In the report, Wood and Forbes indicated the lack of transparency, corruption, political rivalry and inefficiency as the main problem that best describe the government when the Filipinos almost run them. Not much infrastructures, lack of roads and school buildings built were the major problems when the Department of Public Works was run by Filipinos. When the Filipinos took over the Department of Health, the infestation of mosquitoes and other pests plagued Manila once again. The deterioration of public health could be dramatized with 37,839 Filipino deaths because of cholera while 73,796 due to smallpox. There was massive vaccination during the time when the Americans were handling the health bereau but the deterioration of public health simply meant the lack of vaccination programas and poor public sanitation under the Filipinos