Annual medical and sanitary report / Uganda Protectorate.

  • Uganda Protectorate. Medical Department.
Date:
[1920]
Catalogue details

Licence: Public Domain Mark

Credit: Annual medical and sanitary report / Uganda Protectorate. Source: Wellcome Collection.

    12/74 (page 12)
    . Drs. Marshall and Vassallo have written a further paper on the treatment of Sleeping Sickness by salvarsanised serum (see Appendix VI). In the Lake Victoria area Mr. Fiske has been in charge and his report is attached (see Appendix IV). The following table shews the number of cases reported during the last 16 years:— Table B.—Shewing the Distribution of Deaths attributed to Sleeping Sickness in Combined Native and Official Returns since 1905. PROVINCES OR DISTRICTS. YEAR. Buganda. Busoga. Bunyoro. Ankole. Toro. Nile Province. Bukedi. Lango. County Unknown, Totals. 1905 8,003 No record No record No record No record No record No record No record No record 8,003 1906 5,304 849 369 .. . ... ... 6,522 1907 3,407 593 170 ... 5 4,175 1908 1,723 1,478 461 ... ... 3,662 1909 925 603 254 ... ... 1,782 1910 527 698 277 37 7 1,546 1911 253 1,013 168 6 46 1 1,487 1912 82 747 84 11 5 ... 3 932 1913 57 554 41 21 29 ... 6 708 1914 24 354 15 65 8 ... ... 466 1915 3 244 11 88 4 2 ... 352 1916 2 155 7 37 8 ... ... 209 1917 118 8 84 4 13 2* 229 1918 75 5 55 100 ... ... ... 235 1919 12 5 35 48 It 7+ 1* 109 1920 1 28 2 10 17 2 8 1 ... 69 Total 20,311 7,521 1,877 449 269 31 15 1 12 30,486 * In Kyetume Camp. t Hospital Return (7 at Mbale, 1 at Gulu). Pyrexia of uncertain origin shews a slight increase from 3,558 cases with 6 deaths in 1919 to 3,658 cases with 38 deaths in 1920. Some of these are undoubtedly due to such diseases as Dengue, Sand Fly Fever, etc., as at Kampala where 683 cases are reported but the great majority might prove to be Malaria or Relapsing Fever were it possible to have microscopic examination of each case done as a routine measure at all stations. 869 reported from Masaka and 793 from Mbarara doubtless contain many Spirillum cases. 2. Infectious or Epidemic Diseases. Anthrax.—No cases were reported during the year. Beri-Beri.—23 cases with 7 deaths were reported as compared with 43 cases and 3 deaths during 1919. Of this year’s cases 9 with 2 deaths are reported from Mbale, 9 with 2 deaths from Soroti, and 5 with 3 deaths from Lira. Cerebro-Spinal-Meningitis.—69 cases with 31 deaths were treated during the year as compared with 19 cases with 15 deaths during 1919 and 68 cases with 43 deaths during 1918. Native returns from the five Kingdoms record 661 deaths as compared with 587 deaths during 1919. Little weight however can be attached to native returns with regard to this disease. Two districts alone (Ankole and Toro) return 658 of the 661 deaths, and it is probable that this estimate is too high whereas from Buganda, Busoga and Bunyoro only 3 deaths in all are returned, and it is obvious that many deaths really due to Cerebro-Spinal Meningitis must have been included under other diseases such as Influenza, Plague and Fever. Dysentery.—In the number of cases treated there was a decrease from 1,484 with 372 deaths in 1919 to 430 with 20 deaths in 1920. The large number of cases in 1919 was attributed to a wide-spread famine in the Eastern Province where 1,110 were reported as compared with only 118 cases this year. Enteric Fever.—14 cases with no deaths were treated as compared with 26 cases with 6 deaths in 1919. For further Report see Appendix II. Erysipelas.—12 cases were recorded. Gonorrhoea.—1,483 cases with 1 death were recorded, being an increase of 336 on the figures for 1919.