CAB129-37 — Page 220

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Page 220. occurred in April, and a further fourteen African cases in August. No further cases occurred, and no other sources of infection could be traced, though one European case was diagnosed in September. Kongwa also suffered from an outbreak of minor infectious disease in September, there being 300 cases of chickenpox and 250 cases of mumps among Africans.

Malaria

346. Malaria has not been a problem in Kongwa or Urambo. In the Southern Province, as was expected, with the heavier rainfall, and a longer mosquito-breeding season, there has been a higher rate of infection than in the other Regions. Malarious areas round all of the camps have been controlled by the Regional Health Officer, and, in spite of considerable laxity on the part of the European population in taking paludrine and adopting personal anti-malarial precautions, the incidence has not been heavy.

Smallpox

347. Routine vaccination of all was carried out, and although there is much smallpox in the Southern Province, very few cases occurred in Cor- poration personnel.

Trypanosomiasis (Sleeping Sickness)

348. This disease has not been contracted by any European or African in any of the Regions.

Amoebic Dysentery

349. There were two outbreaks of amoebic dysentery in Kongwa, one in July and August, when 13 people were infected, and the other during Novem- ber and March, when 20 people were infected.

Hospitals

350. Equal in importance to the preventive service was the care of the sick and injured. It was not easy to provide sufficient hospital accommoda- tion, and the existing hospitals, housed mainly in tents, were at times over- crowded.

(i) Accommodation

351. On April 1, 1948, three hospitals were in existence at Kongwa, Urambo and Nachingwea, with beds for 19 Europeans and 247 non-Europeans. By March 31, 1949, two more hospitals had been established at Mkwaya and Ifunda, and accommodation had considerably increased, the number of beds available being as follows:-

Hospital

Totals

119

T

Kongwa

...

Urambo

Nachingwea Mkwaya

Ifunda

TOTALS

...

European

Non-European

46

260

306

12

114

126

26

96

122

24

76

100

8

30

38

116

576

692

352. The above figures are for beds already equipped; but accommoda- tion was completed for a total of 930 hospital beds in the whole territory of the Scheme. The new Kongwa hospital which opened in March, 1949, pro- vided better conditions for the treatment of prolonged illness, serious

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