number of sick Spaniards was nothing like sufficient to fill this building, they were asked to turn over the unoccupied space in it to the board of health, which they most generously did.
In response to popular clamour a hospital under strictly Filipino management was opened in a nipa building in Tondo. Interest in it soon flagged, and the government found itself with this institution on its hands.
The epidemic came soon after the close of a long-continued war, and there were at that time in Manila not a few evil-intentioned persons, both foreign and native, who welcomed every opportunity to make trouble. The difficulties arising from the claim advanced by a number of reputable but ignorant medical men that the disease was not cholera at all were sufficiently great. They were enormously increased by false and malicious stories to the effect that “contacts” were killed at the detention camp; that patients on arrival at the cholera hospital were given a drink of poisoned _vino_ [500] and instantly dropped dead; that the distilled water distributed free of charge was poisoned, and that the Americans were poisoning the wells.
The necessary use of strychnine as a heart stimulant at the cholera hospital was made the basis for a story that the sick were being poisoned with this drug.
These silly tales were widely circulated and quite generally believed, and as a result of the fear thus engendered, and of the desire on the part of relatives and neighbours of stricken persons to escape disinfection and quarantine, strong efforts were often made to conceal the sick and the dead, and when this was not possible the “contacts” usually ran away. There were not wanting instances of the driving of cholera victims into the streets.
In spite of the generally hostile attitude of the public and some grave mistakes in policy, the measures adopted sufficed at the outset to hold the disease in check to an extent which surprised even the health officers themselves.
On May 15 there began a rapid and quite steady decline in the number of cases.
In June, however, it increased. During July it grew steadily larger, and on the 25th of that month there were ninety-one cases, the largest number which has ever occurred in Manila on any day since the American occupation.
Throughout the early months of the epidemic Major Maus had laboured unceasingly to check it, displaying an energy and an indifference to fatigue and personal discomfort which were highly commendable. The long-continued strain ultimately began to tell on him severely. On May 17 orders were received from the Adjutant-General’s Office providing for his relief on or about July 30, and stating that Major E. C. Carter, of the United States Army Medical Corps, would be available for detail as commissioner of public health on that date, if his services were desired. Arrangements were accordingly made to have Major Carter proceed to the Philippines. Major Maus’s resignation was accepted, effective July 31. Dr. Frank S. Bourns was urged to take temporary charge of the situation, and consented to do so.
On the 8th of August Major Carter arrived and announced his readiness to assume his duties, but it was suggested to him that he ought first to have some time to familiarize himself with them, and Dr. Bourns was left free to carry out the special work for which he had been appointed.
This he did with promptness and despatch, the number of cases for August being but seven hundred twenty as against thirteen hundred sixty-eight for the previous month. On the 8th of September, having brought the disease under control at Manila, he insisted on resigning in order to attend to his private affairs, which were suffering from neglect, and his resignation was reluctantly accepted.
Dr. Bourns’s remarkable success in dealing with a very difficult situation was largely due to his ability to devise measures which, while thoroughly effective, were less irritating to the public than were those which had been previously employed.
The policy which he had inaugurated was followed by his successor with the result that the cases fell to two hundred seventy-five in September and eighty-eight in October. In November there was a slight recrudescence, but the disease did not again threaten to escape control and in February practically disappeared, there being but two cases during the entire month.
The return of hot, damp weather again produced a slight recrudescence, and scattering cases continued to occur until March, when the epidemic of 1902-1904 ended in Manila.
In view of the conditions which then prevailed and of the extreme risk of a general infection of the city water supply, which, had it occurred, would doubtless have resulted in the death of a third of the population, this is a record of which the Bureau of Health may well be proud.
The effort to prevent the spread of infection by maintaining a land quarantine around Manila proved entirely ineffective. The disease promptly appeared in the provinces where the campaign against it was from the outset in charge of newly appointed Filipino presidents of provincial boards of health, aided, when practicable, by medical inspectors from Manila.
Before it was finally checked in Manila there were 5581 cases with 4386 deaths; while in the provinces, in many of which it necessarily long ran its course practically unhindered, there were 160,671 cases, with 105,075 deaths.
On the 27th of April, 1904, the Board of Health passed the following resolutions:–
“Whereas cases of Asiatic cholera have occurred in but three provincial towns of the Philippine Islands since February 8, 1904; and
“Whereas only one case of Asiatic cholera has been reported as occurring any place in the Philippine Islands since March 8, 1904; and
“Whereas the city of Manila was declared on March 23 to be free from the infection of Asiatic cholera; On motion
“_Resolved_, That the islands composing the Philippine Archipelago are, and are hereby declared to be, free from the infection of Asiatic cholera; and
“_Be it further resolved_, That the Commissioner of Public Health be directed to send a copy of these resolutions to the honourable the Secretary of the Interior, the Municipal Board, the United States Marine-Hospital Service, and the Collector of Customs.”
As a matter of fact, however, it later proved that cholera was endemic in certain swampy regions near Manila, and in 1905 we found ourselves with a new epidemic on our hands.
At the end of the second week, beginning August 23, there had been one hundred thirty-seven cases, as compared with one hundred twenty-five for the same period during the epidemic of 1902-1904.
However, the conditions for combating cholera were now far more favourable than in 1902. Major E. C. Carter had at his own request been relieved from duty as commissioner of public health, and Dr. Victor G. Heiser, passed assistant surgeon of the United States public health and marine hospital service, had been appointed to succeed him on April 5, 1905. Dr. Heiser was a highly trained officer of one of the most efficient services which has ever been organized for the combating of contagious and infectious diseases.
He had under him in the city of Manila a small but thoroughly trained body of twenty-four medical inspectors, of whom nineteen were Americans and five Filipinos. Profiting by his previous experience and that of his predecessors in the Philippine service, he inaugurated a campaign which practically terminated the epidemic in Manila on February 21, 1906, [501] with a total of two hundred eighty-three cases and two hundred forty-three deaths.
This brief and decisive campaign reflects the greatest credit on all concerned with it.
The board of health had one great advantage in the fact that the San Lazaro contagious disease hospital had been completed. This building, with its cool wards and attractive surroundings, made it possible to give cholera victims the best of care.
There was at the outset little or no fear of this hospital, but apparently this condition of things was not satisfactory to that small but dangerous element of the Manila public which from the time of the American occupation has never let pass any opportunity to make trouble. As usual, the medium of attack was the local press. _Soberania Nacional_ published a most extraordinary article painting in vivid colours the alleged horrors of the San Lazaro Hospital, and stating among other things that the naked bodies of the dead, tagged and with their feet tied together, lay about the entrance of that institution. A more false statement was never published.
Within twenty-four hours after its appearance terror reigned among the lower classes, and living and dead cholera victims were being smuggled out of the city to neighbouring towns.
Feeling that the vicious attitude of a certain section of the press had cost lives enough, I sent the editor of this paper a courteous invitation to call at my office. He made no response. I then wrote him, demanding a retraction, and sending him a correct statement to publish. [502]
He was at first disposed to argue the matter, but finding that I meant business published the article which I sent to him and made the following retraction:–
“We are exceedingly glad to affirm in the honour of truth and justice, that the news given by us on the seventh instant under the title ‘Painful Scenes,’ and ‘Naked Dead,’ is absolutely absurd, false and unreasonable.
“We have investigated the truth of the said notice, and can affirm to our readers that it is entirely inaccurate, as in the courtyard of the said hospital the naked dead that we have spoken of are not now exposed, nor have they ever been so exposed.
“The truth is above all things, and to rectify a baseless piece of news should not be a doubtful action on the part of the person who gave the news, but rather something in his favour that the public should appreciate it at its full value.
“To conclude, we must record our gratitude to the Secretary of the Interior, the Hon. Dean C. Worcester, for the investigations made in the premises with the purpose of ascertaining the truth of the alleged facts, and for the courteous way in which he received us this morning when interviewed by one of our reporters.”
In the provinces the results of the campaign against cholera were far less satisfactory than in Manila as was to be anticipated, owing to lack of adequate personnel, but the cases, which numbered 34,238 and deaths which numbered 22,938, were far fewer than during the previous epidemic.
I shall not attempt here to trace the course of the subsequent epidemics which have occurred from time to time, but shall content myself with giving the deaths by years. In 1908, they numbered 18,811; in 1909, 7306; in 1910, 6940; in 1911, 203. In 1912, there were none, and thus far in 1913 there have been none. [503]
The superstitious practices which were formerly employed by the Filipinos to combat this scourge have given way to simple and inexpensive hygienic measures, and we can safely count on sufficient cooeperation from the people to make an effective campaign possible when it next appears.
Never shall I forget the strain of the early days of the first epidemic. Two of my best men, Dr. Meacham and Mr. Mudge, literally worked themselves to death, remaining on duty when they knew that they were in imminent danger, and in the end laying down their lives willingly for an alien and hostile people. Such things make one proud of being an American.
At times the situation was not devoid of amusing features. I had occasion to visit one of the northern provinces, where the epidemic was especially severe, in an effort to calm the panic-stricken populace. I stayed with the governor, a very intelligent Filipino. For obvious reasons I investigated his domestic arrangements, finding that he was boiling drinking water, thoroughly cooking all food, and taking all usual and necessary precautions to prevent infection.
On returning to his house the first evening, after a short absence, I found the grounds decorated with lighted Japanese lanterns. Supposing that the proverbial Filipino hospitality had risen above even such untoward circumstances as those which then existed, I asked the governor what the entertainment was to be. In evident perplexity he replied that he had not planned to have any entertainment, and on my inquiring what the lanterns were for, said he had heard that they were good to keep away cholera germs!
I have referred to the fact that the civil government inherited a fairly well developed epidemic of bubonic plague. In 1901 this disease caused four hundred twenty-seven deaths, in 1902 it caused ten only, but the demands made on the sanitary force by the cholera epidemic which began in that year rendered it impossible to give to plague the attention which it otherwise would have had, with the result that in 1903 we had one hundred seventy-four deaths. In 1904 there were seventy-eight; in 1905, forty-three; in 1906, seven; in 1907, none; and from 1907 until 1912, none. In the latter year the disease was reintroduced.
