APPENDIX II. ABSTRACTS of PAPERS relating to the CAUSES of MORTALITY among ABORIGINAL RACES, received from the COLONIAL OFFICE.

SIERRA LEONE.

See Tables L. and M., pp. 39 and 40.

Under the head of “All other Diseases” is included one “lethargus,” a disease which, as far as I am aware, is altogether confined to the native population, “more particularly to the Kossohs and Congos tribes.” It is not restricted to any particular period of life, as old and young are equally liable to it. It is purely a disease of the brain and nervous system, generally fatal, except when seen in the very early stages. As it is generally met with, the patient sleeps continually, even when standing up, and becomes perfectly incapable of any exertion; the sufferer will even fall asleep while being fed. I have seen them last in this state for months, and gradually die of inanition from want of a sufficiency of food to support life. I have tried all kinds of treatment, but cannot recommend any more likely to be beneficial than a prolonged slight salivation, if you can meet the case in the inflammatory stage or that previous to the sleeping state just alluded to.

This and leprosy are the only diseases met with here from which the European is exempt.

ROBT. BRADSHAW, L.K. & Q.C.P.I.
Colonial Surgeon.
Freetown, Sierra Leone.

NATAL.

Special Remarks.—Of seven of the eight cases of syphilis (native), Hottentots were the subjects. Here, as elsewhere, they copy European vices very readily. The Kafirs adhere to their own vices, but are more slow in copying European manners and habits, good or evil.

I have met with one decided case of scrofula among the Zulus, and one only.

The ages of infants are reckoned by moons, but adult Kafirs (as the rule) do not know how old they are; the ages given are therefore only surmised, and cannot be depended on.

The tendency of disease among the Kafirs is to collapse and paralysis. No year goes round without deaths from cold and wet, which they bear less well than European settlers. They are apt to sink under any serious form of disease.

Flesh wounds heal well, causing less constitutional disturbance than among Europeans, but fractured bones do not so soon re-unite. I have found lime water, a pint or more given daily, promote their union. Lime is scarce here, and the shells of eggs are correspondingly thin.

Lung disease is more frequent among natives than white settlers, unless the latter bring the seeds of disease with them; but I doubt whether it is true phthisis. I suspect that the lungs of both natives and settlers are more liable to become hepatized or otherwise disorganized than tuberculated. In examining the lungs of cattle who have died of lung sickness, I have found large portions of lung degenerated into an impervious muscle-like substance resembling beef, while in other portions the disease has shown itself to be of so anemic a character as to have proceeded without much pause to suppuration. I believe that in this climate, subjects of phthisis, who had only small tubercles in their lungs, would find their further development arrested; indeed this has been, in many cases, proved to have occurred.

The lung disease, called lung sickness, in cattle, does not, with regard to the organ attacked, affect human beings, but the tendency of the present race of mankind is to anemic rather than acutely inflammatory diseases. The most destructive modern diseases, influenza, cholera, and diphtheria, are of an anemic character; other diseases are now, more than formerly, inclined to assume this character. It is not that medicine and doctors, but that human constitutions, vary. The rule laid down by Pinel that bleeding confirms mania is good now; but 50 or 70 years ago, as, perhaps, 50 or 70 years hence, more exceptional cases did and may again occur than are at present met with. {55}

Vide Tables P. and Q., pp. 44 and 45.

The mortality from fever will be seen to have been great; but of the seven deaths recorded, six came into the hospital in a dying state. One, admitted November 25th, died five hours after admission; another, admitted at noon, December 11th, died at half-past four a.m. next morning; another, admitted on the 5th, died on the 6th; another, admitted on September 19th, died on the 20th; other two rallied by the administration of wine, sago, &c., but died from two to five days after admission, again sinking. They received shelter and attention, and had what chance there was of recovery; and some others, beyond all reasonable expectation, recovered. The number of Kafir and druggist-doctored patients thrown upon my hands in a moribund state is great. Of the cases of fever that I attended throughout, most did well. The hospital has been occupied somewhat more than three years and a half, but I have held office as district surgeon in the service of Government eight years and a half, and I speak of my experience during the whole term of such service.

