20

3. This Proclamation shall have force and take effect from the date of its publication in the Gazette.

GOD SAVE THE KING.

1907.

Given under my hand and seal at Johannesburg this 21st day of December,

SELBORNE,

High Commissioner.

(L.S.)

By command of His Excellency the High Commissioner.

W. G. BENTINCK,

For Imperial Secretary.

Enclosure 2 in No. 3.

21

made in dealing with sleeping sickness, I promised that a supplementary report would be supplied specially referring to the use of atoxyl.

2. Captain Gray, Royal Army Medical Corps, the officer who is temporarily in charge of the medical side of the scheme for the suppression of sleeping sickness, has now rendered this report, and a copy of it is transmitted herewith.

"All our

3. In the concluding paragraph of his paper, Captain Gray states: medical officers are of the opinion that, provided the quality of the atoxyl is above suspicion, the good results in the way of marked temporary improvement in the general health, and the fact that patients are rendered innocuous, and that perhaps cures may be obtained by its administration, outweigh any bad results that may possibly occur through its use, and that until a better substance can be found, we are justified in going on with the treatment."

I have, &c.,

H. HESKETH BELL,

Governor.

!?「 ་|

PUBLIC RECORD OFFICE

π | | l l l l l l l l l l l

Reference :-

C.O.885

Administrator's Office, Livingstone, North-Western

Rhodesia, November 2, 1907, MY LORD,

I HAVE the honour to submit herewith, for your Lordship's consideration, a draft proclamation having for its object the exclusion from this territory of the disease of sleeping sickness, endemic in certain parts of the Congo Free State.

2. It is probable that the particular variety of tsetse fly to which the convey- ance of the germs of sleeping sickness is ascribed is not present in this territory, but pending the report of the Sleeping Sickness Commission now investigating the subject on the northern borders of this country, I have considered it advisable to recommend measures of precaution similar to those already adopted in North-East- ern Rhodesia under the approval of the Colonial Office.

3. This draft follows, with local amendments, the North-Eastern Rhodesia "Movements of Natives Restricting Regulations of 1907.”

His Excellency the High Commissioner

I have, &c.,

JOHN CARDEN, Acting Administrator.

The Right Honourable the Earl of Selborne, P.C., G.C.M.G.,

&c.,

&c.,

&c.

Enclosure in No. 4.

FURTHER REPORT ON THE MEDICAL TREATMENT OF SLEEPING SICKNESS PATIENTS AT THE SEGREGATION CAMPS, JANUARY 18TH, 1908.

In the report which I submitted on December 12th,.1907, I described the methods of treatment in use at our camps, and said that I was preparing some further details about atoxyl treatment.

It is now one year since the first of the segregation camps was started at Buwanuka, Busiro, so that the facts in this report cover a period from December 1st, 1906-November 30th, 1907.

During this period the following number of patients have received treatment:-

During the first quarter (December 1st, 1906-February

28th, 1907)

During the second quarter (March 1st-May 31st) During the third quarter (June 1st-August 31st) During the fourth quarter (September 1st-November

30th)

A total number of...

222

145

172

596

1,135 patients.

19 PUBLIC RECORD OFFICE, LONDON

| ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC- COPYRIGHT PHOTOGRAPH-NOT TO

SIR,

Enclosure 3 in No. 3.

(North-Western Rhodesia. No. 152.)

No. 49 of 1907.

High Commissioner's Office, Johannesburg,

December 24, 1907. WITH reference to your despatch of November 2nd, I have the honour to transmit to you a copy of a proclamation which will be published in the next issue of the Gazette providing for the exclusion of North-Western Rhodesia from the disease of sleeping sickness.

I have, &c.,

The Acting Administrator,

5697

North-Western Rhodesia, Livingstone.

(No. 8.)

MY LORD,

No. 4. UGANDA.

SELBORNE,

High Commissioner.

THE GOVERNOR to THE SECRETARY OF STATE. (Received February 17, 1908.)

Government House, Uganda, January 20, 1908. IN my despatch, No. 197, of 9th December, 1907,* reporting the progress

• No. 1.

Of these 1,135 cases of sleeping sickness, the medical officers in charge of the camps report on November 30th, 1907, that-

517, or 45 per cent., have definitely improved under treatment, and that this

improvement has, up to the present, Leen maintained.

77, or 7 per cent., have relapsed after a temporary improvement, but are

still alive.

284, or 25 per cent., continue in the same state as they were on admission. 220, or 19 per cent., are dead.

37, or 4 per cent., were away at the time of this examination.

As I said in my previous report, all sleeping sickness patients on arrival at camps are noted down by the medical officer in charge as belonging to one of four classes by the symptoms that they present. Cases are either-

A. Very early cases, who feel, as a rule, well and strong, but present the signs of gland enlargement and the symptoms of occasional attacks of fever and headache.

140 of such cases have been admitted.

B. Early cases, who present symptoms such as itchy skin, pain in the legs, tongue tremor, impotence or amenorrhoea in addition, but who are mentally normal though there may be fits of drowsiness.

493 of such cases have been admitted.

C. Advanced cases, who are mentally slow, dull, and expressionless. There is commonly tremor of the tongue, lips, and fingers. Such cases generally walk with difficulty, and are very obviously ill. Some wasting of the body is very commonly present.

431 of such cases have been admitted.

D. Very advanced cases are drowsy, bed-ridden, swallow food with difficulty,

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