Rats become infected with it, and fleas transmit it from them to human beings. It was probably brought in by pestiferous rodents hidden inside packages of vegetables, as it appeared in a district where crates of vegetables are opened in large numbers, and did not appear in the vicinity of the piers, although shore rats are abundant there, and if diseased rodents had landed from shipping, would promptly have become infected,–a thing which did not occur.
At about the same time plague also appeared at Iloilo, where it was eradicated with a total of nine deaths. At Manila there have been up to the present time [504] fifty-nine deaths, and scattering cases continue to occur at considerable intervals.
Had plague not been promptly and effectively combated, it would unquestionably have spread rapidly, causing untold misery and heavy property losses.
As I have previously stated, at the time of the American occupation smallpox was by many people regarded as an almost inevitable ailment of childhood. It proved necessary to secure the passage of legislation forbidding the inoculation of human beings with it to prevent misguided Filipinos from deliberately communicating it to their children, not because they did not dearly love them, but because they regarded infection with it as a calamity sure to come sooner or later, and desired to have it over with once for all.
We have performed more than ten million vaccinations, with the result that the annual deaths from this disease have decreased from forty thousand at the outset to seven hundred for the year just ended. There is now less smallpox in Manila than in Washington.
In the six provinces nearest Manila it was killing, on the average, six thousand persons annually. For a year after we finished vaccinating the inhabitants of these provinces it did not cause a death among them; nor has it since caused such a death except among new-born children or newly arrived unvaccinated persons.
These extraordinary results have been achieved without the loss of a life or a limb so far as we know. The vaccine used was prepared by our own Bureau of Science with extraordinary care, and has proved to be remarkably pure and active.
We at first endeavoured to have vaccinations performed by local Filipino health officers, but, after spending large sums without obtaining satisfactory results, gave up this plan and substituted therefor a method of procedure by which the work was carried on under the very immediate supervision of the director of health. We then made substantial progress. However, under the law as it at present stands, succeeding annual vaccination, intended to insure the immunization of children soon after they are born and of unvaccinated persons who may come into a given territory, are intrusted to the local Filipino authorities, with the result that in very many cases they are not attended to. We get elaborate returns showing the number of persons vaccinated. Then comes an outbreak of smallpox, and on investigation we learn that the vaccinations so fully reported were made on paper only! In other words, the continuance of this work, of such vital importance to the Filipino people, is still directly dependent upon continued control by American health officers.
Another great problem now in a fair way to final solution is the eradication of leprosy. At the outset we were told by the church authorities that there were thirty thousand lepers in the islands. In 1905 we began to isolate and care for all supposed victims of this disease, only to find that many outcasts believed to be suffering from it were really afflicted with curable ailments. We were able to restore a very large number of them to society, to their great joy and that of their friends.
A few hundreds of true lepers were being humanely cared for in Manila and elsewhere. Many others had been driven out of the towns into forests or waste places on the larger islands, where they were perishing miserably from fever and other diseases. Still others had been isolated on sand quays, where they were in danger of dying from thirst during the dry season. Not a few wandered through the towns at will, spreading the disease broadcast.
All known lepers are now cared for at Culion, a healthful, sanitary town with good streets, excellent water and sewer systems, many modern concrete buildings and a first-class hospital.
They are not confined to the limits of the town, but wander at will, except that they are excluded from the immediate vicinity of the houses of the officers and employees of the colony.
They may have their little farms, and raise pigs, chickens, vegetables, etc., if they wish. They may, and do, float about over the waters of the neighbouring bay in boats or on rafts, and fish to their hearts’ content. They are well fed and well cared for, and their physical condition improves to a marked degree promptly after their arrival at the colony. The only hardship which they suffer is that necessarily involved in separation from their relatives and friends, and this is mitigated by occasional visits which the latter may make them.
Since we began to isolate lepers, their number has decreased to approximately three thousand, and with a continuance of the present policy the disease should soon disappear from the Philippines.
During the period immediately subsequent to the American occupation, amoebic dysentery wrought sad havoc both among our soldiers and among civil government officers and employees. Four of my own family of five had it, and one had it twice, in spite of the fact that we took all known precautions; and the experience of my family was by no means exceptional. This disease then annually cost the lives of a large number of American men and women, and a considerable additional number went home invalids for life as a result of infection with it. We seemed to hear almost daily of some new case.
Careful scientific investigation carried on at the bureau of science taught us the best methods of combating this type of dysentery, and the proper disposal of human feces, the regulation of methods used in fertilizing vegetables, improvement in supplies of drinking water, and other simple, hygienic measures have reduced the deaths from it among Americans to an almost negligible minimum. Such cases as occur are almost without exception detected early, and readily yield to treatment.
The belief that Filipinos do not suffer from this disease has proved to be without foundation. It kills thousands of them every year. Those who are willing to adopt the simple precautions which experience has shown to be necessary may enjoy the large degree of immunity from it which Americans now have.
The chief cause of amoebic dysentery in the Philippines has undoubtedly been infected drinking water. From time immemorial the people have been obtaining their water for drinking purposes from flowing streams, open springs or shallow surface wells.
The wells were especially dangerous, as it was the common custom to wash clothing around them so that water containing disease germs frequently seeped into wells used by whole villages. The results of such conditions during a cholera epidemic can readily be imagined.
The drinking supplies of many provincial towns have now been radically improved by the sinking of 853 successful artesian wells.
In many places there has been a resulting reduction of more than fifty per cent in the annual death rate. Large sums are spent yearly by the government in drilling additional wells,–a policy which is warmly approved by the common people. The recent appropriations for this purpose have been $255,000 for the fiscal year 1912, $60,000 for 1913 and $200,000 for 1914.
When we came to the islands, malaria was killing as many persons as was smallpox. The mortality caused by it is now being greatly reduced by giving away annually millions of doses of quinine, and by draining or spraying with petroleum places where mosquitoes breed, as well as by teaching the people the importance of sleeping under mosquito nets and the necessity of keeping patients suffering from active attacks of malaria where mosquitoes cannot get at them. Only quinine of established quality is allowed in the market.
The results obtained in combating malaria are often very striking. Calapan, the capital of Mindoro, was in Spanish days known as “the white man’s grave” on account of the prevalence of “pernicious fever” there. To-day it is an exceptionally healthy provincial town.
At Iwahig, in Palawan, the Spaniards attempted to conduct a penal colony. They were compelled to abandon it on account of pernicious malaria, which caused continued serious mortality when the American government attempted to establish a similar institution there. Application of the usual sanitary measures has made it a healthful place.
Old jails throughout the islands have been rendered sanitary, or replaced by new ones. The loathsome skin diseases from which prisoners formerly suffered have in consequence disappeared. The practical results obtained in Bilibid, the insular penitentiary, are worthy of special note. The annual death rate at this institution was 78.25 per thousand for the calendar year 1904. It increased steadily each month from January, 1904, to September, 1905, when it reached its maximum, deaths occurring at the rate of 241.15 per thousand per year. At this time the director of health was given charge of the sanitation of this prison.
By remedying overcrowding, improving drainage, installing sewers and regulating diet along scientific lines, the rate was reduced in six months to 70 per 1000, and there it stuck.
A systematic examination of the stools of prisoners was then made. Eighty-four per cent were found to be afflicted with at least one intestinal parasite. Fifty per cent had two or more, and twenty per cent had three or more. Fifty-two per cent of the total had hookworm. Active treatment for the elimination of these parasites was begun in one barrack, and after the work was completed it was noted that there was much less disease there than in the remainder. All of the thirty-five hundred prisoners were ultimately examined, and intestinal parasites eradicated if present. The death rate then dropped to thirteen to the thousand, and has remained at or near this figure up to the present time.
I have already referred to the discovery of the cause of beri-beri, and to the effect of the governor-general’s order forbidding the use of polished rice in government institutions or by government organizations.
I subsequently made a strong effort to secure legislation imposing a heavy internal revenue tax on polished rice, thus penalizing its use. I failed, but such effort will be renewed by some one, let us hope with ultimate success.
In Spanish days cholera, leprosy, smallpox and other dangerous communicable diseases were constantly reintroduced from without. This is no longer the case. The United States public health and marine hospital service has stretched an effective defensive line around the archipelago and has sent its outposts to Hongkong, Shanghai and Amoy, to prevent, so far as possible, the embarkation for Manila of persons suffering from such ailments. We now have the most effective quarantine system in the tropics, and one of the best in the world. At Mariveles there is a very large and complete disinfecting plant, and vessels may also be satisfactorily disinfected at Cebu and Iloilo.
This quarantine service kept the Philippines free from bubonic plague for seven years, and has repeatedly prevented the entry of pneumonic plague, that most deadly of all known diseases.
A peculiar and shockingly disfiguring disease known as yaws occurs somewhat infrequently in the Philippine lowlands and is very prevalent in a number of places in the highlands. In many ways it resembles syphilis, and indeed at one time was considered to be syphilitic in its origin. Doctor Richard P. Strong, of the Bureau of Science, made the very important discovery that salvarsan is an absolute specific for it. The effect of an injection of this remedy closely approaches a miracle in medicine. In five or six days the condition of the patient begins to improve rapidly. By the end of the second week his horrible sores have healed.
It was with this remedy that we began our health work among some of the wilder head-hunters of northern Luzon. Think of the advantage of being absolutely certain of curing such an ailment in every case, and think of the gratitude of poor wretches, undergoing untold suffering, when they were almost immediately relieved!
Soon after this use for salvarsan was discovered, I caused a liberal supply of it to be sent to the Bontoc Hospital. For some time we were unable to persuade any victims of yaws to undergo treatment, but finally we found one at Barlig who was guilty of a minor criminal offence, arrested him, and took him to Bontoc. Instead of putting him in jail there, we sent him to the hospital for treatment.
