10
informed me that, judging by the results he had so far obtained, he was very hopeful of the success of this drug. In this connection I may further mention that I have recently been in communication with Dr. E. van Campenhout, of the Belgian Colonial Hospital, Watermael, who some months ago published notes of three cases and his method of treatment, and states that his cases, which were in a fairly advanced stage of the disease, are now apparently cured.
Dr. Bagshawe's report (Appendix A.) on a supposed endemic area of sleeping sickness in Toro is of interest, as showing that beri-beri, which the disease turned out to be, instead of sleeping sickness, is endemic in Uganda, a fact not previously brought to notice.
His discovery of the pups of Glossina palpalis is important, insomuch that it may be possible to destroy the young of the tsetse fly, by introducing and pro- tecting birds who collect their food by "scratching," e.g., guinca-fowl, spur-fowl, &c. Note 1 in Dr. Hodges's report refers to an investigation and report on sleeping sickness and tsetse fly in Unyoro and the Nile Province. This report has already been submitted as an appendix to my Annual Medical Report for 1905.
I have, &c.,
J. WILL,
Principal Medical Officer,
British East Africa and Uganda Protectorates.
His Majesty's Deputy Commissioner,
Uganda.
(No. 83/S.S.E.I.)
Entebbe, October 31, 1906.
SIR,
I HAVE the honour to enclose herewith my first half-yearly report on the Sleeping Sickness Extended Investigations in the Uganda Protectorate, together with notes, appendices, and maps.
I much regret that a period of ill-health, combined with unavoidable delay in the receipt of the August reports from the more out-lying districts, and with the exigencies of my other duties, precluded the presentation of this report in its complete stage during September, as I had intended. But I was able, as you will remember, to show you then the draft of that part of it dealing with my conclusions and the suggestions and recommendations based thereon, and I am now able to add, in the appendices, facts of interest and importance which could not then have been included.
I have the honour and the pleasure to express my thanks to you and also to the Deputy Principal Medical Officer, for the advice and ready assistance, as well as the entire freedom of action, which you have from the first accorded to me, and also to express my gratitude to His Excellency the Commissioner, the Deputy Commissioner, and the Acting Deputy Commissioner of the Uganda Protectorate, for their most valuable help and encouragement in what it was foreseen would be a task of some difficulty. My best thanks are also due to all the medical officers who have been engaged in the investigations, for the ability, energy, keenness, often under trying circumstances and at considerable risk of infection, which they have hitherto dis- played in their work, and I feel that I ought especially to mention Drs. Bagshawe, Wiggins, and Van Someren. The appended reports of Drs. Bagshawe and Van Someren speak sufficiently to the character of their work, while Dr. Wiggins has compiled consistently good and careful reports with most useful sketch-maps, and has shown most praiseworthy perseverance during some months of exceptionally unfavourable and unpleasant physical and meteorological conditions in the most highly infected and dangerous part of the Protectorate.
A list of appendices, maps, &c., will be found below.
I have, &c.,
AUBREY D. P. HODGES, M.D.Lond.,
Medical Officer in Charge, Sleeping Sickness Extended Investigations, and
Acting Senior Medical Officer, Uganda.
The Principal Medical Officer,
East Africa and Uganda Protectorates.
11
APPENDICES.
Appendix A. Report on beri-beri by Dr. Bagshawe, with extracts from other reports
and from a report by Dr. Lowsley. Appendix B. Experiments on the flight of G. palpalis and report on his discovery
of the breeding grounds and pupa, by Dr. Bagshawe.
Appendix C. Report on "epidemic" among Sesse animals. Finding of T. gam-
biense (?) in native dogs, by Dr. Van Someren. Appendix D. Copy of an explanatory address to natives on sleeping sickness, the fly,
&c. (English). Also copy in Luganda.* Appendix E. Sleeping sickness in the Entebbe Peninsula and its relation to the
spread of the epidemic through imported labour. Appendix F. On atoxyl and segregation. Appendix G. Instructions to medical officers.
MAPS.
I. Uganda Protectorate, Sleeping Sickness, Fly, &c. II and III. Glossine in Uganda Protectorate.
IV. Relation of the epidemic in the hinterland to the conditions at the lake shore. V. Illustrating fly areas and fly-free areas in Entebbe Peninsula.
FIRST HALF-YEARLY REPORT of the MEDICAL OFFICER IN CHARGE OF THE SLEEPING SICKNESS EXTENDED INVESTIGATIONS to the PRINCIPAL MEDICAL OFFICER, East Africa and Uganda Protectorates.
On January 20th of this year I arrived at Entebbe from Gondokoro to take charge of the Sleeping Sickness Extended Investigations, and on January 22nd I met you there to learn what was intended in the proposed scheme and to receive your general instructions as to what was to be undertaken. I also saw the correspondence on this subject which had passed between the Royal Society and the Colonial Office.
I at once drew up a short programme for the conduct of the investigations which met with your approval and that of the Acting Commissioner, and on January 20th I completed the draft of my general instructions to the Medical Officers (copy attached†) who were to be under my direction, but, owing to pressure of work at the Government Printing Office, these instructions were not available for circulation until February 20th, on which date a copy (pamphlet) was posted to you at your office.
On March 1st financial instructions regulating their expenditure and accounts were sent to the Medical Officers, after having been approved by the Treasurer of the Uganda Protectorate.
On January 29th the first Medical Officer, Dr. Wiggins, arrived from East Africa, and proceeded to Usoga, which had been allotted to him as his sphere of investigation.
On February 5th, Drs. Van Someren and Uffmann arrived, the former proceeding immediately to investigate the district of Kampala and the lake region south of it, while the latter, after a few weeks' delay in Entebbe, in order to make himself familiar with sleeping sickness, the fly, the trypanosome, and the technique of examination, proceeded to carry out his enquiries in the country bordering on the lake shore between Entebbe and the Usoga boundary, including Bugerere.
Dr. Densham, to whom was allotted the Nile Province, was then in medical charge of Nimule Station, and was unable to hand over finally to his successor until March 12th, soon after which date he proceeded to investigate the northern limit of Glossing palpalis on the right bank of the Nile. Dr. Bagshawe also, who was to examine the south and west of the Protectorate, was in medical charge of Hoima, and was not available for his new duties until March 31st, a few days after his relief arrived.
On April 1st I took over charge of the staff, the patients and the stock of animals left by the Sleeping Sickness Commission of the Royal Society, and on April 14th I took over also the duties of Senior Medical Officer from Dr. Moffat. Unfortunately at this time, and for three months onwards, an abnormal and unpre-
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Not reproduced:
† See Appendix G.
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