On September 29, 1898 , during the late Spanish era , a board of health was organized, composed of nurses; sanidades and physicians. The Collegio Medico Farmaceotica de Filipinas was formed to supervise the health care of the people.
Then in 1899, after the defeat of the Philippine forces led by General Emilio Aguinaldo, the Americans established an interim military government with General Arthur Mc Arthur, father of General Douglas Mc Arthur, as the acting military governor. As soon as peace and order was established, a civilian governor was appointed in the person of, William Howard Taft.