Annual medical report / East Africa Protectorate.

  • East Africa Protectorate. Medical Department.
Date:
[1921]
Catalogue details

Licence: Public Domain Mark

Credit: Annual medical report / East Africa Protectorate. Source: Wellcome Collection.

    36/228 (page 34)
    In the last fortnight of December, seven sporadic cases occurred in the Native Reserve near Kinyanjui’s boma. Nairobi.—For the last few months of 1920 indigenous cases of plague had been occurring within and around the municipal area. Cases continued to occur during the early months of 1921 as follows :— Infected within the Infected without the Municipal area. January ... ... 28 February ... ... 23 March ... ... 13 April ... ... 7 May ... ... — June ... ... 2 July . — August ... ... — September ... ... — October ... ... — November ... ... — December ... ... — 73 Of these cases 30 were found dead, and of these 19 are returned as bubonic and 11 as pneumonic. The latter term, however, must not be taken to indicate more than that no bubo was present while bipolar gram negative bacilli were found in smears from both the spleen and the lungs. Details of the seventy-two cases treated in the Infectious Disease Hospital are as follows :— Type. Died. Recovered. Total. Bubonic 30 17 47 Pneumonic 9 10 19 Septicaemic 6 — 6 With regard to the ten recoveries which are recorded against pneumonic plague, reference should be made to the Annual Report of the Government Bacteriologist. In all cases a gram negative bipolar staining bacillus had been found, and on this, in the presence of the disease in the town, a positive diagnosis was made, and for administrative purposes the cases were treated as a plague. Further investigation has shewn that the diagnosis must be reconsidered. RACIAL INCIDENCE. European ... Goan Asiatic Kikuyu Kavirondo ... Baganda Other Africans 2 cases. 2 55 8 55 50 55 18 55 7 55 15 55 Municipal area. 8 16 4 1 29 102