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6
Reference :---
C.O.885
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19 PUBLIC RECORD OFFICE, LONDON
64
February 9th and 10th. Camped at Chacho's Village on the Magori River (13 miles). Sixty-seven individuals were brought up for examination (or diagnosis), almost all showing signs of sleeping sickness. Of these, no glandular enlargement could be felt in 12.
February 11th. Camped near Guruibi Hill at Sultan Gurajo's Village (9 miles). No sleeping sickness reported here, nor could any enlarged glands be found. Fly not found, and stated to be not known.
February 12th. Camped on top of Butende Hill (10 miles), inhabited by the Wa-tende a tribe probably of the same stock as the Sotik, Lumbwa, &c., generally known to the surrounding Kavirondo as “Masai." No sleeping sickness nor glands to be made out.
February 13th. Returned to Chacho's Village (13 miles), and inspected all the people dwelling in one zariba, 58 presented themselves :-
Women Children Men
No. inspected.
24
28 6
No. with enlarged glands.
14
15 3
approximately 55 per cent. infected. in the numbers given on 9th and 10th.)
February 14th. Crossed the Magori River and climbed up into mountainous country, leaving on my right Makarao Hill, said to be every bit as bad as Chacho's. This locality I did not inspect. Camped at Kenyamkago (nine miles), and inspected the inhabitants of three zaribas, totalling 111 individuals:-
(Note.-Several of these cases were counted
Women Children Men
No. inspected.
50
43 18
-
No. with enlarged glands.
37
20 11
or over 60 per cent. infected. Twelve more cases of sleeping sickness, all with enlarged glands, were also seen.
February 15th. Camped on Dedi Hill at Sakwa (13 miles). No sleeping sickness nor enlarged glands to be made out, nor any knowledge of fly (I could find none) in the Sari River draining the valleys.
February 16th. From Dedi I dropped over the mountains on to the rolling treeless plain that runs north and south from Homa Bay to Karungu. This plain is absolutely bare, and is dotted endlessly with villages; on the level of the plain, from one spot, I counted over 90 zaribas. At the foot of the hills, I crossed the Kuja at the point where the mimosa and scrub-thorn jungle of the Khadem Flats absolutely ends, and camped at Okuthi's Village (in the Kiboatch Sultanate) in the fork formed by the Riana River with the Kuja (5 miles). Here I was informed that outside this locality, higher up the Kuja and the Riana, sleeping sickness did not exist; that four years ago, Okuthi's people inhabited the district Niakaru, 8 or 10 miles further down the Kuja, and, owing to the mortality from sleeping sickness, they had deserted their former homesteads and settled here on the open plain. Eighteen cases of sleeping sickness were produced for inspection, every one of whom had enlarged glands in the neck. Of 53 individuals, taken at random round the tent door, 24 had enlarged glands-45 per cent. infected.
February 17th. As I had received a letter from Mr. Hemsted that he had returned to Karungu for a few days' stay only and wished to see me, and as I was anxious to discuss matters with him, I gave up my intention of examining the banks of the Kuja, and then the Riana, towards their sources, and proceeded instead to Kenyamwa, camping on the Merogi River (9 miles). No cases of sleeping sickness to be seen here, nor enlarged glands nor fly.
February 18th. Arrived back in Karungu (21 miles), after enquiring for cases of sleeping sickness or fly at Ojoe's Sultanate, en route, with negative results.
At Karungu I found Mr. Hemsted and Mr. D. R. Crampton, Assistant District Commissioner, who had arrived to replace Mr. Hemsted. Mr. Hemsted and I arranged to proceed on February 20th back to the borders of the Kadem and Suna Districts, to choose a possible site for a segregation camp, but, unfortunately, I was confined to the house for three days with an attack of malarial fever, and this part of my tour fell through.
63
1-Extent of the Fly Areas..
The river Kuja is the fons et origo of the spread of the disease. The fly belt runs from Karungu round the lake shores to Mohuru, in crratic scattered patches which sometime literally swarm with tsetse fly. From the lake it would appear to be con- tinuous up the whole course of the Kuja, to the foot of Segegi Hill which was the highest point where specimens of the Glossina palpalis were obtained. The next most infected river is the Magori; in fact, all the rivers-Angotchi, Myunyo, &c.— flowing into the Kuja continue the infection in a greater or less degree. In the map attached, the extent of the infection from these rivers is shown, only it must be understood that the Glossina palpalis is closely confined to the river banks or seashore.
The fly would appear to be very closely restricted to a limited range on the banks of the river; and no examination of the native villages, especially in the thick euphorbia hedges which surround them or are adjacent to them, ever revealed a single specimen. I understand that the German authorities have cut down all these hedges.
2-Number of Cases of Sleeping Sickness. (a) Imported.
