This opinion is absolutely rejected because a sufficient number of Englishmen is not currently available, and furthermore, appointing Englishmen as Directors would be a deprivation for Egyptians. They say, in addition to governing their country and the depth of their religious conviction, that Egyptians cannot govern themselves unless they try and are tested. Moreover, although I do not claim that all Inspectors are equal in their attention to detail, good policy, and methods, and that all Directors possess the qualities to achieve the ultimate goal, I am convinced that Inspectors are constantly gaining more knowledge and experience of the country, and that Directors prefer those who preceded them by a small margin in skill and ability. If this is the case, and if non-interference is open to objection from many angles, as is my opinion, and also disliked by the vast majority of the country's inhabitants, then it is not permissible to continue the current system with its undeniable shortcomings and flaws. It is similar to the system that the French government followed in Tunisia since its early occupation of that country, as taken from the report of Monsieur Ribot in 1890. The French government placed a French supervisor next to each commander. The commander is equivalent to the Director in Egypt, and the command of the troops was made one of the functions of that supervisor. Everything that is submitted to the commanders or comes from them is presented to the royal supervisors. So, the utmost that is done now is to supervise the work of this system and select Directors with complete reliance, and to strive to reduce English interference in their administration, not to increase it.

In 1896, the number of employees in the Health Department was 994, of whom 31 were Europeans and 633 were Egyptians. The number of these employees increased to 439 in 1906, of whom 61 were Europeans and 378 were Egyptians. I mean that the number of Egyptians increased by 115 and Europeans by 30.

British officials inspect the positions of the department's section inspectors, of which there are six. After researching this matter, following the example of Sir Horace, it was decided to announce that the two positions that are vacant among these six positions will be filled by two Egyptian doctors, and in time they will become senior inspectors, and the remaining positions, all of which are British.

A position for an assistant bacteriologist has recently been created and no one has been appointed to it yet. It is recommended that it remain vacant until a qualified Egyptian teacher is appointed and employed. It has been proven that there is currently an Egyptian doctor in the bacteriology laboratory who shows signs of skill and intelligence. The intention is that whoever studies in the laboratory here for a period will be sent to Europe, where they will spend a year studying this medical branch.