26
Population, Pursuits, and Roads. The population of the Northern Province, according to the census of 1911, amounted to 35,962; it was distributed as follows:
Kintampo District
N'koranza District
Banda District
Mo District
Attabubu District
British Krachi
2,809
13,271
4,582
5,932
8,784
2,634
This gi Distrib below, it wi
persons in t
1
The chief pursuits of the inhabitants are agriculture and weaving. In the Banda District a certain amount of cattle rearing is undertaken, but it is entirely con- fined to the neighbourhood of Banda, which is apparently free from tsetse fly. A small amount of cocoa is grown in the N'koranza District, and a little rubber is also collected from this part of the Province. The Northern Province is not a producer of valuable articles of commerce, e.g., rubber and kola nuts, like the neighbouring Western Province. Possibly, as the collection of rubber and kola nut farming entail work in the haunts of G. palpalis, this is one of the reasons why the incidence of human trypanosomiasis is greater in the Western than in the Northern Province. A little fishing is done by the natives living near the larger rivers.
The two main roads from Coomassie to the east and west sides of the Northern Territories traverse the Province. A road runs from Kintampo to Attabubu, via Abease, and is continued eastwards to British Krachi. There is a road-only practicable in the dry season-from Kintampo to Banda, via Lawra. A good road leads from Bwe ferry on the Black Volta to Banda, where it forks, one branch going to Bontuku and the other to Mengi, via Sabyia. The old military road to Gam- Following the telegraph baga runs from Kintampo through Dawa and Porta.
line there is a road from N'koranza to Attabubu, and a road exists which leads from Jema to Takiman, thence to Coomassie. In addition to these roads there are innumerable "bush" paths, passing between adjacent villages. There is consider- able traffic in cattle and kola nuts on the two main roads, and the natives bringing cattle down from the Moshi country frequently diverge from the main road at Jugbey and across the Black Volta at Bangbey, following a road (not shown on the Government maps) through Weile to Wenchi and Coomassie. Cattle traders, owing to their habit of lingering on the roads in the neighbourhood of fly-infested streams, may, if infected themselves with trypanosomiasis, spread the disease along the roads they traverse. Zongos in this country are noted for a higher percentage of cases than villages adjacent to them.
History of the disease amongst the inhabitants.-The natives of the Province recognize the disease in its advanced stages, but can give no definite history of its duration. They do not. consider that it is spreading; and, while they know that the disease is almost invariably fatal, they are not afraid of it.
They do not appreciate the rôle played by the tsetse fly in its causation, and they are incapable of recognizing the disease in its earlier stages, as might be expected, enlarged cervical glands being the result of the presence of other para sites, as well as of T. gambiense. Kinghorn, in his report of his tour in the Banda District, has pointed out that the inhabitants of that part, except those who have travelled beyond its boundaries, profess entire ignorance of the disease. Method of examination of the natives. So far as possible the inhabitants were examined in the evening after they had returned from work on their farms. Unfortunately many villages met with en route had to be examined as one was passing through during the day, when many of the adults had left to do their day's work. Palpation for enlarged cervical glands, puncture of these when sufficiently large to admit of puncture with a hypodermic needle, and examination of the fluid so obtained, was the principal method employed for isolating cases of the disease. Occasionally, when the glands were found to be too small to admit of puncture, examination of blood films was resorted to.
Number of people examined and number of cases found. In all 18,767 people In arriving at were examined and 34 cases of human trypanosomiasis were found. the number 34, I wish to explain that I have added to the actual number of 30 cases seen by me while on tour two cases of the disease which occurred in Kintampo during the early part of the year (both had died before the routine examination was made), one case discovered by Dr. Wade in Kintampo in Septem- her, and one case, that of a river policeman at Krachi, treated at Coomassie during August and September.
Kintampo N'koranza
Mo
TTE
Banda
Krachi Attabubu
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in the mons. rivers in th explanation freedom fro:
Concerr
article put Volume VI. miasis seen
In recc Province, m employed by
and over 45.
Males
Fewales
NUMBER OF
Malos Females
Males
Females
Todd's
lower among the majority them are elc
elderly peop shown above
of elderly pe
in the Gamb