At first he complained bitterly that we were putting no medicine on his sores. Then the remedy began to work and he decided it was “strong medicine.” By the tenth day he was running around town joyfully exhibiting his rapidly healing body to every one who would look at it. On the fourteenth day he suddenly disappeared, to the deep regret of the medical men, who had hoped that they might keep him as an example of what could be done, and thus persuade others to undergo treatment. A few days later, however, he reappeared with thirteen victims of yaws from his home town, having meanwhile twice covered on foot the great distance which separates Barlig from Bontoc, and assembled and brought in his fellow-sufferers.
As we have seen, the people of Manila were formerly supplied with impure drinking water from the Mariquina River, and were therefore in constant danger of infection with cholera and other deadly diseases. At a cost of some $1,500,000 we have given the city a modern water system, the intake of which is far up in the hills above the last village. The annual deaths from ordinary water-borne diseases exclusive of cholera have fallen from 3558–the average number at the time the new system was introduced–to 1195. Recently a leak in the dam, which necessitated temporary resumption of the use of the Mariquina River water, was immediately followed by a marked increase in the number of deaths from such diseases, thus conclusively demonstrating the fact that we were right in ascribing the previous reduction in deaths to a better water supply.
This annual saving of lives is an important result, but more important yet is the fact that when Asiatic cholera reappears in the Mariquina valley, as it inevitably will sooner or later, we shall not live in constant fear of a general infection of the Manila water supply, which, judging from the experience of other cities where modern sanitary methods have been introduced, might result in the death of a third of the population. In every country a very considerable part of the population always fails to boil its drinking water, no matter how great the resulting danger may be.
Manila lacked any facilities for the proper disposal of human waste, and the conditions which resulted were unspeakable, especially in the little _barrios_, or groups of houses, placed close together, helter-skelter, on wet, swampy ground and reached by means of runways not worthy even of the name of alleys, as one often had to crouch to pass along them.
A modern sewer system costing $2,000,000, supplemented by a pail system, has very effectively solved this problem, while thousands of homes closely crowded on disease-infected, mosquito-breeding ground have been removed to high, dry, sanitary sites. The regions thus vacated have in many instances been drained, filled, provided with city water and good streets, and made fit for human occupancy.
The old moat around the city walls was a veritable incubator of disease. It has been converted into an athletic field where crowds of people take healthful exercise. The _esteros_, or tidal creeks, reeked with filth. More than twenty miles of such creeks have been cleaned out, although much still remains to be done to put them in really satisfactory condition.
There were no regulations covering the construction of buildings, and it was not unusual to find six or eight persons sleeping in a closed and unventilated room 10 x 8 x 8 feet. Manila now has an excellent sanitary code, and such conditions have been made unlawful.
The previous woeful lack of hospital facilities has been effectively remedied. At a cost of approximately a million and quarter pesos we have built and equipped the great Philippine General Hospital, one of the most modern institutions of its kind in the world, and by far the best in the Far East. In it we have very satisfactorily solved the question of getting sufficient light and air in the tropics without getting excessive heat. Its buildings are certainly among the very coolest in the city of Manila, and “the hospital smell” is everywhere conspicuously absent.
It is called a three-hundred-bed institution, but as a matter of fact the ventilation is so admirable that nearly two hundred additional beds can safely be put in as an emergency measure.
Two hundred and twenty of its beds are free. In them a very large number of persons are annually given the best of medical and surgical care. At its free clinic some eighty thousand patients find relief in the course of a year.
The increase in private hospital facilities has also been noteworthy. Among the new institutions doing admirable work should be mentioned the University Hospital, an Episcopal institution; the Mary J. Johnston Hospital, a Methodist institution; and St. Paul’s Hospital, a Catholic institution. Patients are admitted to all of them without regard to their religious belief, a policy the liberality of which must commend itself to all broadminded persons.
In enumerating the hospitals of Manila, the old Spanish institution, San Juan de Dios, should not be forgotten, for it has been improved and modernized until it offers good facilities for the treatment of the sick and the injured.
All of the above mentioned institutions are in effect acute-case hospitals designed for the treatment of curable ailments. Cases of dangerous communicable disease are excluded from them, but are adequately provided for at San Lazaro where the insular government has established modern and adequate hospitals for plague, smallpox, cholera, diphtheria, scarlet fever, measles, etc., as well as a detention hospital for lepers, pending their departure for Culion.
An insane hospital capable of comfortably accommodating 300 inmates has also been provided. A few years since the insane were commonly chained to floors, or tied to stakes under houses or in yards, and were not infrequently burned alive during conflagrations. Such conditions no longer exist, but the government is not yet able to provide for nearly all of the insane who need institutional care.
The several institutions above mentioned have a very important function apart from the relief of human suffering, in that they afford unexcelled opportunities for giving practical instruction in nursing and in the practice of medicine and surgery.
A few years ago there was not such a thing as a Filipina trained nurse in the islands. I was firmly convinced that the Filipinas of this country could learn to be good nurses, and made earnest efforts to have included among the first students sent at government expense to the United States several young women of good family who should attend nurses’ training schools and then return to assist in our hospital work.
I failed to secure the adoption of this plan, but later the training of nurses was inaugurated in connection with hospital work at the old Civil Hospital, St. Paul’s, the University Hospital, the Mary J. Johnston Hospital and the Philippine General Hospital. At the latter institution there is now conducted an admirable school where more than two hundred young men and women are being trained. Three classes have already graduated from it, and Filipina nurses have long since proved themselves to be exceptionally efficient, capable and faithful. It will be some time before we can educate as many as are needed in the government hospitals, and after that has been accomplished a vast field opens before others in the provincial towns, where the need of trained assistants in caring for the sick is very great.
We found exceedingly few competent Filipino physicians or surgeons in the islands. This condition was due not to natural incompetence on the part of the Filipinos but to the previous lack of adequate educational facilities. The government has established a thoroughly modern college of medicine and surgery, well housed, and provided with all necessary laboratory facilities. It furnishes the best of theoretical instruction, while its students have every opportunity for practical work at the bedsides of patients in the government hospitals, all patients in free beds being admitted subject to the condition that they will allow their cases to be studied.
While there is still an evident tendency on the part of graduates of this school to feel that they know enough, and to desire to get to making money without delay, we are nevertheless managing to attract an increasingly large number of the more competent to the intern service of the Philippine General Hospital, where as the result of additional years of practical experience they become exceptionally proficient.
This institution, with its great free clinic, offers very exceptional facilities for practical instruction, and we have already trained some extremely competent Filipino physicians and surgeons.
As funds permit, hospital work is being extended to the provinces. At Cebu a thoroughly up-to-date sixty-bed institution is now open. A smaller one was established years ago at Baguio, where surgical work may be performed with great advantage on account of the rapidity with which convalescence occurs in the cool, pure mountain air, which also expedites the recovery of persons recuperating from wasting diseases.
A little more than a year ago a hospital was opened at Bontoc, the demand for accommedations being so great from the start that we did not even await the arrival of beds. Sick Igorots were only too glad to lie on the floor if their needs could be ministered to.
It had previously been the custom of the wild men to kill chickens, pigs or carabaos in case of illness, in order to propitiate evil spirits, the kind and number of animals killed being of course determined by the wealth of the patients. They have now satisfied themselves that quinine for malaria, salvarsan for yaws, and other effective remedies for common ailments are more useful and more readily obtained than was the helpful intervention of the _anitos,_ or spirits of the dead, while the methods and results of modern surgery are a source of unending amazement and satisfaction to them.
The first surgeon to anesthetize a Kalinga became promptly and widely known as “the man who kills people and brings them to life again,” and the individual on whom he operated successfully, who chanced to be the most influential chief of the tribe, became his friend for life. Indeed, the results of medical and surgical work for the wild men have been an important factor in bringing about and maintaining friendly relations with them.
Their gratitude is at times very touching. At Atok, in Benguet, there lives an Igorot chief named Palasi. When he was already old a son was born to him. This boy, who was the delight of his declining years, became deathly ill with confluent smallpox, and the Igorots considered him as good as dead. At this time Sanitary Inspector Baron appeared on the scene. He promptly turned every one else out of the house and himself nursed the boy, saving his life. Palasi wished to pay him for his services, but was informed by Mr. Baron that the government paid him, and he could not accept additional compensation. Palasi promptly made the long journey to Baguio to ascertain whether Baron had told him the truth, and was informed by Governor Pack that this was the case. The old man retired to Atok, quite disgusted with the strange ways of Americans.
Six months later he again appeared at Baguio to ask the governor about a _fiesta_ which he had just heard it was customary to celebrate on the 25th of December. He had been told that Americans were in the habit of giving presents to each other at this time, and asked if this was the ease. Governor Pack said yes. Palasi then inquired if the feast was a _good_ feast, and the custom a _good_ custom, and was assured that both of these things were true. He next asked if it would be a good feast for Igorots as well as for Americans, and receiving an affirmative reply from the unsuspecting governor, triumphantly declared that he was going to give Baron his best horse. Under the circumstances the governor allowed him to do so.
In connection with the Bontoc Hospital we use two men, one of whom travels from settlement to settlement, relieving minor ailments on the spot and sending to the hospital only those patients who need to go there, while the other stays at home and receives them. From time to time these two doctors “change works.” Pages from their daily journals, written in the field, often read like romance.
Were I a young man, and possessed of adequate knowledge of medicine and surgery, I would ask nothing better than to minister to the wants of these people. One might not, and indeed would not, acquire great wealth, but he would be rich in friends. Here lies a great field for practical missionary work.
In connection with the health work there have been many occurrences which were both amusing and sad. At one time there was great excitement over a sacred spring which had appeared in Manila Bay off the district of Tondo. It was duly blessed by Aglipay, the head of the so-called Aglipayano church. Coincidently with its discovery there was a sharp little outbreak of Asiatic cholera. Investigation revealed the fact that the “spring” had its origin in a broken sewer pipe. We were obliged to prevent the faithful from further partaking of its waters, and thus insuring themselves a speedy trip to the better world.
