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192
AFRICAN MEDICINE
chap.

get regarding it so far, has been one sent me by Mr. R. E. Dennett; who says "The sleeping sickness though prevalent throughout Kakongo and Loango is most common in the north of Loango and the south of Kakongo, that is north of the river Quillou and among the Mussorongo.

"What the cause of the sickness is, it is hard to say, but it is one of those scourges which is ever with us. The natives say any one may get it, that it is not hereditary, and only infectious in certain stages. They avoid the dejecta of affected persons, but they do not force the native to live in the bush as they do a person affected by small-pox.

"Pains in the head chiefly just above the nose are first experienced, and should these continue for a month or so it is to be expected that the disease is Madotchila, or the first stage of the sleeping sickness.

"In the word Madotchila we have the idea of a state of being poisoned or bewitched. At this stage the sickness is curable, but as the sick man will never admit that he has the sickness and will suffer excruciating pain rather than complain, and as it is criminal to suggest to the invalid or others that he is suffering from the dreadful disease, it often happens that it gets great hold of the afflicted and from time to time he falls down overcome by drowsiness.

"Then he swells up and has the appearance of one suffering from dropsy, and this stage of the disease is called Malazi, literally meaning thousands (Kulazi=one thousand, the verb Koula to become great and zi the productive fly.)

"This appears to be the acute stage of the disease and death often occurs within eight days from the beginning of the swelling.