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Sanitary Statistics of Native Colonial Schools and Hospitals

Chapter 18: L. FREETOWN, SIERRA LEONE. COLONIAL MEDICAL DEPARTMENT.
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The author compiles and analyzes returns from numerous colonial schools and training institutions to document attendance, age distribution, and mortality patterns. Results show higher death rates than those of comparable children at home, with infectious childhood epidemics dominating in some regions while tubercular disease is prominent in particular institutions. The analysis connects elevated mortality to poor building construction, inadequate ventilation, unsanitary surroundings, long instructional periods, and scarce play or physical education. It also highlights inconsistent, incomplete record-keeping and concludes that the available statistical material is insufficient to yield fully reliable practical guidance.

L. FREETOWN, SIERRA LEONE. COLONIAL MEDICAL DEPARTMENT.

Of the Admissions into Hospitals, the Proportion per cent. who died and who recovered during Five Years, 1855 to 1860.

Table L, Part 1
—— All Ages. Under 5 Years. 5 and under 15 Years.
Died in Hospital. Recovered. Died in Hospital. Recovered. Died in Hospital. Recovered.
M. F. M. F. M. F. M. F. M. F. M. F.
All diseases 20·3 18·6 79·2 74·9 100·0 100·0 10·3 25·0 81·2 75·0
Variola 26·2 7·0 72·8 93·0 100·0 100·0 13·5 1·7 86·5 98·3
Dysenteria 16·7 83·3 83·3 13·9 100·0 90·9 9·1
Diarrhœa 25·0 75·0 100·0 16·7 83·3 50·0
Cholera biliosa or Cholera spas­mo­di­ca
Periodic fevers 14·8 84·6 25·0 75·0
Continued fevers 16·7 83·3 100·0
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus 5·6 28·6 92·6 71·4 100·0
Scrofula or Phthisis or Hæ­mop­ty­sis 19·7 10·0 80·3 75·0 100·0 66·6
Brain and nervous system 40·0 42·2 48·3 48·9 100·0
Chest diseases 18·0 60·0 100·0 16·7 58·3 100·0
Liver diseases 100·0
Table L, Part 2
—— 15 and under 40 Years. 40 and upwards.
Died in Hospital. Recovered. Died in Hospital. Recovered.
M. F. M. F. M. F. M. F.
All diseases 21·3 13·2 78·7 69·5 20·6 8·7 47·1 13·0
Variola 28·6 14·8 70·6 74·1 33·3 66·7 100·0
Dysenteria 12·0 88·0 66·0 100·0
Diarrhœa 30·0 70·0 50·0
Cholera biliosa or Cholera spas­mo­di­ca
Periodic fevers 11·7 85·4 26·7 73·3
Continued fevers 16·7 83·3 100·0
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus 4·0 28·6 96·0 71·4 33·3 33·3
Scrofula or Phthisis or Hæ­mop­ty­sis 20·7 11·8 79·3 76·5
Brain and nervous system 40·2 41·9 48·0 51·2 100·0 100·0
Chest diseases 19·2 61·5 100·0
Liver diseases 100·0

NOTE.—In some instances the number of admissions were exceeded by the deaths + the recoveries; in calculating the per-centages the aggregate of the deaths and recoveries (D. + R.) were in these instances regarded as the number of admissions.

In instances where the proportion of deaths or recoveries approach 100 per cent. the observations have been very few.