At one time cases of cholera appeared scattered generally throughout the Mariquina valley and without apparent connection. For some days we were unable to make a guess as to their origin. Then we heard that a “Queen” had arisen at the town of Taytay near the Laguna de Bay. An investigation of the Queen and her activities resulted in rather astonishing revelations. She was a very ordinary looking Tagalog girl who had secured the body of an old bull-cart, stopped the cracks with clay, partially filled it with water and decaying vegetable matter, and at rather frequent intervals had bathed in the fermenting mass thus concocted. In due time she announced herself a healer of all the ills to which flesh is heir, and the sick flocked to her. Cholera was then prevalent in some of the towns near Taytay, and there were persons suffering from it among those seeking relief. Some of them were directed to wash their hands in the extemporized tank, while others bathed their bodies in it. As a result it soon contained a cholera culture of unprecedented richness. This was given to patients applying for treatment, and was bottled and sent to those who were too ill to come in person. Hence numerous scattering cases of cholera which did not bear any relationship to other known cases.
It proved quite an undertaking to put the Queen of Taytay out of business. We first asked the local authorities to have her sent to Manila, but the presidente and the police declined to act. We then applied for a warrant to the Filipino judge of the court of first instance having jurisdiction over Taytay, but that worthy official found it convenient to be suddenly called out of the province. At last we prevailed upon soldiers of the Philippine constabulary to arrest the queen and bring her to Manila.
We had anticipated that she might prove insane, but she showed herself to be a very keen-witted young woman. We employed her at the San Lazaro Hospital to look after cholera patients. The people of Taytay were not satisfied, and a few days later a large delegation of them came to Manila and demanded the Queen. I was at my wits’ end to know what to do, but old Spanish law can usually be relied upon in emergencies, and the attorney-general discovered a provision couched in very general terms, which provided against disobedience to the authorities. It was only necessary for an “authority” to have read to an ordinary person a statement setting forth what that person must not do; then if the order was violated, such person could be made to suffer pains and penalties.
I accordingly prepared a most impressive order prohibiting the Queen of Taytay from further engaging in the practice of medicine, had her followers drawn up in battalion formation, placed myself at the front and centre, caused the Queen to be brought before me, and read her my communication, at the same time charging the good people of Taytay not to tempt her again to try her hand at healing, for the reason that if they did she would surely get into serious trouble. They marched away with the Queen and I have not heard of her since.
Hardly a year goes by that some similar miraculous healer does not set up in business, and the supply of dupes seems to be unending.
While it is comparatively easy to combat disease in a place like Manila, what of the provinces, where in many cases there is not one physician to two hundred thousand inhabitants?
To meet this difficulty we have an organization of district and municipal health officers. A district may include a single province or several provinces. A district health officer is invariably a physician who has had reasonably thorough practical training in the work of public sanitation, usually at Manila.
He is supposed to spend his time in sanitary work rather than in treating sick individuals, but it is, of course, impossible for him always to refuse to treat such persons, and we encourage gratuitous work for the poor when it can be carried on without interfering too seriously with more important duties.
Presidents of municipal boards of health may exercise jurisdiction over a single municipality or over several. They are supposed to maintain good sanitary conditions in their respective towns, under the general supervision of district health officers, and to instruct their people in sanitary methods and their results, as well as to devote a certain amount of their time to the relief of the suffering poor.
On the whole it must be admitted that while this system has accomplished much, it has fallen far short of accomplishing what it should.
Men like Dr. Arlington Pond of Cebu have wrought marvels, and have conclusively demonstrated the fact that it is not the system that is at fault. Of our thirteen district health officers, ten are Filipinos. They are, with few exceptions, letter-perfect. They know what they ought to do, but as a rule lack the initiative and the courage to do it.
Recently after discovering exceptionally bad sanitary conditions in several towns of the province of Misamis, I demanded an explanation of the district health officer, an exceptionally well-educated and intelligent Filipino physician. I found, as I had anticipated, that the sanitary regulations of his towns left little to be desired, but that they were absolutely ignored.
I asked him what sense there was in paying his salary if he failed to remedy such conditions as I had discovered. He replied that if he were really going to compel people to clean up, it would be necessary to begin with the provincial governor, whose premises were in a bad state. When I suggested that in my opinion the provincial governor would be the best possible man to begin with, the doctor evidently thought me crazy!
It is as yet impossible for the average intelligent Filipino to understand that the rich and the poor, the powerful and the weak, should be treated alike.
It often happens that a province asks for an American health officer, or a Filipino demands the services of an American physician. My invariable procedure in such cases has been to request that the application be made in writing. For some mysterious reason the petitioners are seldom willing to go on record.
A short time since we had a strong demand from Iloilo for an American district health officer. I made the usual suggestion and got a written request that there be sent to Iloilo a district health officer “after the style of the district health officer of Cebu.” If Dr. Pond’s nationality may be considered a part of his style, then this was a request for an American, otherwise not!
With rather shocking frequency, Filipinos who must be examined for leprosy or some other dangerous communicable disease strongly insist that the examination be made by an American bacteriologist rather than by one of their own countrymen.
In connection with recent election troubles two men were wrongfully denounced as lepers. In several instances perfectly sound people have been thrust among lepers who were being taken on board steamer for transfer to Culion. This grievous wrong was committed by their enemies under cover of darkness, and in the confusion which attends the embarking of a number of people in a heavy sea. The reason why the services of Americans are often specially requested for diagnostic work is not far to seek!
It is a significant fact that our greatest success in establishing satisfactory provincial sanitary conditions has been achieved in certain of the “special government provinces,” where the people are under the very direct control of American officials.
There is not a regularly organized province in the Philippines in which the towns are as clean as are those of Mindoro, where, until recently, we have never had a resident district health officer.
I believe that nowhere in the tropics can there be found native towns which are cleaner or more healthful than are those of Bukidnon, inhabited in some instances by people who have literally been brought down out of the tree-tops within the last two or three years. We have never had a resident health officer in this subprovince.
I mention these facts not as an argument against health officers, but as a proof of what can be done without them by intelligent Americans vested with proper authority.
It has given me especial pleasure to see the fundamental change which has come about in public sentiment relative to medical, surgical and sanitary work. At the outset sanitary inspectors and vaccinators carried on their work at serious risk of personal violence. Indeed, several of them were killed. Incredible tales were believed by the populace, with the result that cholera victims sometimes had to be taken to the hospital by force. In later years it has been by no means unusual for them to come in voluntarily and request treatment.
General hospitals were in the old days regarded as places where people so unfortunate as to have no homes to die in might go to end their days. It was almost impossible to get any other class of persons into them.
Now we constantly turn away deserving patients from the Philippine General Hospital because of lack of room. The common people are flocking to it in rapidly increasing numbers. We even have “repeaters,” and persons who drop in just to get a comfortable bed and a bath while waiting for an examination which will inevitably show that there is nothing wrong with them.
Our difficulties were increased at the outset by the fact that many foreign medical men working in the Far East good-naturedly ridiculed our efforts to better conditions, claiming that in tropical colonies it was customary to take only such steps as would safeguard the health of European residents, and that it was really best to let the masses live as they would, since orientals were incapable of sanitary reform, and the attempt to bring it about involved a waste of effort that might be more profitably directed elsewhere. Furthermore these men were, in their several countries, practising what they preached.
It has been very interesting to note the reaction of American methods upon those previously in vogue in neighbouring colonies. At first our efforts to make Asiatics clean up, and to eliminate diseases like leprosy, cholera and plague, were viewed with mild amusement, not unmixed with contempt; but the results which we obtained soon aroused lively interest.
Foreign governments began to send representatives to the annual meetings of the “Philippine Island Medical Association,” [505] in order to learn more of our methods. From these small beginnings sprang “The Far Eastern Association of Tropical Medicine,” the biennial meetings of which bring together the most experienced, skilful and widely known physicians and sanitarians in the East for an interchange of views and experiences which is invaluable, and greatly facilitates concerted action between the various governments concerned in dealing with what may be termed “international health problems.”
The first meeting of this Association was held at Manila, the second at Hongkong. The third will take place at Saigon.
The results of a rigid enforcement of the “Pure Food and Drugs Act” are worthy of more than passing notice. Such enforcement has been comparatively easy as the officials concerned are not hampered by politics. The Philippines were at one time a dumping-ground for products that could not be sold elsewhere, but it is now possible for Filipinos to obtain wholesome preserved foods and unadulterated drugs, except in very remote places where none of any sort are available.
The cost of our medical and sanitary work has been comparatively small. The per capita rate of taxation here is lower than in any other civilized country. What we have done has been accomplished without spending vast sums of money or resorting to military measures.
The results obtained are very largely due to the faithfulness and efficiency of Dr. Victor G. Heiser, who was chief quarantine officer of the Philippines when he succeeded Major E. C. Carter as commissioner of public health on April 5, 1905, and was later made director of health when the original board of health was abolished as an administrative entity. He has continued to hold the office of chief quarantine officer, and thus has been in complete executive control of the health situation for eight years.
Through good report and ill, mostly ill, he has given unsparingly of his time, his skill and his wisdom, always treating the government money as if it were his own.
His tenure of office has been long enough to enable him to inaugurate and carry out policies, and thus get results.
Seldom, if ever, have health officials been more viciously and persistently attacked than have Dr. Heiser and myself. The assaults on us have been the direct result of a firm stand for a new sanitary order of things, established in the interest of the whole body of inhabitants of these islands, civilized and uncivilized. We both welcome the profound change in public sentiment, which has slowly but surely come about as a result of practical accomplishment.
Many very grave health problems still confront the insular administration. Of these the most serious are the eradication of tuberculosis and the reduction of the very high infant mortality rate.
It is believed that about one Filipino in five suffers from tuberculosis in some form during his life and the work we have thus far accomplished in many fields must be considered as in a way a clearing of the decks for action against this, the greatest enemy of all. However, the Philippines do not differ essentially from other civilized countries, in all of which tuberculosis is a very serious factor in the death rate.
As regards infant mortality the situation is different. More than fifty per cent of the babes die before completing their first year of life. The causes which lead to this appalling result have been made the subject of careful investigation which still continues. Popular interest has been aroused, but it is undoubtedly true that many years of patient work will be necessary before anything approaching satisfactory results can be brought about.
