Page:Travels in West Africa, Congo Français, Corisco and Cameroons (IA travelsinwestafr00kingrich).pdf/737

This page has been proofread, but needs to be validated.
DISEASE IN WEST AFRICA
685

ever there may be to enjoy, and incapable of dwelling on discomforts or worries. It is quite possible for a person of this sort to live, and work hard on the Coast for a considerable period, possibly with better health than he would have in England. The full-blooded, corpulent and vigorous should avoid West Africa like the plague. One after another, men and women, who looked, as the saying goes, as if you could take a lease of their lives, I have seen come out and die, and it gives one a sense of horror when they arrive at your West Coast station, for you feel a sort of accessory before the fact to murder, but what can you do except get yourself laughed at as a croaker, and attend the funeral?

The best ways of avoiding the danger of the night air are—to have your evening meal about 6.30 or 7,—8 is too late; sleep under a mosquito curtain whether there are mosquitoes in your district or not, and have a meal before starting out in the morning, a good hot cup of tea or coffee and bread and butter, if you can get it, if not, something left from last night's supper or even aguma, Regarding meals, of course we come to the vexed question of stimulants—all the evidence is in favour of alcohol, of a proper sort, taken at proper times, and in proper quantities, being extremely valuable. Take the case of the missionaries, who are almost all teetotalers, they are young men and women who have to pass a medical examination before coming out, and whose lives on the Coast are far easier than those of other classes of white men, yet the mortality among them is far heavier than in any other class.

Mr. Stanley says that wine is the best form of stimulant, but that it should not be taken before the evening meal. Certainly on the South-West Coast, where a heavy, but sound, red wine imported from Portugal is the common drink, the mortality is less than on the West Coast. Beer has had what one might call a thorough trial in Cameroon since the German occupation and is held by authorities to be the cause in part of the number of cases of hæmaturic fever in that river being greater than in other districts. But this subject requires scientific comparative observation on various parts of the Coast, for Cameroons is at the beginning of the South-West Coast, whereon the percentage of cases of hæmaturic to those of intermittent and remittent fevers is far higher than on the West Coast.

A comparative study of the diseases of the western division of the continent would, I should say, repay a scientific doctor, if he survived. The material he would have to deal with would be