HEALTH AND MEDICINE GENERAL 485 



Kampala, and has a staff of 3 pathologists, i chemist, and 3 Euro- 

 pean assistants. A medical entomologist is attached to the agri- 

 cultural laboratory. Nearly all the work of the laboratory division 

 consists of routine duties. Important research has come, however, 

 from the Human Trypanosomiasis Institute at Entebbe, under 

 Dr. Duke, which was closed down on his advice when he retired 

 in 1935. The hospital system includes a mental hospital, 4 general 

 hospitals for Europeans, 9 for Asiatics, 36 for Africans, and 80 dis- 

 pensaries without in-patient accommodation. In several districts 

 itinerant medical orderlies hold out-patient clinics at fixed places 

 once a week. A large part of medical effort is devoted to work in 

 rural areas; this has included the improvement of housing and 

 sanitation and the protection of water-supplies. The dispensary 

 system is described later. Among medical missions, the C.M.S., 

 with headquarters at the Mengo Hospital {see page 470), has done 

 particularly important work. Courses are provided at Mengo in 

 which African men are trained as doctors, nurses and sanitary 

 inspectors, and girls as nurses and midwives. 



In 1937 government hospitals provided 34 beds for Europeans, 

 56 for Asiatics, and i ,273 for Africans; European in-patients were 517, 

 Asiatic 1,345, and African 29,215; European out-patients were 3,076, 

 Asiatic 7,566, and African 368,151. The European staff included 

 45 medical officers, 35 nurses, and 17 sanitary inspectors; there were 

 12 Asiatic sub-assistant surgeons, and several nurses; the African 

 staff included, in addition to 30 trained assistants, 34 health visitors 

 and a varying number of orderlies, midwives, dispensers, nurses, 

 clerks, etc. 



Medical department expenditure, in the Estimates for 1938, 

 appeared as /^I90,i2i, against a total estimated expenditure of 

 £2,179,659. In 1937 the population was returned as 3,626,549 Afri- 

 cans (estimated), 2,000 Europeans, and 5,000 Asiatics. 



The Medical and Health Organization in Nigeria and the British 

 Cameroons, under Dr. R. Briercliffe, is divided into medical, health, 

 laboratory, and sleeping sickness services. In the medical service 

 the European staff includes the deputy and assistant directors, 

 85 qualified medical men, 2 lady doctors, 2 dentists, 4 radio- 

 graphers, and a nursing staff of 62. The African medical staff has 

 1 2 medical officers, qualified in Europe and holding appointments 

 similar to those of Europeans. In addition there are now medical 