The physical condition of the average Filipino is undoubtedly bad. Of one hundred seventy-eight university students recently examined sixty-nine were found to be suffering from serious organic troubles. Unquestionably the great mass of the people are underfed. This is largely due to the poor quality of the rice which they consume, and to the fact that rice forms too large a part of their diet. I am firmly convinced that much of the so-called laziness of the Filipinos is the direct result of physical weakness due to improper and insufficient food.
Since the American occupation a large amount of time has been successfully devoted to the working out of a good all-around diet made up of local products the cost of which comes within the means of the poor. The next thing will be to get them to adopt it, and there comes the rub. Incalculable good would result, if we could only persuade the people of these islands to sleep with their windows open. Thousands upon thousands of infant lives would be saved annually, if mothers could be persuaded not to give solid food to their little ones during the early months of their existence.
In the educational campaign which we have thus far conducted with some considerable degree of success, two agencies have proved invaluable, namely the Catholic Church and the public schools. Again and again I have begged Apostolic Delegate Monsignor Agius and Archbishop Harty to bring to bear the influence of the Church in favour of simple sanitary regulations, the general adoption of which was imperatively necessary in combating some epidemic of disease. They have invariably given me invaluable assistance.
Through the public schools we reach more than half a million children, and they take the information which we convey to them home to their parents. Simple rules for the prevention of cholera have been universally taught in the schools. When the use of English has become generalized the difficulty now encountered in reaching the common people will largely disappear. The truth is that they are singularly tractable and docile when their reason can be effectively appealed to. The readiness with which they have submitted to the rigorous measures necessary for the elimination of leprosy is a lasting honour to them.
Would the sanitary campaign so vitally important to the people of the Philippines be effectively continued if American authority were withdrawn at this time? With regret I must answer this question emphatically in the negative. We have succeeded in training a few good physicians and surgeons. We have thus far failed to train really efficient sanitary officers. What is lacking is not so much knowledge as to what should be done as initiative and courage to do it. Until this condition changes radically for the better, Filipinos cannot safely be intrusted with the sanitary regeneration of their country. Under American control the population of the islands is steadily and rapidly increasing. It is my firm conviction that if Filipinos were at this time placed in control of the health work, the population would steadily and rapidly decrease.
The present attitude of the Filipino press toward sanitary work is both interesting and important. I quote the following editorial from the March 27, 1913, issue of _El Ideal_, a paper generally believed to be controlled by Speaker Osmena:–
“Some persons, who, because of being ignorant of many things, do not sympathize with the Filipino people, who are in the habit of frequently throwing up to them the violent opposition of our masses to strict sanitary measures in cases of epidemics, and the lively protests which are provoked here on some occasions by other provisions tending to end some public calamity, thinking they see in this disposition of mind an indication of our incapacity to govern ourselves….
“To be more expressive, we shall say that the sanitary agents and veterinarians of the government, swollen with power and overly zealous of their prestige, quickly become, when an occasion like those cited by us presents itself, cunning czars, whose sphere of influence is in direct ratio to the peaceful character and ignorance of the people intrusted to their care, and whose excesses and abuses recognize no limits but the natural ones established by the greater or lesser honour of those public servants, their greater or lesser cynicism, and their greater or lesser degree of temerity.
“This, and nothing else, is the logical and natural explanation of the hostility of our people toward those measures of good government which are sincerely esteemed for what they are worth, but for which they have veritable terror because of the nameless abuses to which they give rise.
“These comments are of palpitating current interest at this moment, when reports are made almost daily to the press and the proper authorities of misbehaviour and excesses befitting soulless people who live without the law committed by persons who should be examples of prudence, honesty and good manners, for it is in this concept that the people are compelled to furnish them their daily bread.”
It is deeply to be regretted that the public press of the islands has not yet become sufficiently enlightened to join in the great sanitary campaign which has already relieved an enormous amount of human suffering and has greatly increased the expectancy of life of the people of the Philippines.
The Philippine Assembly has repeatedly passed acts providing for the creation of a sort of sanitary council of numerous members authorized to pass on public health measures proposed by the director of health and instructed to disapprove them if not in accordance with the beliefs and customs of the Filipinos.
In protecting the public health in the Philippine Islands emergencies constantly arise which must be instantly and effectively met. It would be as logical to place a commanding general directing a battle under the control of an advisory board as it would thus to tie the hands of the director of health, and it is difficult to see how any competent and self-respecting sanitarian could be willing to continue to hold this position if so hampered.
The Philippine Commission has heretofore invariably tabled the acts designed to accomplish this end, but that body has now been “Filipinized” and its future attitude on this very important question is therefore in doubt. Hardly had the legislative session opened in October, 1913, when the assembly again passed the same old bill. Should it become a law, there will be occasion to watch, with especial interest, the death rate of Manila and that of the archipelago as a whole.
CHAPTER XVII
Baguio and the Benguet Road
In June, 1892, when sitting in a native house on a hill overlooking Naujan Lake in Mindoro, and anxiously awaiting the boats which were to make it possible for my party to return to the coast, I saw a small flotilla approaching.
To my surprise and regret I found that it was not coming for us, but brought a number of Spanish officers who had heard that we had some mysterious procedure for killing the tamarau, an extraordinarily wild and vicious little buffalo peculiar to this island. They had come to get us to tell them how we did it, if possible, and if not to watch us and find out for themselves.
We described to them our method, which was easily understood. It consisted in picking up a likely trail along some water course, following it until the tamarau was overtaken, and then shooting him. This looked suspiciously simple to our Spanish friends before they had tried it, and they shook their heads. After trying it they became convinced that more than a few days of experience would be necessary before satisfactory results could be obtained. They profited little by the best information we could give them, and by the services of the expert tracker whom we loaned to them. Meanwhile I obtained from one of them, Senor Domingo Sanchez, information destined to become of great importance in the development of the Philippines.
Senor Sanchez, who was an employee of the Spanish forestry bureau, told me that in the highlands of Northern Luzon at an elevation of about five thousand feet, there was a region of pines and oaks blessed with a perpetually temperate climate and even with occasional frosts. I confess that I did not believe all of his statements. I was then experienced in climbing Philippine mountains, and at five thousand feet had invariably found a hopeless tangle of the rankest tropical vegetation, with humidity so high that trees were draped with ferns, orchids, and thick moss, and dripping with moisture. However, I knew that the mere presence of pine and oak trees would mean the occurrence of special bird species feeding upon their seeds, and so determined to investigate.
A severe attack of typhoid fever necessitated my leaving the islands before I could carry out this plan, but upon my return with the first Philippine Commission in 1899 I remembered Senor Sanchez’s story. In view of the probability that American occupation would continue for a long period, the existence or non-existence near Manila of an extensive highland region with a temperate climate became a question of great practical importance. I therefore caused search to be made in the Spanish archives to see what, if any, reliable information was available, and to my great satisfaction unearthed a detailed report made by a committee of three distinguished and competent Spanish officers who had spent some weeks at Baguio in the _comandancia_ of Benguet, during which period they had made six temperature observations daily, had tramped over the neighbouring country very thoroughly, had located a number of springs of potable water and determined their approximate flow, and in short had gathered a large series of very valuable data which more than bore out the statements of Senor Sanchez.
I found, furthermore, that Spanish engineers had made a survey for a carriage road into this country, and had prepared a profile of it with estimates of the amount and cost of the necessary excavation and other work.
While in Washington during the winter of 1899-1900, I brought this matter to the attention of Secretary Root. Just as the second Philippine Commission was filing out of his office, after receiving its instructions, he called out to us directing that we look into that Benguet matter, and if the facts proved to be as stated open up the country.
Mindful of these instructions the commission delegated General Luke E. Wright and myself to visit Benguet and familiarize ourselves with conditions by investigation on the ground. General MacArthur was dubious when we expressed a desire to carry out the instructions of the secretary of war. He told us that the country was very dangerous, doubtless confusing it with Bangued, the capital of Abra, near which there was at that time a strong and active Insurgent force.
We insisted on going, so he said that he would send a troop of cavalry with us, and he kept his word. During the last week of July we finally sailed from Manila on a naval vessel for San Fernando in the province of Union. From this place we expected to go by road as far as Naguilian, in the same province, and thence on horseback to Trinidad and Baguio, in Benguet.
In order to expedite investigations as much as possible we took with us Mr. Horace L. Higgins, president of the Manila and Dagupan Railway Company, who was an engineer of experience, to report on the practicability of constructing a railway to Baguio. We also took Major L. M. Maus, of the army medical corps, and Dr. Frank S. Bourns, who then held the volunteer rank of major in the same corps, to report on the possibilities of the place as a health resort. Two young naval officers went along just for the trip.
Major Maus accompanied us only because requested to do so. Taking the latitude and altitude as a basis for his calculations, he had already determined with a lead pencil and piece of paper just what the climate of Baguio must be, and had demonstrated to his own complete satisfaction that the statements of the members of the Spanish committee above referred to were necessarily false.
His first rude shock came when we were met at San Fernando by a young aide to Colonel [506] Duval, who was in command of the local garrison at that place. This lieutenant told us that some negro soldiers were stationed at Trinidad and were being kept supplied by an army pack train. I asked him how they were getting on. He said very well, except that they could not keep warm. They had called for all the spare blankets available, but still complained of the cold!
The trail proved to be in execrable condition. No repair work had been done on it since 1896, and its constant use during the then-existing rainy season by a pack train had completed its destruction. Much of the way it was a mere V in the earth, with deep mud at the bottom.
We left Naguilian early in the morning and stopped for lunch at a little place properly called Sablan, but unofficially known as “The Bells.” Aguinaldo had thought at one time of establishing his headquarters in Benguet and had planned to have a gun foundry at Sablan. His troops accordingly stole most of the church bells in the neighbouring lowland towns, meaning to use them for gun metal, and compelled the unfortunate Benguet Igorots to carry them up the steep trail. Boiler pipes, which had been used in lieu of carrying poles, had in several instances been badly bent out of shape. There was even an old vertical boiler which had been lugged up entire for some unknown reason.
