On 7 Dec 1903, the Secretary of State for the Colonies Alfred Lyttelton wrote: My attention, having been called to the prevalence and ill effects of Malta Fever in Malta, I have consulted Sir Patrick Manson who has sent to the Colonial Office the letter from Fleet Surgeon Bassett Smith. It appears desirable from the point of view of the army, navy and the civil population that the investigation of the fever should be properly taken in hand.
In the event of the War Office and the Admiralty consider that a joint commission is desirable, arrangements could be made for appointing Dr Zammit to represent the Civil Government and for allowing him to devote the whole of his time to the matter. Sir Patrick Manson is in favour of the appointment of a joint commission. It seems not improbable from the Royal Society's letter that the institution would be willing to appoint an advisory Board in this country.
Army Order No 158 laid down that a soldier reporting himself sick, who in the opinion of the medical officer, is temporarily unfit for the performance of all duties, but for whom treatment in hospital is not essential, will be ordered to attend at the hospital or inspection room at such times and for such period as the medical officer may consider necessary.
While a soldier is attending hospital his commanding officer, acting on the recommendation of the medical officer, will relieve him from all duties, or employ him on such duties and fatigues in barracks as he is capable of performing. While attending hospital a soldier will not be permitted to leave barracks nor will he be admitted to the canteen either while attending hospital or while a convalescent on light duty unless the written permission of the medical officer has been given.
In 1903, new barracks were built at St Andrews but these were not occupied by troops until April 1905.
An accommodation block for two infantry companies was built at Floriana. The barracks was later called Lintorn Barracks after Governor of Malta Gen Sir John Lintorn Simmons (1884 – 1888).
Reserved Ordnance XVII 1903
Ordnance No XVII of 1903, to prevent the spread of certain diseases was passed by the Council of Government on 23 Dec 1903. It retained the principle of medical inspection of prostitutes, which had been enacted in Malta by Ordnance IV of 1861 and which was still in force.
Malta was the only Crown Colony to retain a Contagious Diseases Ordnance in the expectation of preventing the spread of certain diseases. Around 1888, the contagious diseases laws in all the other Crown Colonies and in India were repealed, following their repeal in England. The Governor of Malta was instructed to introduce a repealing order, but the Executive Council refused to vote for it and the matter was dropped.
In 1903, the Advisory Board for the Army Medical Services recommended the introduction of regular courses of instruction in military hygiene. Specially appointed officers of the RAMC were to lecture to cadets at the Royal Military Academy Woolwich, the Royal Military College Sandhurst and to officers of the Staff College. In addition, short courses of instruction in military hygiene were to be given by medical officers in various districts to combatant regimental officers.
The Advisory Board considered the introduction of such courses of instruction as having far reaching consequences for improving the health of the army. The proposal received the approval of the Secretary of State.
The total strength of the Malta Command was 9313. This were distributed as follows: Malta and Gozo: 8903 men, Crete Detachment: 410 men, Officers: 266, Men: 706, females: 609, children: 1206.
The following burials took place at Mtarfa Military Cemetery in 1903