In May 1911, the Tropical Diseases Committee of the Royal Society proposed appointing a commission to undertake a systematic investigation of the disease commonly known as Sand-fly fever, transmitted by the Phlebotomus papatasi. The illness, though not generally fatal, caused much sickness during the summer throughout the Mediterranean. In 1911, the number of service patients increased. Soldiers falling ill were principally those who had recently arrived on the island.
Captain Philip Jauvrin Marett RAMC had for two years specialized in the natural history of the sand-fly and was therefore well qualified to carry out an investigation into the fever. In 1912, he continued his research into the Phlebotomus sand-flies in the Maltese Islands.
The Royal Society, however, felt that despite the work of the RAMC, an extended inquiry was more likely to result in breakthroughs, which would lead to successful preventive measures. The Royal Society inquired whether the Secretary of State for the Colonies would co-operate in appointing a commission under its guidance. The Royal Society would direct the investigation and suggest the names of scientific members of the commission.
In 1911, the small RAMC detachment of 12 men stationed at Forrest hospital gave a smoking concert with the permission of Lt Col Henry Lawrence Esmonde White. This was attended by the Suffolk Regiment which was shortly due to leave for Egypt.
Forrest Hospital had 31 beds. It had been earmarked to become a reception station for the Western District on completion of a new 180 bed hospital at Gebel Imtarfa.
When Italy wrested Tripoli and Libya from the Ottoman Empire cholera followed the refugees from the Italo-Turkish War (1911-12) to Malta. There were 112 cases among the civil population, with a mortality rate of 72%.
Zammit Clapp Hospital
Zammit Clapp Hospital was erected by Emilia Zammit Clapp, a distinguished Maltese lady noted for her benevolence and philanthropy and her husband Henry Lyman Clapp. It was constructed in strict accordance with hygienic principles especially with regards to ventilation and drainage. The hospital stood in the open country, within the limits of St Julian's, overlooking Marsamxetto harbour, its only neighbour being the nursing home of the Blue Sisters.
The hospital was used exclusively by the nursing sisters wholly at their own expense for the treatment of the sick of both sexes of whatever creed or nationality, in accordance with the rules of the institution. On 23 June 1911, to commemorate the coronation of King George V and Queen Mary, the hospital was presented to the Maltese as a gift, which whilst helping to supply a long felt want might stand as a lasting memorial of that happy event.
The Act of Donation conveyed the hospital and grounds to the Government of Malta under the condition that it shall be enjoyed exclusively and in perpetuity by the Nursing Sisters of the Little Company of Mary. In Aug 1911, patients formerly admitted to the Seamen's Hospital Floriana were transferred to the Nursing Sisters of the Little Company of Mary, popularly known as the Blue Sisters.
From 26 Aug 1911 to 1914, the Seamen's Hospital was annexed to the Central Hospital Floriana so as to relieve congestion as no funds were available for a new building.
The Governor of Malta made representations to the Secretary of State for the Colonies with regard to the use of the term Malta fever. The Governor pointed out that the disease which was called Mediterranean fever by some authorities and Undulant fever or undulating fever by others, so far from being peculiar to Malta, occurred all over the Mediterranean littoral. It was present in Egypt, Cyprus, Greece, Crete, Sicily, Italy, France, Spain, Algeria, Tunis, and Tripoli, as well as in other countries, such as India and South and Central Africa, which did not border on the Mediterranean Sea.
He urged that the name Malta fever was inappropriate and likely to operate to the disadvantage of the island by conveying the impression that Malta was the only place where it prevailed. The Governor's views were brought by the Secretary of State to the notice of the London and Liverpool Schools of Tropical Medicine and the Academy of Medicine in France, as well as the War Office and the Admiralty, with the result that all these institutions agreed to abandon the use of the term Malta fever.
Dr Albert Victor Bernard
On 27 Apr 1909, Dr Albert Victor Bernard was appointed assistant medical officer in the Central Civil Hospital Floriana on a salary of £50 a year. In 1911, he was proposed as the successor to Dr Critien as CGMO, subject to him obtaining the diploma in Public Health at University College Liverpool.