The labour involved must have been enormous, and we were assured that when the Igorot bearers, prostrated with fatigue, had refused to continue their titanic task without rest, they had been driven to it at the muzzles of Insurgent rifles, and that some of them had been shot as a lesson to the others. At all events, the boiler and the bells were there, and there the boiler and the larger bells have remained ever since!
It was still steaming hot at Sablan, and the whole countryside was buried in the densest tropical vegetation. Major Maus was triumphant. Things were working out just as he had predicted. However, as we were already halfway up, we thought that we might as well continue the journey. I had expected to find pines and oaks, but had anticipated that they would grow amidst a dense tangle of damp tropical vegetation.
We were all literally dumfounded when within the space of a hundred yards we suddenly left the tropics behind us and came out into a wonderful region of pine parks. Trees stood on the rounded knolls at comparatively wide intervals, and there were scores of places where, in order to have a beautiful house lot, one needed only to construct driveways and go to work with a lawn-mower. At the same moment, a delightful cold breeze swept down from the heights above us.
Just at sunset we experienced a second surprise, coming out on the knife-sharp crest of a ridge, and seeing spread before us the Trinidad Valley, which is shaped like a huge wash-basin. Its floor was vividly green with growing rice, Igorot houses were dotted here and there over its surface, and the whole peaceful, beautiful scene was illuminated by the rays of the setting sun. The air had been washed clean by the heavy rain which had poured down on us throughout the afternoon, and the sight was one never to be forgotten.
Just at dusk we reached the little settlement of Trinidad, which had been the capital of the Spanish _comandancia_ of Benguet, finding that its inhabitants were in part Ilocanos and in part Igorots.
Here we were hospitably entertained by the officers of the military post. It was so cold that one’s breath showed. Major Maus improved the opportunity to indulge in a severe chill. Finding him buried under blankets, we asked his views as to the Benguet climate. They were radical! It is only fair to the Major to say that the report which he ultimately made set forth the facts fully and fairly. It did not suit General MacArthur. Years afterward, when discussing the climate of Benguet with Surgeon-General Sternberg, I referred to this report and found to my amazement that he had never seen it. He caused an investigation to be made, and it was at last resurrected from a dusty pigeonhole.
On our arrival at Trinidad we received a letter from Mr. Otto Scheerer, the one white resident of Benguet, inviting us to make our headquarters at his house when we visited Baguio. Bright and early the next morning Mr. Scheerer himself appeared on the scene and guided us to his home, where he entertained us most hospitably during our entire stay. The trip from Trinidad, a distance of four miles, was made over a wretched pony trail.
We found conditions exactly as described in the Spanish report. The country was gently rolling, its elevation ranging from forty-five hundred to fifty-two hundred feet. The hills were covered with short, thick grass, and with magnificent pine trees, which for the most part grew at considerable distance from each other, while along the streams there were wonderful tree ferns and luxuriant tangles of beautiful tropical vegetation. It took us but a short time to decide that here was an ideal site for a future city, if water could be found in sufficient quantity.
We revisited each of the several springs discovered and described by the Spanish committee, but decided that they would be inadequate to supply a town of any great size. Mr. Scheerer now came to the front and guided us to the very thing that we were looking for, but had hardly dared hope to find; namely, a magnificent spring of crystal-clear water. At that time it was flowing nearly a million gallons per day. It burst forth from a hillside in such a manner as to make its protection from surface drainage easy, and we decided that there was nothing lacking to make Baguio an admirable site for the future summer capital and health resort of the Philippines.
It was obvious that the construction of a highway from San Fernando, in Union, to Baguio would involve considerable expense, and we asked Mr. Scheerer about other possible lines of communication. A study of the Spanish maps had led us to consider two: one up the valley of the Agno River, and the other up that of the Bued River. The latter route had the great advantage of affording direct communication with the end of the railway line at Dagupan.
Mr. Scheerer took us to a point which commanded a view for some distance down the Bued River valley, and conditions looked rather favourable. Mr. Higgins undertook to make a trip down this valley to the plains of Pangasinan, reporting to us on his arrival at Manila, so we returned to that place and awaited advices from him. He was furnished with a guard of soldiers from Trinidad, and attempted to go down the river bed, but encountered unexpected difficulties, and his progress was finally checked by a box canon from which he escaped with difficulty, spending a night without food or water on a chilly mountain top known as “Thumb Peak.” The following morning he managed to cross to a high mountain called Santo Tomas, whence he returned to Baguio. He was, however, of the opinion that the trip down the canon could be made without special difficulty by a party suitably provided with food and tentage.
Convinced by our report that active measures should be taken to establish communication with this wonderful region, the commission, on September 12, 1900, appropriated $5000 Mexican, “for the purpose of making a survey to ascertain the most advantageous route for a railway into the mountains of Benguet, Island of Luzon, and the probable cost thereof.”
Captain Charles W. Meade, then serving as city engineer of Manila, was selected to make the survey. There was every theoretical reason to believe him competent, and we did not question either his integrity or his ability. After being absent from Manila for some time, he reported in favour of the Bued River valley route, saying that it was entirely feasible to build a railway along it.
He suggested that, as the construction of a wagon road would be necessary in building the railroad, we might as well undertake that first, and so be able to go to Baguio in wheeled vehicles before the railroad was completed. He asked for $75,000 United States currency, with which to build this road, stating that he expected to be able to do it for $65,000, but would like $10,000 as a margin of safety.
On December 21, 1901, the commission passed an act authorizing the construction of a highway from Pozorubio, in Pangasinan, to Baguio, “the same to be built under the general supervision of the military governor and the immediate direction of Captain Charles W. Meade, Thirty-sixth Infantry, United States Volunteers, who has been detailed by the military governor for that purpose, along the general line of survey recently made by Captain Meade for a railway between said towns.” The $75,000 asked for were appropriated by this act.
Work began promptly at both ends of the line. In June, 1901, I set out on my first trip through the wild man’s territory in northern Luzon. Incidentally, and for my personal satisfaction only, I inspected the work on the road. We had been rather disappointed by Captain Meade’s failure to make more rapid progress. At the lower end I found that delay was being caused by a huge cliff necessitating a very heavy rock cut. I was assured by Captain Meade that from this point on the line ran through dirt most of the way, so that the road could be completed very rapidly. This statement proved to be grossly in error. It took years of hard work to open up the road.
Its cost when finally ready for traffic was $1,961,847.05. Its length was forty-five kilometers eight hundred ninety-one meters, [507] of which thirty-four kilometers were in non-Christian territory. Some ten kilometers of the remainder have since been incorporated in the first-class road system of the province of Pangasinan, as this part is chiefly used by the people of that province in shipping their agricultural products to Benguet, and in maintaining communication between their towns.
The additional cost of the road to date [508] since it was first opened is $792,434, making its total cost to date $2,754,281.05. This includes not only the actual cost of maintenance, but very extensive improvements, such as the metalling of the road from the so-called zigzag to Baguio, the construction of five steel bridges, and the replacing of all the original bridges on the road and of all the original culverts except those made of concrete or masonry.
On my arrival in Benguet in 1901, I found that good progress had been made on the upper end of the road, which had penetrated for a short distance into the canon proper without encountering any considerable obstacles.
On October 15, 1901, the commission stated in its annual report to the secretary of war, “He [509] has been much delayed by the difficulty of procuring the labour necessary for its early completion, and several months will yet elapse before it is finished!” They did!
On August 20, 1901, Captain Meade was relieved, and Mr. N. M. Holmes was made engineer of the road.
On February 3, 1902, a little sanitarium was opened in a small native house at Baguio. During the following July I was sent to it as a patient, and while in Benguet again inspected the road which had been continued high up on the canon wall to a point where, on a very steep mountain side, a peculiar rock formation had been encountered at the very grass roots. This rock disintegrated rapidly under the action of the sun when exposed to it. Comparatively solid in the morning, it would crack to pieces and slide down the mountain side before night. A sixty-foot cut had already been made into the precipitous mountain side, and the result was an unstable road-bed, hardly four feet in width, which threatened to go out at any moment.
My trip to Baguio promptly relieved a severe attack of acute intestinal trouble from which I had been suffering, and when Governor Taft fell ill the following year with a similar ailment, and his physicians recommended his return to the United States, I did my best to persuade him to try Baguio instead. He decided to do so.
Five rough cottages had meanwhile been constructed for the use of the commissioners, the lumber for them being sawed by hand on the ground. Boards had been nailed to frames as rapidly as they fell from the logs, and had shrunk to such an extent that a reasonably expert marksman might almost have thrown a cat by the tail through any one of the houses. At night they looked like the old-fashioned perforated tin lanterns, leaking light in a thousand places. These were the luxurious homes provided for the high officials of the government of which so much has been said!
We paid for them an annual rental amounting to ten per cent of their cost, which had of course been excessively high on account of the necessity of packing everything used in them, except the lumber, up the Naguilian trail.
However, we were in no frame of mind to be critical. We had put in three years of killing hard work, labouring seven days in the week, and keeping hours such as to arouse a feeling little short of horror among old British and other foreign residents. We were all completely exhausted, and Mr. Taft was ill. For my part, I would gladly have paid almost any sum for a tent under the pine trees and the privilege of occupying it for a few weeks.
On the trip up Mr. Taft had ridden a magnificent saddle horse which had been given to him by General Chaffee. At the time he left, Manila had been burning hot. When he was at last seated on the porch of the little house which was to be his home for weeks, with a cool breeze sighing through the needles of a spreading pine tree close at hand, his satisfaction knew no bounds. Already his magnificent constitution had begun to respond to the stimulation of the wonderful mountain air, and filled with enthusiasm he summoned a stenographer and dictated the following cablegram to the secretary of war:–
“April 15, 1903.
“_Secwar_,
“_Washington_.
“Stood trip well, rode horseback 25 miles to 5000 feet altitude. Hope amoebic dysentery cured. Great province this, only 150 miles from Manila with air as bracing as Adirondacks or Murray Bay. Only pines and grass lands. Temperature this hottest month in the Philippines in my cottage porch at three in the afternoon 68. Fires are necessary night and morning.
“_Taft_.”
As quick as the wires could bring it, he received the following reply:
“_Washington_, D.C., April 16, 1903.
