When the hospital in Charlestown was destroyed in a hurricane in 1899, planting of trees in the squares of Saint Kitts and refurbishing of government buildings, also in Saint Kitts, took precedence over the rebuilding of the only hospital in Nevis. After five years without any proper medical facilities, the leaders in Nevis initiated a campaign, threatening to seek independence from Saint Kitts. The British Administrator in Saint Kitts, Charles Cox, was unmoved. He stated that Nevis did not need a hospital since there had been no significant rise in the number of deaths during the time Nevisians had been without a hospital. Therefore, no action was needed on behalf of the government, and besides, Cox continued, the Legislative Council regarded "Nevis and Anguilla as a drag on St. Kitts and would willingly see a separation". Finally, a letter of complaint to the metropolitan British Foreign Office gave result and the federal government in Saint Kitts was ordered by their superiors in London to take speedy action. The Legislative Council took another five years to consider their options. The final decision by the federal government was to not rebuild the
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