Bernard left for England on 16 Mar 1911, and was granted £150 to cover college fees, travel and all other expenses. He was obliged to enter into an agreement binding himself to serve the Malta Government for at least 10 years, and in the event of him failing to obtain the Diploma of Public Health to refund all expenses incurred for his training.
On obtaining his diploma, Bernard was to be appointed Medical Officer of Health from the date of his return to Malta. On 15 April 1911, Dr A V Bernard was appointed medical officer of health in the Public Health Department. His duties included giving special lectures with demonstrations to sanitary inspectors. In war he was responsible for implementing the Emergency Hospital Scheme for the wounded and gas casualties among the civil population.
Pte W E Durrant RAMC
1463 Pte W E Durrant RAMC died on 14 Mar 1911 of septicaemia from a carbuncle.
He was buried on 15 Mar at Rinella Military Cemetery. The firing party was provided by the 2nd/Gloucester Regiment. Durrant had arrived in Malta in Jan 1911.
On 26 Nov 1911, Major Evans Charles Robert commenced the training of 30 Coy RAMC in field work. This was extended over three weeks. The company was divided into four sections of 37 men each.
Preliminary training took place at Cottonera HQ, with the advanced training at Fort San Leonardo. Equipment was drawn from stores on 25 Nov 1911. The exercise established communications between Cottonera and Fort San Leonardo, a distance of over 2.5 miles with semaphore flags, 2 feet square, with the aid of binoculars.
Military Hospital Mtarfa
In 1904, the Fourth Report of the Centralization Sub Committee of the Army Hospitals Committee condemned the Valletta Hospital and recommended the building of a new hospital on St Julian's Hill. The War Office had purchased a plot of land at St Julians in June 1900 to build a hospital of 140 beds for the Pembroke garrison. The site was however unsuitable for a Central Hospital, as it had no tram or rail links with Valletta. It was thus decided to dispose of the land at St Julians and purchase land at Gebel Mtarfa instead.
In August 1911, the War Office was granted authority to purchase 15.5 acres of land at a cost of £2,661. One owner, however, refused to sell his land. Nevertheless, the War Office took possession of the whole site, but agreed with the litigant to deposit the purchase price of £93 plus interest of 5% for one year in court, until the resolution of the dispute. No resolution was reached until Nov 1934.
Unknown to the War Office, the cash that had been handed over by the Command Pay Office to the solicitor of the Crown Advocate had never been deposited into court and was assumed to have been fraudulently misappropriated by the solicitor.
The War Office, therefore, had no legal ownership of the disputed parcel of land until March 1939, when it reluctantly paid the owner the purchase price with interest of 5% for one year, and interest at 2.5% from 1912 to 1934, this being the rent on his land while the War Office had been in possession of his property.
Drew R: Commissioned Officers in the Medical Services of the British Army Vol II. Roll of Officers in the Royal Army Medical Corps 1898–1960. London The Wellcome Historical Medical Library 1968.
Army Medical Department. Report on the Health of the Army 1911, Vol LIII, London 1912.
Book No 31. Stations of units of the Regular Forces, Militia, Special Reserve and Territorial Force - 1 Jan 1911. HM Stationery Office.
Book No 32. Stations of units of the Regular Forces, Militia, Special Reserve and Territorial Force - 1 April 1911. HM Stationery Office.
Book No 33. Stations of units of the Regular Forces, Militia, Special Reserve and Territorial Force - 1 July 1911. HM Stationery Office.
Book No 34. Stations of units of the Regular Forces, Militia, Special Reserve and Territorial Force - 1 October 1911. HM Stationery Office.
The Monthly Army List February 1911. War Office 31 January 1911.
The Monthly Army List August 1911. War Office 31 July 1911.
The Monthly Army List December 1911. War Office 30 November 1911.
TNA:T 161/874, Proposed new hospital at Gebel Imtarfa.
Corps News. Notes From Malta J Roy Army Med Corps (1912), pp 34-35.
Notes From Malta J Roy Army Med Corps Vol 16 (1911).
Distribution of RAMC Officers 1 Mar 1911. J Roy Army Medical Corps Vol XV September 1911.
United Services Medical Society Society, Br Med J (1911) 2:116 (Published 15 July 1911).