490 SCIENCE IN AFRICA 



also Started in a building loaned by the Methodist Mission, and a 

 leper camp was started by a progressive chief at Buruko in Mac- 

 Carthy Island Province. During 1936 also the holder of a senior 

 research scholarship in tropical medicine from the Medical Re- 

 search Council was working in the colony. (Gambia 1936, D.R.) 



In 1937 there were 3 government hospitals, the Victoria, George- 

 town, and Bwiani, providing 9 beds for Europeans, and 98 for Asiatics 

 and Africans; in-patients numbered 49 Europeans, 25 Asiatics, and 

 1,619 Africans; out-patients 115 Europeans, 61 Asiatics, and 31,576 

 Africans. The European staff included 6 medical officers, 4 nurses, 

 and 2 sanitary inspectors; there were 2 African assistants and about 

 40 other employees. 



Government medical expenditure was ^^32, no out of a total of 

 ;(^343j323. In 1935-6 the population was reported to be nearly 

 200,000 Africans and others, and just over 200 Europeans. 



FRENCH 



A full account of the public health services in the French colonies 

 as they were ten years ago, was published in English by the League 

 of Nations Health Organization (Abbatucci 1926), and also in 

 the statements prepared for the International Colonial Exhibition 

 of 1 93 1 (A.O.F. 1931). Medical policy has not changed materially 

 since then, but the following account, based on more recent data, 

 is given for purposes of comparison with the organization in British 

 and Belgian colonies. 



There is no central institute for research and training in France 

 quite comparable with the London School of Hygiene and Tropi- 

 cal Medicine, but the Pasteur Institute in Paris serves similar func- 

 tions as a centre to which governments may refer for advice, whilst 

 the prestige of the institute has proved a great inducement to 

 research work in the colonies. In the French dependencies the 

 institute has branches which receive direction from Paris, but are 

 partly supported by the local governments [see later) . The Ministry 

 for the Colonies in Paris is the headquarters of the general Inspector- 

 ate of all the colonial health services. 



Each of the colonies of the West African Federation, the city 

 of Dakar being regarded as a distinct unit for this purpose, has a 

 Chef du Service de Sante, directly responsible to the Governor, and so 

 to the Governor-General. These Chefs du Service de Sante, however, 



