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The diary includes notes on trips to England and Egypt; program of relief, control and prevention of Hookworm disease in Sri Lanka; notes on the malaria program, and notes on sanitation and hookworm disease in Malay and survey conditions in the Philippines.

Rose travels to the Federated Malay States to survey government and estate hospitals, and determine the present efforts to combat hookworm disease. The diary includes itinerary through the Philippine Islands.