214 
Bilharziosis in South Africa 
Liver. 
The numbers of 
South African natives who 
contract a cirrhotic 
condition of the liver 
is, I think, large. 
In the following table, No. V, 
we see that out of 
739 post-mortems, 
the liver 
■ was found to be 
cirrhotic on 106 occasions, or 14 - 3 c /o- 
TABLE Y. 
Table showing the number of times in which at 739 autopsies the liver 
Tribe 
was found to be cirrhotic. 
No. of Cirrhotic 
examinations liver 
Percentage 
Nyassa 
53 
5 
9-4 
Mozambique 
221 
27 
12-2 
Quilimane 
132 
29 
21-9 
Myambaam 
114 
21 
18-4 
Mtyopi 
44 
7 
15-9 
Shangaan 
74 
10 
13-5 
Tonga 
6 
1 
16-6 
British Central Africa 15 
3 
20-0 
Matabele 
1 
0 
o-o 
Makalanga 
4 
1 
25-0 
Transvaal Basuto 11 
1 
9'1 
Zulu 
1 
0 
o-o 
Mangwato 
2 
0 
0 0 
Rhodesian 
2 
0 
o-o 
Beira 
2 
1 
50-0 
Angoni 
15 
0 
o-o 
Mashona 
i 
0 
0-0 
British Basuto 2 
0 
o-o 
Pondo 
8 
0 
o-o 
Mxosa 
4 
0 
0'0 
Fingo 
1 
0 
o-o 
Damara 
26 
0 
o-o 
Total 
739 
106 
or 14 - 3 
Whether this cirrhosis is entirely due to Bilharzia is, I think, 
doubtful, as, though when we analyse the Table, we see that the tribes 
with the highest percentages affected with cirrhotic livers come from 
those areas where the lateral spined ovum is most prevalent, yet it 
must not be forgotten that these are also the very districts where 
malarial fever exists in its worst forms, and where, above all, alcohol is 
consumed by the natives in enormous quantities. In the Portuguese 
Territories natives can obtain as much imported spirit as they can pay 
for, Furthermore, numbers of them are adepts at the distillation of 