In giving names to complaints, I have not set down diarrhœa or even tænia, of which many instances have occurred, but these instances have been incidental or symptomatic. Tænia has been discovered and treated in cases of patients who had wounds, &c., and this frequently. There is no complaint so generally prevalent among both natives and settlers. The tapeworm of South Africa is about two-fifths in width narrower than that of Europe. The most effective treatment has been 1 1⁄2 oz. sp. terebinth, early in the morning, and one drop of croton oil, or a dose of other aperient medicine, four or five hours after, nisi prius soluta sit alvus. A less dose than 1 1⁄2 oz. more disturbs the system than this quantity, and fails to act. I procured some ethereal extract of male fern in one case, of which I gave one scruple early in the morning, and a black draught some hours after. It caused no nausea or other apparent constitutional disturbance, and a piece of tapeworm was expelled, still alive, which measured 22 feet long. Turpentine generally expels them dead.

The English assumed as 1 in width, the South African 0·6.

The fracture that ended fatally was a compound fracture of the left thigh, and compound comminuted fracture of the tibia and fibula of the right leg, from a waggon accident. He sunk at the end of two days, never rallying from the shock to his system, and refusing to submit to the not very hopeful operation of amputation of the more seriously injured limb. I have had two cases of injury among the aborigines in which amputation was necessary, one a little above the ancle, the other four inches above the knee. In the latter case the leg had been torn off by the machinery of a flour mill, the knee stripped of its integuments, and the muscles above the knee stretched and contused, so that I felt myself obliged to operate high up, lest a second amputation should become requisite. The case occurred a few months ago. Both cases did well. I have represented my wish in both cases that an artificial leg and foot should be sent for to England, as it would be a convenience to the parties, and also have a good sanitary and social effect upon the natives. The cost of the cork or other artificial two legs, black imitation toes inclusive, would not, I should think, exceed 30l. Their aversion to operations necessary to save life would thus be in some measure overcome or lessened.

The natives who have become Christians evince some of the uncomfortableness and maladroitness that are incidental to a state of transition, but, perhaps, less than might have been expected. The premises I go upon are, perhaps, scanty and insufficient, but I am inclined to think that among Christian Kafirs more children die in infancy than among the unchristianized natives. This is not to be depended upon, nor can I, generally speaking, say much that is definite upon the subject of physical or other differences between Christian and other natives.

The natives hitherto, as the rule, have not shown the appetence for alcohol which the North American Indians so early, and so fatally for themselves, acquired. There are cases of elephantiasis among them; they are subject to skin diseases. These and other trifling diseases or cases of injury seldom appear at the hospital, or only as accompaniments of injury or other disease.

Prior to the completion and occupation of Grey’s hospital, a row of cottages was rented as a hospital; prior to this the gaol and hospital were under one roof.

SAMUEL GOWER, M.R.C.S. Engl., &c. {56}

Change of Diet and irregular Habits.—There is one very striking difference between the semi-civilized native and the one fresh from his original habits and mode of life. The one is more subject to inflammatory diseases than the other, from which the former does not so readily recover as the latter. Wounds and injuries of a very serious character readily admit of reparation; for instance, a native falls on a stake, which penetrated (by the side of the “sphincter ani”) the bladder; he walked 10 miles, and arrived at hospital with a pendulous coagulum at the mouth of the urethra. The catheter was used; urine and blood escaped, and continued to flow for a day or two; in a week he returned home quite well.

Civilization increases the proneness to Disease and the facility to succumb to its Power.—Skin diseases are more prevalent among the natives than the settlers. Phthisis carries off a great number; exposure to extremes is the cause. The subject requires to be treated at full length.

ED. W. HOLLAND, M.R.C.S.

MELBOURNE. VICTORIA.

Vide Return, p. 60.