“_Taft_,
“_Manila_.
“Referring to telegram from your office of 15th inst., how is horse?
“_Root_.”
When he read it his shouts of laughter, rolling over the hills of Baguio, must have been audible half a mile away!
Mr. Taft’s sojourn in the hills put him again in fine condition and made it possible for him to return to Manila and resume the heavy burden of work which there awaited him. The other members of the commission also greatly benefited by their stay in the hills.
While there we heard disquieting rumours as to the practicability of completing the road. There was a difference of opinion between the engineer in charge and one of his immediate subordinates as to the route which should be followed. The consulting engineer of the commission was accordingly requested to make a survey to determine a practicable route for the unfinished portion of the road and estimate the cost of completing it. In due time he advised us that it was practicable to complete it, but that the cost would be at least $1,000,000. Warned by our experience with Meade, we wished additional expert advice, so summoned to Baguio Colonel L. W. V. Kennon, a man of great energy and executive ability, who had had large experience in engineering work in mountainous country, and requested him to go down the Bued River valley and report on the progress of the work, and the practicability of completing the road on the route which had been determined upon.
Being the youngest and most active member of the commission, I was detailed to accompany him. On this trip I became convinced that all of the engineers interested, except the consulting engineer, had grossly understated the difficulties which must be overcome before the road could be completed. Colonel Kennon decided that it was entirely feasible to build the road, but that the comparatively short stretch already completed from Baguio into the upper end of the canon must be abandoned and a new line adopted. Furthermore, he gave us some very definite and extremely unpleasant information as to the probable cost of completing the work, his statements on this subject confirming those of the consulting engineer.
The commission was thus put face to face with the hard facts but did not flinch. On the contrary, it passed the following resolution on June 1, 1903:–
“On Motion, _Resolved_, That it be declared the policy of the Commission to make the town of Baguio, in the Province of Benguet, the summer capital of the Archipelago and to construct suitable buildings, to secure suitable transportation, to secure proper water supply, and to make residence in Baguio possible for all of the officers and employees of the Insular Government for four months during the year, that in pursuance of this purpose the Secretary of the Interior, the Consulting Engineer to the Commission, the Chief of the Bureau of Architecture, and Major [510] L. W. V. Kennon, United States Army, whom it is the intention of the Commission to put in actual charge of the improvements in Benguet Province, including the construction of the Benguet Road, the erection of the buildings and the construction of a wagon road from Naguilian, be appointed a Committee to report plans and estimates to the Commission for the proposed improvements in the Province of Benguet and to submit same to the Commission for action and necessary appropriation, and
“_Be it further resolved_, That steps should be immediately taken looking to the increase of the capacity of the Sanitarium by at least twenty rooms, to the construction of seven more cottages on the grounds of the Sanitarium, to the construction of a Governor’s residence on the site overlooking the big spring which is the source of the Bued River immediately south of the Sanitarium proper, to the construction of an Administration building sufficient for the Commission, the Commission’s staff and the Executive Bureau, of at least twenty-five rooms, and to the making of a plan for a town site for the municipality of Baguio; but that the details of construction and improvements, with such variations from the indicated plan as may seem wise, shall be left to the committee appointed under the previous resolution.”
In his annual report dated November 15, 1903, Governor Taft said:–
“In connection with the subject of health, reference should be made to the province of Benguet and to Baguio, the capital of that province. The secretary of commerce and police will refer to the work now being done in the construction of the Benguet road from Pozorrubio, through Twin Peaks, to Baguio. There have been serious engineering mistakes made in the road, and it is proving to be much more costly than was expected; but when completed its importance in the development of these islands can hardly be overestimated. One of the things essential to progress in the islands is the coming of more Americans and Europeans who shall make this their business home. If there can be brought within twelve hours’ travel of Manila a place with a climate not unlike that of the Adirondacks, or of Wyoming in summer, it will add greatly to the possibility of living in Manila for ten months of the year without risk. It will take away the necessity for long vacations spent in America; will reduce the number who go invalided home, and will be a saving to the insular government of many thousands of dollars a year. It will lengthen the period during which the American soldiers who are stationed here may remain without injury to their health and will thus reduce largely the expense of transportation of troops between the islands and the United States. More than this, Filipinos of the wealthier class frequently visit Japan or China for the purpose of recuperating. People of this class are much interested in the establishment of Baguio as a summer capital, and when the road is completed a town will spring up, made up of comfortable residences, of a fine, extensive army post, and sanitariums for the relief of persons suffering from diseases prevalent in the lowlands. It is the hope of the government that the Roman Catholic Church will send American priests as it has sent American bishops to the islands, to assist in the moral elevation of the people. The fear of the effect of the climate has kept many from coming. The Roman Catholic Church authorities have announced their intention of erecting rest houses at Baguio for the purpose of the recuperation of their ministers and agents. The Methodists and Episcopalians have already secured building lots in Baguio for this purpose. It is the settled purpose of the Commission to see this improvement through, no matter what the cost, because eventually the expenditures must redound to the benefit of the government and people of the islands. We have already stated, in the report on the public land act, that it is proposed, under that act, which allows the organizing of town sites, to sell the public land in suitable lots at auction so that every one interested shall have the opportunity to obtain a good lot upon which to build a suitable house.” [511]
Mr. Taft would be delighted could he see to-day how completely his anticipations have been fulfilled.
Colonel Kennon was put in charge of construction work, and things began to move. They kept moving until the road was finished. From this time on we knew that the expense involved would be out of all proportion to the original estimate, but we were determined to push the work through, having reached the decision that it was worth while to open up communication with Baguio at any cost within reason, because of its future certain value to the people of the islands as a health resort.
On April 1, 1904, I rode over the road in a vehicle nearly to Camp Four, and came the rest of the way to Baguio on horseback over a new trail which zigzagged up a mountain side near Camp Four and followed the crest of the range from there in. A little later the Commission came by the same route, and spent the hot season in the cool Benguet hills.
On January 29, 1905, Colonel Kennon drove into Baguio in the first wagon to arrive there over the Benguet Road, which was opened for regular service on March 27th of the same year. The cost of the road on November 1, 1905, had, as previously stated, been $1,966,847.05, and the cost of the heavy work in the canon had been approximately $75,000 per mile, which is not excessive when compared with the cost of similar work in the United States, especially as this sum included maintenance of the portions constructed during previous years.
The fact that a certain amount of congressional relief funds was expended on the construction of this road has been made the subject of very unjust criticism. A large number of poor Filipinos, who were in dire straits, were thus given an opportunity for remunerative employment, and the distribution of a portion of the congressional relief fund in this way was in entire harmony with the fixed policy of the commission to avoid pauperizing the people by giving money or food outright to able-bodied persons, and to afford them relief by furnishing them opportunity to work for a good wage. A further reason why the expenditure of money from this fund on the Benguet Road was appropriate is found in the fact that the region opened up is destined to play a very important part in the cure of tuberculosis, which is the principal cause of death among the people of the lowlands, but is practically unknown among the Igorots of the hills.
During the earlier years after the road was open owners of bull carts in Pangasinan made large sums transporting freight over it. This is not the case at the present time, as the growing volume of freight requiring to be moved led to the blocking of the road with bull carts and necessitated the installation of an automobile truck line so that it might be more expeditiously handled.
In December, 1904, the great landscape architect, Mr. D. H. Burnham, visited Baguio, and made a plan for its future development. He was enthusiastic over its possibilities, and gave his services free of charge. His plan is being closely adhered to, and although funds are not now available for going far toward carrying it out, we have at least avoided anything which would interfere with it.
The next important event in the history of Baguio was the first sale of residence and building lots, which took place on May 28, 1906, and was conducted in accordance with the provisions of the Public Land Act relative to town sites.
Although a howling typhoon was sweeping Benguet at the time, 91 residence lots and 15 business lots were disposed of at this first sale, and at a subsequent one held in Manila a few weeks later all the remaining lots then surveyed were sold.
The town site includes two hundred sixteen square miles, and new lots are surveyed as required. All sums derived from the sale of lots are used for the improvement of the town site, and thus Baguio is made to help build itself.
In the spring of 1900 the Baguio Country Club was organized. Because of the extraordinary false statements made concerning it by certain unscrupulous politicians, I give its history somewhat fully. Its purpose was to afford a meeting place for the people of the town and to give them an opportunity for outdoor sports. It purchased a hundred acres of land on which a low assessment had been placed in view of the semipublic purpose which it was to serve.
At the outset the “club house” was a rude, grass-roofed shed made of pine slabs. Its doors and windows were mere openings which could not be closed. It was erected in about a week. Three holes of a golf course and a croquet ground had been prepared. These decidedly primitive club facilities nevertheless served to bring the people of Baguio together and give them an opportunity for a good time out of doors.
In February, 1907, a Country Club Corporation was organized with a capital stock of $5000, of which $3000 have thus far been subscribed. The shares cost $50. No single subscriber owns more than three, with the sole exception of Mr. Forbes, who took ten to help the club get started. Ownership of stock brings no emoluments, but, on the contrary, indirectly involves expense which the present owners have been willing to bear for the public good.
From these small beginnings the Baguio country club has grown into an important institution. As funds became available from the sale of stock, the payment of dues and tile generous donations of a few members, an excellent nine-hole golf course was completed, and tennis courts and facilities for trap-shooting were installed. In March and April, 1908, a modest club house was built at a cost of some $5000. It has two small locker rooms, a large living room, a tiny office, a little bath, a kitchen, and nine single sleeping rooms. Three very small cottages, costing $375 each, were erected on the club grounds for the use of the members. Five larger cottages have since been constructed.
Any person of good character is eligible to membership. The entrance fee is $25, but officers of the army, navy and marine corps stationed at Baguio are admitted without the payment of this fee, and persons temporarily there may secure the privileges of the club by paying at the rate of $5 per month. The annual dues are $20. The families of members are entitled to the privileges of the club. Among its members are the highest officials of the insular government and teachers, clerks, stenographers and other employees drawing small salaries, as well as numerous permanent residents of Baguio.
