Sanitary Statistics of Native Colonial Schools and HospitalsNightingale, Florence
History
Sanitary Statistics of Native Colonial Schools and Hospitals
Nightingale, Florence
Hospital buildings -- Sanitation -- Statistics
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}
[Sidenote: 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.
Public-domain text, read in full here on John Shaqi.
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