NATIVES OF BRITISH CENTRAL AFRICA 475 
III. Remittent Forms. These only relax a little, but the temperature never goes 
down to the normal. 
(1) Mild Remittent. Only feverish for days. 
(2) Bilious „ 
(3) Gastric „ 
(4) Cerebral „ 
( 5 ) Algic 
(6) Typhoid „ 
(7) Black Water, or Bilious Hsemoglobinuric. 
Dysentery. —A specific, febrile disease, characterized by inflammation of the 
mucous coat and glands of the lower bowel. 
Leprosy is very common all over Africa in both forms, tubercular and nerve. As 
long as the natives disregard all forms of segregation this disease will continue to 
abound. 
Syphilis. —In all its stages very prevalent. I have often treated from ten to twenty 
cases a day. Natives call it the Disease of the Arabs. 
Where Malaria abounds there seems to be a remarkable immunity from the other 
fevers. 
DISEASES OF THE DIGESTIVE ORGANS. 
The Teeth seem to be affected by some chemicals in the water in Africa. 
Parasitic Stomatitis. —Very common in unhealthy children. 
Gastritis is very common amongst Europeans and natives. 
Dyspepsia is very common. When we consider the food of the natives, the 
manner of its being cooked, and the way they masticate it, we cannot wonder at there 
being Dyspepsia. 
Pyrosis. 
Inflammation of the Bowels. 
Diarrhcea. 
Constipation. —Not very common in natives. 
Ascites.- —Dropsy of the Peritoneal Cavity. 
Peritonitis.— Inflammation of the Peritoneum. 
Abdominal Tumours. —Carcinoma of the Bowel is known. The spleen is often 
enormously enlarged. 
The Uterus and Ovaries are affected somewhat. 
DISEASES OF THE LIVER. 
Congestion is common. 
Hepatic Abscess.— -Often in conjunction with Dysentery. Common amongst 
Europeans and natives. 
Hydatids of the Liver. —This organ is more frequently infested with Hydatids 
than any other organ of the body. The cyst may be the size of a cherry, or that of 
a boy’s head. 
Jaundice.— A symptom more than a disease. 