Probably the cases in the vicinity of Karungu have been infected from fishing in the neighbourhood of the mouth of the Kuja, for, where the foreshore has not been cleared, the only cover is ambatch trees.
ness.
(b) Locally infected.
Some 300 cases were [examined in the course of the tour, nearly all with enlarged cervical glands, and over 200 of which were defined cases of sleeping sick- From the counts made, in the affected area of whole villages examined, the number of infected people may be taken as at least 50 to 60 per cent. of the popula tion. Mr. Hemsted gives me that population as 12,700 souls, some 6,000 or 7,000 souls of whom are in the various stages of trypanosomiasis, ranging from three weeks to one year ill. The vast majority of the cases gave a history of two to four months' sickness, i.e., from the end of the last rains.
3.-Question of a Segregation Camp.
I am certainly of opinion that a segregation camp for treatment by atoxyl should be established. The natives have a full knowledge of the measures taken by
the Germans at Sherati, and are everywhere eager for treatment.
As regards a site, almost any one of the Sultanates could be chosen at random from the point of view of patients. Each one of the chiefs begged that it should be placed in his district; and wherever placed, I am convinced there would be no difficulty in filling it with more patients than could be attended to.
The following is the distribution of the population :-
Owunda's,
Oboe's,
Kadem
Marera's,
Chacho's, Suna
(Gurajo's), 1
( Mohuru
Migwe's, Kakarao
Ong'udi's, Kenyamkago
Okuthi's, Kiboatch
7,000
2,500
400
350
2,200
750
I would propose, however, that the locality selected should be near the junction of the River Angotchi with the River Kuja. This would be almost in neutral land The between the Kadem and Suna Districts, would tap both, and be within reach of the Kenyamkago, and would only leave at a distance Kiboatch and Mohuru. drawback to this place is, that from the River Angotchi to near Chacho's Village, a distance of 10 miles, is practically uninhabited.
4.- Question of Food Supply and willingness of Chiefs to provide. There will be no difficulty about the supply of food (though at the present moment, owing to the drought, there is a shortage); only a matter of arranging
32655
1
65
1- Extent of the Fly Areas.
the fons et origo of the spread of the disease. The fly belt runs the lake shores to Mohuru, in erratic scattered patches which arm with tsetse fly. From the lake it would appear to be con- course of the Kuja, to the foot of Segegi Hill which was the specimens of the Glossina palpalis were obtained. The next s the Magori; in fact, all the rivers-Angotchi, Myunyo, &c.— 1 continue the infection in a greater or less degree. In the map of the infection from these rivers is shown, only it must be Glossina palpalis is closely confined to the river banks or appear to be very closely restricted to a limited range on the nd no examination of the native villages, especially in the thick hich surround them or are adjacent to them, ever revealed a understand that the German authorities have cut down all these
2 Number of Cases of Sleeping Sickness.
(a) Imported.
ases in the vicinity of Karungu have been infected from fishing od of the mouth of the Kuja, for, where the foreshore has not ly cover is ambatch trees.
(b) Locally infected.
es were examined in the course of the tour, nearly all with glands, and over 200 of which were defined cases of sleeping sick- ounts made, in the affected area of whole villages examined, the d people may be taken as at least 50 to 60 per cent. of the popula- ed gives me that population as 12,700 souls, some 6,000 or 7,000 re in the various stages of trypanosomiasis, ranging from three ill. The vast majority of the cases gave a history of two to four i.e., from the end of the last rains.
3.-Question of a Segregation Camp.
nly of opinion that a segregation camp for treatment by atoxyl shed. The natives have a full knowledge of the measures taken by Sherati, and are everywhere eager for treatment.
a site, almost any one of the Sultanates could be chosen at random
of view of patients. Each one of the chiefs begged that it should
; district; and wherever placed, I am convinced there would be no ng it with more patients than could be attended to.
ng is the distribution of the population :
la's,
-
Kadem
1
a's,
o's, Suna
jo's),
, Mohuru
e's,
Kakarao
7,000
2,500
400
350
2,200 750
PUBLIC RECORD OFFICE
Reference :-
C.O.885
COPYRIGHT
19 PUBLIC RECORD OFFICE, LONDON
ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC- PHOTOGRAPH-NOT TO
di's, Kenyamkago
i's, Kiboatch
ropose, however, that the locality selected should be near the junction ngotchi with the River Kuja. This would be almost in neutral land The adem and Suna Districts, would tap both, and be within reach of the and would only leave at a distance Kibontch and Mohuru.
his place is, that from the River Angotchi to near Chacho's Village, 10 miles, is practically uninhabited.
uestion of Food Supply and willingness of Chiefs to provide.
ill be no difficulty about the supply of food (though at the present ng to the drought, there is a shortage); only a matter of arranging
I