ing and research programsinvolved supervision of the medical, dental,
and nursing schools and, for matters of Trust Territory interest, of the

School of Tropical Medicine, all located on Guam.

More specific description of the duties of the offices in charge of
health wasstated in Interim Regulation 3-50 which amended Interim
Regulation 4-48." His title was changed to “Director of Public
Health” and his responsibilities described thus:
a. Preparation and Enforcement of Regulations, The Director ot Public
Health shall draw up health and sanitation laws and regulations for presentation to the Legislative Advisory Committee or the High Commissioner
for approval; and shall supervise generally the enforcement of health laws
and regulations throughout the Trust Territory.
b. Research and Preventive Medicine. The Director of Public Health
shall conduct and shall encourage, cooperate with, and render assistance to
other appropriate authorities, scientific institutions, and scientists, in the
conduct of research, investigation, experiments, demonstration, and studies
relating to the causes, diagnosis, treatment, control, and prevention of
physical and mental diseases, including water purification, sewage treatment. and water pollution, with special emphasis on those diseases peculiar
to tropical areas, their prevention and cure; and shall take such action and
make such recommendationsas to legislation or other measures to be undertaken for the improvement of the general health conditions in the area,
and to prevent the introduction or spread of diseases,
c. Hospitals and Medical Treatment. The Director of Public Health
shail control, manage, and operateall institutions, hospitals, and dispensaries
established by the Civil Administration in the Trust Territory, and provide
for the care, treatment, and hospitalization of patients, including the furnishing of prosthetic or orthopedic devices; fix reasonable fees and charges
to be paid for such services. supplies, medicines, foods, or devices furnished:
provide regulations on the transfer of patients under the care of Civil Administration medical or dental personnel, where necessary, between hospitals. and dispensaries, and the payment of the expense of such transfer:
provide regulations concerning the employment of medical and dental personnel on feld trips and in out-patient treatment, and shall fix the fees there-

for: and, from time to time, with the approval of the High Commissioner,
advise suitable sites for and establish such institutions, hospitals, and dispensaries as may be found to be necessary to enable the Public Health Department to discharge its functions and duties.
d. Vital Statistics.

To secure unitormity in the registration of mortality,

morbidity, and vital statistics, the Director of Public Health shall prepare
and distribute suitable forms tor the collection and compilation of such
statistics which shall be maintained in the record department of the Administration Department in such form as to be readily available for reference
* For copyof Int. Reg. 3X5a, se app. 6, p. 1138.

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