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Sanitary Statistics of Native Colonial Schools and Hospitals

Chapter 19: M. 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.

M. FREETOWN, SIERRA LEONE. COLONIAL MEDICAL DEPARTMENT.

—— Proportion of Deaths from each Cause to 100 Admissions from each Cause. Proportion of Admissions from each Cause to 100 Admissions from all Causes. Proportion of Deaths from each Cause to 100 Deaths from all Causes.
M. F. M. F. M. F.
All causes 20·3 18·6 100·0 100·0 100·0 100·0
Variola 26·2 7·0 15·6 19·4 20·4 6·8
Dysenteria 16·7 83·3 2·9 8·0 2·4 34·0
Diarrhœa 25·0 ·9 ·5 1·0
Cholera biliosa or Cholera spas­mo­di­ca
Periodic fevers 14·8 26·2 19·0
Continued fevers 16·7 ·4 ·2 ·3
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus 5·6 28·6 2·9 1·6 ·8 2·3
Scrofula or Phthisis or Hæ­mop­ty­sis 19·7 10·0 3·3 3·8 3·2 2·3
Brain and nervous system 40·0 42·2 5·7 9·2 12·7 21·6
Chest diseases 18·0 2·1 1·1 2·4
Liver diseases ·1
Other diseases 19·3 11·6 39·9 56·2 37·8 33·0

NOTE.—The deaths + recoveries have been taken as the admissions in making these calculations.