Mr. Thomas, who has for 20 years been the guardian of the tribes contiguous to Melbourne, furnishes a statement, showing during that period 210 deaths as compared with 28 births, and, as he adds in a note, that of the children born most died before the first month was over, it cannot be expected that these tribes, now reduced to only 35 individuals in all, will be long in existence.

Making every allowance, indeed, for the effects of European vices, and especially of intemperance, by which quarrels are fomented, and exposure to cold and damp and disease produced, there is, it must be confessed, something mysterious in that deterioration of the savage which succeeds the introduction of civilization,—and which can hardly be more forcibly described than in the language of the old man quoted by Mr. Goodwin,—“before white fellow came, black fellow could run like emu, but now supposing big one run, then big one tired, and plenty heart jump about.”

Physical prostration, in fact, seems to follow the attempt to imitate the customs of civilized society; and, as I had abundant opportunity of observing in British Guiana among the Indians, the wearing of clothes and adoption of a more settled mode of life detracts from skill in hunting or fishing without imparting sufficient knowledge of or taste for agricultural pursuits to afford a livelihood in exchange.

HENRY BARKLY.

WM. THOMAS,
Guardian of Aborigines.

SOUTH AUSTRALIA

Having travelled much in Australia, America, and the West Indies, and having also resided on the Coast of Africa, where I penetrated a considerable distance into the interior, traversing the countries between the Gambia and the Senegal, and ascending the former river 600 miles, I was consequently frequently brought into contact with numerous aboriginal tribes of very different characters and descent, and under varying physical and external circumstances.

I have, however, never seen natives whose general habits and physical conformation impressed me so completely with the idea of a perishable and doomed race as the aborigines of the southern portion of this continent.

I may add that as I almost always find it necessary to release native prisoners before the expiration of their sentences, because death is apt to ensue from any prolonged confinement, I cannot but think that even the partial confinement in schools injuriously affects the native constitution, so nearly do they approximate to the lower animal creation.

RICHARD GRAVES MACDONNELL,
Governor.
Adelaide,
Nov. 23, 1860.

The aboriginies of this colony (South Australia) have not a very wide range of disease from which they suffer.

I have never seen a case of small-pox, scarlet fever, measles, or hooping cough, and I was officially connected with them for 18 years.

Fever occurs, but not frequently, as they have no confined badly ventilated dwellings.

Diarrhœa and dysentery make their appearance in the hot weather, and from five to ten per cent. of the cases prove fatal; these attacks occur most frequently during dentition, as with the Europeans.

The brain and nervous system are seldom attacked primarily. In their native state they indulge in no stimulants, and are not guilty of overtaxing their mental powers.

Consumption is common amongst them; and in every death that I have seen in the school children, there have been tubercular deposits in the lungs. The same occurs in the adults who have been six months and upwards confined in gaol; in fact, they cannot survive confinement in a prison beyond two years. Confine them two years and they will waste and die in a few months after liberation.

The most fatal disease that has come under my notice is the venereal, contracted by contact with the Europeans. Males and females suffer alike from it, and die generally of secondary effects.

As a race the aborigines are dying off and disappearing before a more highly civilized people, and must eventually disappear altogether. The venereal disease on the one hand, and the fact that the women are apt to become prostitutes, and in consequence cease to bear children, on the other, are reducing them at a very rapid rate.

M. MOORHOUSE,
Late Protector of Aborigines.

It is universally admitted that they are fast decreasing in number, and the cause of this decrease is attributed by most witnesses to their partial assumption of semi-civilized habits; where formerly they clothed themselves with the skins of animals taken in the chase, contact with Europeans has so changed their habits that they now, in a great measure, depend upon the scanty dole of blankets issued by the Government, which supplies, it appears from evidence, have been most irregular. Great suffering has been occasioned, especially among the aged and infirm natives, by the insufficient and ill-timed supplies, both of blankets and provisions. Disease appears to be induced by this partial and irregular clothing; pulmonary complaints prevailed to a fearful extent during last winter, aggravated by, if not entirely attributable to, this cause.