It knows no race or creed, and Filipinos take advantage of its privileges quite as freely as do Americans. Representatives of every nationality in the islands may be found on its golf course on a pleasant afternoon. It is the common meeting place of Baguio, and hardly a day passes without the giving of some pleasant luncheon or dinner in its little living room or in the outdoor space covered by an overhanging roof at its eastern end. No more democratic institution ever existed.
Congressman Jones, in his attacks on the Philippine administration, is fond of stating that “there is a club for officials at Baguio.” The statement is true, but reminds one of that other statement of a ship’s first mate who came on board intoxicated just before the vessel sailed. The following morning, happening to look at the ship’s log for the previous day, he saw the entry “The mate drunk to-day.” It was his first offence, and he begged the captain to erase this record, but the captain said “It is true, is it not?” and insisted that it must stand.
A little later the captain was taken ill. Upon resumption of duty he found an entry in the log reading: “The captain sober to-day.” When he furiously insisted that it be erased, the mate said “It is true, is it not?” Now, it is true that there is a club for government officers at Baguio, but in making this statement Mr. Jones and his ilk have neglected to say that there is also at Baguio a club for employees; a club for private citizens; a club for Americans; a club for Filipinos; a club for foreign consuls and other foreign residents of the islands; a club for business men; a club for clerks; and that all of these institutions are one and the same, namely, the Baguio Country Club, which is now strictly self-supporting and meets its obligations from the funds derived from the dues of its members. These dues are absurdly low in view of the privileges which it affords.
Although Mr. Forbes does not like to have it known, I cannot refrain from stating that the club has not always been self-supporting, and that he has repeatedly made up deficits from his private funds. The cost involved in getting the golf course into shape was out of all proportion to the resources of the organization. Sufficient funds were not available to pay for the club house and cottages when they were constructed, and had it not been for the generosity of Mr. Forbes the club would not exist to-day in anything like its present form.
The polo field at Baguio has been referred to as another evidence of extravagant governmental expenditure. It is true enough that it was in the first instance an expensive luxury, as an immense amount of earthwork had to be done in order to make a level piece of ground of sufficient size. The field is administered by the Country Club, and is open to the use of the public for any form of amusement which will not interfere with its use for polo. The detractors of the government have neglected to mention that the cost of its construction and maintenance have been met from the private funds of Mr. Forbes.
Returning now to the story of the growth of Baguio, the next step forward was the construction of an official residence for the governor-general, for which $15,000 were appropriated. Mr. Forbes had not the slightest personal interest in this appropriation. When it was made he had no knowledge of the fact that he was later to become governor-general, and his private Baguio residence was decidedly more comfortable and commodious than this official one. His subsequent occupancy of the latter building involved a real personal sacrifice.
In 1908 a modern hospital and the governor-general’s residence were completed. No other government official is furnished a free house. All have to rent government cottages or stay at hotels, unless they choose to build for themselves. The policy of giving the governor-general an official residence in Baguio is in accord with that which gives him one at Manila.
In April, 1908, there was opened a “Teachers’ Camp,” to which came American school teachers from all over the islands. They were housed in a hundred and fifty tents, which were set up under the shade of the pine trees. Larger tents served as kitchen, dining room, storehouse and recitation rooms, while a structure of bamboo and nipa palm, erected at a total cost of $150, was utilized for general assembly purposes. Four talented lecturers were employed to instruct and entertain the teachers. At one time there were a hundred and ninety persons in the camp.
The credit for initiating this very important move is due chiefly to William F. Pack, at that time governor of the province of Benguet, who strongly advocated bringing the teachers to Baguio, and did everything in his power to make the first assembly the great success which it was.
It has now become a fixed institution, and has accomplished untold good. Americans who spend too many years in out-of-the-way municipalities of the Philippines without coming in contact with their kind are apt to lose their sense of perspective, and there is danger that they will grow careless, or even slovenly, in their habits. It is of the utmost benefit for school teachers to get together once a year, learn of each other’s failures and successes, and profit by each other’s experiences, forget their troubles while engaging in healthful athletic sports, listen to inspiring and instructive discourses, and above all else benefit by open-air life in a temperate region.
The Teachers’ Camp is now a beautiful and attractive place. A fine system of walks and drives make every part of it readily accessible. It has an excellent athletic field. The teachers live in tents, but good permanent buildings have been provided in which are located the mess, a social hall, recitation rooms, etc., and several comfortable cottages have been constructed for the use of visiting lecturers and others. An outdoor amphitheatre which seats a thousand persons has been built at small expense by taking advantage of peculiarly favorable natural conditions. Filipino teachers share the pleasures and benefits of the camp with their American associates, and the “assembly” certainly does great good.
During the hot season of 1908 the Bureau of Lands transferred a number of its employees to Baguio, quartering them in tents. This was done in order to ascertain the practical effect of sending American and Filipino employees to this mountain resort. The conclusion was reached that the small additional expense involved was more than justified by the larger quantity and higher quality of the work performed as a result of the greatly improved physical condition of the workers. Every Filipino sent to Baguio gained in weight, with the single exception of a messenger who had to run his legs off! Other bureaus subsequently followed the example of the Bureau of Lands, with similar results.
During the 1909 season, the railroad having reached Camp One, five large Stanley steam automobiles were operated by the government in transporting passengers from this place to Baguio, and more than two thousand persons were thus moved over the road.
Meanwhile, the unexpectedly heavy expense involved in completing the road had been made the subject of severe criticism by the public press of Manila. Most of the critics were entirely honest, having no idea of the character of the country opened up, or of the importance of making it readily accessible.
Just at the time when the commission should have crowded its programme through to conclusion, it faltered. The only government construction work performed at the summer capital that year, in addition to what has been mentioned, was the erection of a small office building and of a barrack building for labourers, the enlarging of five government cottages, the addition of out-buildings, and the enlarging of a building which served as a combination sanatorium and hotel.
This policy of inaction was a mistaken one. It made the Benguet Road seem like the city avenue which ran into a street, the street into a lane, the lane into a cow path, the cow path into a squirrel track and the squirrel track up a tree, for while one could get to Baguio, there was very little there after one arrived. The accommodations at the sanatorium were strictly limited, and there was some apparent justification for the charge freely made that the Philippine Commission had voted to spend very large sums of money to open up a health resort from which only its members and its staff derived benefit.
The government had at the outset been obliged to construct its buildings on a piece of private land purchased from Mr. Otto Scheerer, as prior to the passage of the Public Land Act and its approval by the President and Congress, building on public land was impossible. Now, however, a town site had been surveyed, and plans for the future development of Baguio had been made by one of the world’s most competent experts. The time had arrived for action. Mr. Forbes, then secretary of commerce and police, argued vigorously for the carrying out of the original plan of the commission by the construction of adequate public buildings. To help the development of the place, he purchased two adjacent building lots and on the tract of land so secured built a handsome and expensive home, where he subsequently entertained not only his personal friends, but guests of the government, as well as various persons who had no other claim on him than the fact that they were officers or employees of the government who were in need of a change of climate and could ill afford to seek it at their own expense. Among his house guests were General Aguinaldo, Speaker Osmena and many other Filipinos. It was Mr. Forbes’s idea, and mine as well, that members of the commission ought to set the example by building at Baguio. I followed his example to the extent of buying a lot and constructing on it a simple and inexpensive house, thus obtaining the first and only home that I have ever owned.
Ultimately Mr. Forbes formulated a plan for the construction of a group of government buildings, a mess hall and a large number of small and inexpensive cottages for rental to government officers and employees so that the executive offices of the government might be transferred to Baguio during the heated term and it might become the true summer capital of the Philippines. This plan was adopted in substance, and it was decided to transfer the bureaus of the government to Baguio for the coming hot season, so far as practicable.
Funds were appropriated for the carrying out of Mr. Forbes’s plan, but before the construction work had fairly begun there occurred, on October 17, 1909, a destructive typhoon. Eighteen inches of rain fell in nine hours, and twenty-six inches in twenty-four hours. The Bued River quickly rose fifty feet, carrying away trees and rocks which obstructed its course, and seriously injuring the road for miles. Four of the largest bridges were swept away and the work of constructing government buildings, which was just about to begin, was greatly retarded. It was not thought possible to transfer the bureaus of the government to Baguio for the coming hot season as planned. Indeed, there were not lacking those who insisted that no one would be able to get there. Mr. Haube, the energetic and capable young engineer in charge, had the road open on the twentieth day of December, and the projected buildings ready for occupancy in February, a noteworthy and highly creditable achievement.
It was then thought that the storm which had done such serious damage to the road was of unprecedented violence, but there was worse to come. On July 14 and 15, 1911, a terrific typhoon swept across northern Luzon, bringing down one of the world’s record rainfalls. Between noon of the 14th and noon of the 15th, forty-five and ninety-nine hundredths inches of rain fell at Baguio. A mountain forming a part of the wall of the Bued canon split from the top and the detached portion toppled over into the river, damming it to a depth of about a hundred and fifty feet at a time when it was carrying an enormous volume of water. When this dam burst, an avalanche of earth and rock, swept onward by a huge wave, rushed down the canon, leaving complete destruction in its wake. Every bridge in its course was carried away, and the road was left in such condition that it would have cost $300,000 to open it for traffic. Then Providence, having apparently done its worst, relented and sent another typhoon which washed away most of the debris left by the first one, uncovering the road-bed and making it possible to reopen communication for $50,000.
The cost of maintaining the Benguet Road has proved excessive. Mountains tower above it on both sides to a height of four to seven thousand feet and the drainage basin which finds its outlet down the narrow gorge through which the road runs is enormous. Even so, under ordinary climatic conditions its maintenance does not offer very exceptional difficulties, as much of it is blasted out of rock; but during extraordinarily heavy storms the danger of destruction by overwhelming floods is great.
While a century may pass before there is another storm like the one which brought down the terrific slide above described, there may be one at any time, and when the railroad has once reached Baguio, it is hardly probable that such extensive repairs as were necessary after the last destructive typhoon will ever again be made, especially as the horse trail built on a carriage road grade from Baguio to Naguilian