HEALTH AND MEDICINE — GENERAL 495 



all to nearly one million doses a year. There are other similar 

 laboratories for routine work at St. Louis and elsewhere, under the 

 direct control of the Chef de Sante. 



Annual medical reports from the individual colonies are not 

 published, but general accounts of recent developments and the 

 results of scientific work by colonial doctors appear frequently in 

 the Annates de Medecine et de Pharmacie Coloniale, which is an official 

 publication of the Ministry of Colonies in Paris. Other specialist 

 journals are the Bulletin de la Societe de Pathologie exotique, la Societe 

 de Biologie, la Presse Medicale and les Annates de Vlnstitut Pasteur. 



For leprosy a central Institute was established in 1933 a few 

 kilometres from Bamako. It has laboratories endowed for research, 

 and provides accommodation in a special village for all the suf- 

 ferers in French West Africa. By 1936 there were 325 already 

 living there, mostly from the Sudan and Ivory coast. The staff 

 consists of two doctors, three nursing sisters, injirmiers, and African 

 nurses. 



Private organizations and missions do not play so important a 

 part in French African medical work as they do in the Belgian 

 Congo, but they have grown considerably in recent years. In 

 all the colonies there are branches of the Cr oix- Rouge f rang aise and 

 of the Berceau Africain, in direct contact with their headquarters 

 in Paris. These institutions are, for the most part, concerned with 

 infant welfare. 



There were in 1937 in French West Africa 1 1 government hospitals 

 and 437 ambulances and dispensaries; beds available for patients are 

 788 for Europeans and 5,484 for Africans. In-patients were Europeans 

 19,859, Africans 3,1 13,819. Total government expenditure amounted 

 to 615 million francs and expenditure on medical services 38 million 

 francs. The population is estimated at 15,000,000. 



French Equatorial Africa has a similar medical organization to 

 French West Africa. The four regions of Gabon, Congo, Ouban- 

 gui-Chari, and Chad have each a Chef du Service de Sante, and 

 an inspectorate with an Inspecteur-General in charge is situated 

 at the capital at Brazzaville. The number of staff is not so great as 

 in French West Africa, but the same policy of keeping hospitals 

 mainly for surgical cases and concentrating on outside work is 

 followed. Equipes de prospection et traitement for sleeping sickness like- 



