﻿3.2 
  JAS. 
  J. 
  SIMPSON 
  — 
  ENTOMOLOGICAL 
  

  

  treated 
  at 
  various 
  centres 
  (vide 
  infra); 
  the 
  exact 
  localities 
  from 
  which 
  these 
  came 
  

   are 
  not 
  available, 
  however, 
  and 
  so 
  have 
  not 
  been 
  included 
  on 
  the 
  map. 
  

  

  Our 
  knowledge 
  of 
  the 
  distribution 
  of 
  sleeping 
  sickness 
  in 
  the 
  Gold 
  Coast 
  is 
  based 
  

   chiefly 
  on 
  the 
  work 
  of 
  Drs. 
  Kinghorn 
  and 
  Wade, 
  and 
  their 
  reports 
  should 
  be 
  

   consulted 
  for 
  further 
  details. 
  

  

  In 
  the 
  Colonial 
  Keport 
  for 
  1909 
  the 
  following 
  occurs 
  : 
  " 
  Sleeping 
  sickness 
  proved 
  

   more 
  prevalent 
  in 
  Ashanti 
  than 
  in 
  the 
  Colony 
  or 
  the 
  Northern 
  Territories 
  and, 
  in 
  

   the 
  cases 
  of 
  Wenchi, 
  Sunyani 
  and 
  Cheremankoma 
  this 
  disease 
  almost 
  assumed 
  an 
  

   epidemic 
  form." 
  

  

  In 
  the 
  Keport 
  for 
  1910 
  the 
  Principal 
  Medical 
  Officer 
  says 
  : 
  " 
  During 
  the 
  year 
  fifty 
  

   cases 
  of 
  sleeping 
  sickness 
  were 
  treated 
  in 
  the 
  different 
  hospitals, 
  and 
  eleven 
  deaths 
  

   were 
  recorded 
  ; 
  the 
  disease 
  is 
  more 
  prevalent 
  in 
  Ashanti 
  than 
  in 
  the 
  Colony. 
  The 
  

   possibility 
  of 
  an 
  outbreak 
  of 
  sleeping 
  sickness 
  in 
  the 
  Gold 
  Coast 
  is 
  now 
  recognised, 
  

   and 
  efforts 
  are 
  being 
  made 
  to 
  cope 
  with 
  the 
  situation. 
  Towards 
  the 
  end 
  of 
  the 
  year 
  

   107 
  cases 
  were 
  under 
  observation 
  and 
  treatment 
  ; 
  their 
  distribution 
  was 
  as 
  follows 
  : 
  

   Accra 
  1, 
  British 
  Krachi 
  1, 
  Coomassie 
  12, 
  Kintampo 
  1, 
  Sunyani 
  15, 
  70 
  cases 
  from 
  

   various 
  Ashanti 
  villages, 
  Gambaga 
  1, 
  Zuaragu 
  1, 
  and 
  5 
  other 
  cases 
  from 
  villages 
  in 
  

   the 
  Northern 
  Territories." 
  The 
  exact 
  localities 
  of 
  these 
  cases 
  are 
  not 
  available 
  for 
  

   inclusion 
  on 
  the 
  map. 
  

  

  In 
  1911 
  seventeen 
  deaths 
  from 
  sleeping 
  sickness 
  were 
  reported 
  in 
  Ashanti 
  and 
  one 
  

   in 
  the 
  Northern 
  Territories 
  ; 
  in 
  all 
  83 
  cases 
  were 
  known 
  to 
  exist, 
  six 
  in 
  the 
  Colony 
  

   and 
  77 
  in 
  Ashanti 
  and 
  the 
  Northern 
  Territories. 
  In 
  the 
  Gonja 
  district 
  to 
  the 
  west 
  

   of 
  Salaga 
  whole 
  villages 
  are 
  reported 
  to 
  have 
  been 
  deserted 
  by 
  the 
  natives 
  on 
  account 
  

   of 
  this 
  disease. 
  

  

  During 
  Dr. 
  Kinghorn's 
  tour 
  in 
  Ashanti 
  in 
  1910 
  he 
  examined 
  9,171 
  natives 
  and 
  

   found 
  92 
  cases 
  of 
  trypanosomiasis 
  ; 
  this 
  gives 
  1 
  per 
  cent, 
  of 
  the 
  population 
  infected. 
  In 
  

   the 
  same 
  region 
  in 
  1911 
  Dr. 
  Wade 
  found 
  32 
  new 
  cases. 
  In 
  the 
  north-west 
  portion 
  

   of 
  Ashanti 
  it 
  is 
  estimated 
  that 
  over 
  1*5 
  per 
  cent, 
  of 
  the 
  population 
  suffer 
  from 
  this 
  

   disease 
  ; 
  while 
  in 
  Wenchi, 
  a 
  town 
  about 
  half-way 
  between 
  Sunyani 
  and 
  Kintampo, 
  

   14 
  cases 
  were 
  found 
  in 
  1910, 
  and 
  nine 
  deaths 
  was 
  recorded 
  in 
  that 
  year; 
  in 
  1911 
  

   eight 
  new 
  cases 
  were 
  found, 
  and 
  the 
  proportion 
  of 
  sleeping 
  sickness 
  cases 
  to 
  the 
  

   total 
  population 
  is 
  estimated 
  at 
  5 
  per 
  cent. 
  

  

  Thus 
  we 
  see 
  that 
  although 
  Ashanti 
  is 
  the 
  chief 
  focus 
  of 
  the 
  disease, 
  nevertheless 
  

   it 
  occurs 
  all 
  over 
  the 
  Gold 
  Coast 
  ; 
  it 
  is 
  also 
  very 
  prevalent 
  both 
  in 
  German 
  Togoland 
  

   and 
  in 
  the 
  French 
  Ivory 
  Coast. 
  In 
  the 
  former 
  colony 
  a 
  sleeping 
  sickness 
  camp 
  has 
  

   been 
  inaugurated 
  at 
  Kluto, 
  and 
  the 
  disease 
  is 
  said 
  to 
  be 
  very 
  common 
  in 
  Bonduku 
  

   in 
  the 
  Ivory 
  Coast 
  ; 
  this 
  town 
  is 
  not 
  far 
  from 
  the 
  frontier 
  of 
  Western 
  Ashanti. 
  

  

  In 
  a 
  heavily 
  forested 
  country 
  like 
  Ashanti 
  wholesale 
  clearing 
  around 
  villages, 
  at 
  

   wells 
  and 
  ferries 
  is 
  a 
  herculean 
  task, 
  and 
  one 
  which 
  would 
  entail 
  heavy 
  expenditure 
  ; 
  

   but 
  in 
  the 
  present 
  state 
  of 
  our 
  ignorance 
  of 
  the 
  bionomics 
  of 
  the 
  various 
  species 
  of 
  

   tsetsejt 
  is 
  the 
  only 
  prophylactic 
  measure 
  which 
  can 
  be 
  effectively 
  employed. 
  

  

  (4.) 
  Plague. 
  

  

  A 
  serious 
  outbreak 
  of 
  this 
  dread 
  disease 
  took 
  place 
  in 
  the 
  Gold 
  Coast 
  in 
  1908-9, 
  

   but 
  was 
  effectually 
  stamped 
  out. 
  No 
  cases 
  have 
  been 
  reported 
  since 
  1910, 
  and 
  

   every 
  means 
  is 
  being 
  taken 
  for 
  the 
  extermination 
  of 
  rats 
  and 
  other 
  vermin 
  which 
  

   might 
  harbour 
  the 
  transmitting 
  insect, 
  Xenopsylla 
  cheopis. 
  

  

  