Surgical Experiences in South Africa, 1899-1900: Being Mainly a Clinical Study of the Nature and Effects of Injuries Produced by Bullets of Small CalibreMakins, George Henry
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Surgical Experiences in South Africa, 1899-1900: Being Mainly a Clinical Study of the Nature and Effects of Injuries Produced by Bullets of Small Calibre
Makins, George Henry
Gunshot wounds; South African War, 1899-1902; Surgery, Military
The climate on the western side was a great element no doubt both in the
general healthiness of the men and in the general good results seen in
the healing of wounds. The days were often hot; thus even in November at
Orange River the thermometer registered 115 deg.F. in the single bell tents,
but on the other hand the nights were cool and refreshing. The air was
very pure and exceedingly dry, while the constant sunshine not only kept
up the spirits, but also proved the most efficient disinfector of any
ground fouled to less than a serious extent. Dust was our principal
bugbear; and when a camp had been settled for a few days, flies; both of
these evils increasing rapidly as the stay on any one spot was
prolonged. My personal experience of rain was small, but I was twice in
camp, once at Orange River and once at Bloemfontein, when very heavy
rain fell, and this was sufficient to make the camps terribly
uncomfortable for a few days.
Under these conditions, as might be expected, until the outbreak of
enteric fever the health of the men was remarkably good, minor ailments
alone prevailing. One of the most troublesome of these was diarrhoea,
which gained the appellation of 'the Modders,' already a classical name
as far as South Africa is concerned. This most frequently, I think,
depended on errors of diet, combined with the swallowing of a large
amount of sand with the food as dust, and in the water drunk. Cases of
severe dysentery, however, were also not very uncommon. Rheumatic pains
were a common ailment, which, considering the dryness of the atmosphere,
would hardly have been expected. Continued fever of a somewhat special
type was not uncommon, and was sometimes spoken of under the name of the
district, sometimes as veldt fever--of this I will say nothing, as
others better fitted to point out its peculiarities will no doubt deal
with it. Enteric fever, our chief scourge, I will pass over for the same
reason. I might, however, remark from the point of view of one not very
experienced in this disease, that in a large number of the fatal cases I
happened to see, the actual cause of death seemed to me to be septicaemia
from absorption from the mouth. The mouths were unusually bad, even
allowing for the often insufficient cleansing that was able to be
carried out, and I was inclined to attribute these in some degree to the
dryness of the atmosphere, which very quickly and effectively dried up
the mucous membrane of the mouth in patients not breathing through the
nose, and encouraged the formation of large cracks. Pneumonia was rare,
and this was rendered the more striking from the comparatively large
number of men who contracted the disease on board ship on the voyage out
from England.
Public-domain text, read in full here on John Shaqi.
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