PUBLIC RECORD OFFICE

Reference :-

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9 PUBLIC RECORD OFFICE, LONDON

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

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hope that by prompt removal to districts where tsetse fly is non-existent, the disease will die out without establishing any focus of infection.

The Secretary,

The British South Africa Company,

2, London Wall Buildings, E.C.

I am, &c.,

ROBERT CODRINGTON.

Medical Department, Fort Jameson, North-Eastern Rhodesia,

To H. A. E. NOBLE, Esquire,

District Surgeon, Fort Jameson.

October 3, 1906.

1. You are appointed from the Medical Service of North-Eastern Rhodesia to establish a medical post at Madona, on the Luapula River, for the purpose of fully investigating the circumstances attending the spread of sleeping sickness in the Congo Free State towards the borders of North-Eastern Rhodesia, and to define with every possible care and accuracy the limit of the endemic area of the disease; to record on a chart all cases of the disease that you know to exit or to have existed previously, and to mark on the same chart the distribution of the species Glossina.

2. You are authorised to detain and examine any native of North-Eastern Rhodesia coming from the Congo Free State until you are satisfied that he is free from the disease.

3. You may apply to the Native Commissioners and others sending labour into the Congo Free State from North-Eastern Rhodesia, for a record of the number of natives sent, with their villages and the district in the Congo to which they may be consigned.

4. That you obtain from Dr. Massey, of the Tanganyika Concessions, Limited, information as to the health of the natives from North-Eastern Rhodesia working in the Kambove District, and whether there is any sleeping sickness among them.

5. In the event of your observations extending into the Congo Free State, you are to rely entirely on the courtesy and assistance of the officials there, informing them first of the nature and reason of your investigations, and obtaining their consent before executing such. Any representation on the subject of sleeping sick- ness you may wish to make to them may, if sufficiently important, be made in writing, but no further steps must be taken by you if they are disregarded.

6. You must exercise your control over the ferry between Kasenga and the British side, and if you consider it as constituting a danger in the introduction of the disease into North-Eastern Rhodesia, you must make such recommendations as you think necessary to the Native Commissioner of the district and the Congo official at Kasenga.

7. Should a case of undoubted sleeping sickness occur in a native of North- Eastern Rhodesia, you are allowed to quarantine such case or cases in a village remote from the species Glossina, informing the Native Commissioners of the district that you have done so.

8. You are to continue your investigations on Lake Mweru and the northern boundary of North-Eastern Rhodesia as far as Lake Tanganyika.

9. If sleeping sickness is introduced into North-Eastern Rhodesia, the recom- mendations made by you to deal with this possibility will be further considered.

J. C. SPILLANE, Principal Medical Officer.

Approved by His Honour the Administrator.

MEMORANDUM.

1. The report clearly shows that the disease may invade North-Eastern Rhodesia at two points on the Congolese boundary :-

(1) At the north-east corner of Lake Nweru from the endemic area on the

west coast of Tanganyika.

(2) At the Luapula crossing, south of Mweru, especially at Madona, in which

case the disease would come from the endemic areas in the heart of the Congo.

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II. That unless strict medical control be exercised at these places the invasion of North-Eastern Rhodesia must, in time become an assured fact.

III. That the most suitable place for a medical post is at Madona on the Luapula, whence, at certain times of the year, there is direct steamer communication with Mweru.

IV. That at the present state of our knowledge every variety of tsetse fly must be considered as a factor in the spread of the disease.

J. C. SPILLANE, October 1, 1906.

Principal Medical Officer.

A REPORT OF A JOURNEY ALONG THE BOUNDARY OF NORTH-EASTERN RHODESIA AND CONGO FREE STATE FOR THE PURPOSE OF INVESTIGATING THE DISTRIBUTION OF SLEEPING SICKNESS AND TSETSE FLY.

CONTENTS.

I. Description of journey and information regarding sleeping sickness

and tsetse fly from my own observations

II. Information derived from other sources regarding tsetse fly and

sleeping sickness in the Congo

III. Systematic review of the North-Eastern Rhodesian and Congo boun-

dary in reference to an invasion of sleeping sickness

Page.

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IV. Consideration of factors of the disease in reference to its dissemination 95

V. Consideration of precautionary and preventive methods

VI. Recommendations

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DESCRIPTION OF JOURNEY AND INFORMATION REGARDING SLEEPING SICKNESS AND TSETSE FLY FROM MY OWN OBSERVATIONS.

Fort Jameson to Madona.

I left Fort Jameson on April 29th, 1906, reaching Serenje on May 7th, 1906. On May 16th, after leaving Chikanda, I saw tsetse fly (Glossina Morsitans). On the 17th it continued to be plentiful after the sun got warm-until Chinianta was reached here they ceased. On the 24th, near Nambura, one Glossina Morsitans was seen, and on 25th, until about five miles from Fort Rosebery, they con- tinued. On June 1st I left Fort Rosebery and went to Madona. About one hour before reaching it I saw two tsetse flies. On June 3rd I went down the Luapula

to Nafunta Falls, on the Congolese side, there some Glossina Palpalis were caught close to the water's edge. On June 4th I crossed over to Kilpaila and caught a number of Glossina Morsitans; these are very plentiful quite near the Custom House.

Madona to Kalungwisi.

On June 6th I left Madona and on the road saw two tsetse flies, but on the British side they are almost absent altogether; occasionally they come across from the other side with porters, but apparently disappear.

I arrived in Kalungwisi on June 14th, 1906, having seen no more tsetse fly on the way.

Kalungwisi to Chiengi.

On June 20th, 1906, I left Kalungwisi by the road on the east of Lake Mweru for Chiengi at the north-east corner. actually on the shore, is not far distant from it. It is free from tsetse fly.

The greater part of the road, although not

Chiengi to Mpweto.

From Chiengi I went to Mpweto in the Congo Free State on the north-western corner of Lake Mweru. Leaving Chiengi the road goes for about five miles along the shore, which is for the most part flat and sandy; from this point it turns inland, but is no great distance away from the water. There were no tsetse seen along the whole road. At Mpweto, M. Ferroglio has charge of the station, and to him I had a letter of introduction from Mr. Lyons of Kalungwisi,

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