Basket-making and mat-weaving are favourite occupations in East Africa for both sexes and all ages; even the Arabs may frequently be seen absorbed in an employment which in Oman would be considered derogatory to manliness. The sengo, or common basket, from the coast to the Lake, is an open, shallow, and pan-shaped article, generally made of mwanzi, or bamboo-bark, reddened in parts and stained black in others by the root of the Mkuruti and other trees, and white where the outer coat has been removed from the bamboo. The body, which resembles a popular article in ancient Egypt, is neatly plaited, and the upper ends are secured to a stout hoop of the same material. The kanda (in the plural makanda) acts in the interior as matting for rooms, and is converted into bags for covering bales of cloth, beads, and similar articles. It is made from the myara (myala) or Chamærops humilis; the leaf is peeled, sun-dried, and split with a bit of iron into five or six lengths, joined at the base, which is trimmed for plaiting. The Karagwah, the only mat made in the interior of Africa, is used as bedding and carpeting; on journeys the porters bivouac under it; it swells with the wet, and soon becomes impervious to rain or heavy dew. It is of two kinds: one of rushes growing in the vicinity of water, the other of grass rolled up into little bundles. A complicated stitch runs along the whole length in double lines. The best description of mat is called mkeke. It is made at Zanzibar and the coast, from the young fronds of the ukhindu or brab, neatly stained with various dyes. Women of family pride themselves upon their skill in making the mkeke, which still attains a price of four dollars. Amongst the maritime races none but the chiefs have a right to sit upon it; there are no such distinctions in the interior, where these mats are carried for sale by the slaves. From the brab also are made neat strainers to purify honey, pombe, and similar articles. They are open-mouthed cylinders, from one to two feet long, and varying in diameter from three to six inches. The bottom is narrowed by whipping fibre round the loose ends of the leaves. The fishing-nets have been described when treating of the Tanganyika. The luávo, or hand-net, is made of calabash or other fibre, with coarse wide meshes; it is affixed to two sticks firmly planted in the ground, and small animals are driven into it by beaters.
The basts or barks and fibrous substances in East Africa are cheap and abundant, but labour and conveyance being difficult and expensive, they would require to be shipped from Zanzibar in the condition of half-stuff. The best and most easily divisible into pliant and knot-tying fibres are, upon the coast the pineapple, and in the interior the plantain. The next in value are the integuments of the calabash and the myombo tree. These fibres would produce a good article were it not for the artlessness of African manipulation. The bark is pounded or chewed, and, in lieu of spinning, is twisted between the hands; the largest ropes are made in half an hour, and break after a few minutes of hard work. A fine silky twine, used for fishing, is made from the aloetic plants called by the Wasawahili mkonge, and by the Arabs bag, masad and kideh: it is the hig or haskul of Somaliland, where it affects the poorest ground, cannot be burnt down, and is impassable to naked legs and cattle. The leaves are stripped of their coats, and the ends being tightly bound between two pieces of wood, the mass of fibre is drawn out like a sword from its sheath. Fatilah, or matchlock matches, are made in Zanzibar of cotton, and in the interior of calabash fibre.
As might be expected among a sparse population leading a comparatively simple life, the vast variety of diseases which afflict more civilised races, who are collected in narrow spaces, are unknown in East Africa even by name. Its principal sporadic is fever, remittent and intermittent, with its multitudinous secondaries, concerning which notices have been scattered through the preceding pages. The most dangerous epidemic is its aborigen, the small-pox, which, propagated without contact or fomites, sweeps at times like a storm of death over the land. For years it has not left the Arab colony at Kazeh, and, shortly before the arrival of the Expedition, in a single month 52 slaves died out of a total of 800. The ravages of this disease amongst the half-starved and over-worked gangs of caravan porters have already been described; as many as a score of these wretches have been seen at a time in a single caravan; men staggering along blinded and almost insensible, jostling and stumbling against every one in their way; and mothers carrying babes, both parent and progeny in the virulent stage of the fell disease. The Arabs have partially introduced the practice of inoculating, anciently known in South Africa; the pus is introduced into an incision in the forehead between the eyebrows. The people have no remedy for small-pox: they trust entirely to the vis medicatrix. There is a milder form of the malady, called shúrúá, resembling the chicken-pox of Europe; it is cured by bathing in cold water and smearing the body with ochreish earth. The Arab merchants of Unyanyembe declare that, when they first visited Karagwah, the people were decimated by the táún, or plague. They describe correctly the bubo under the axillæ, the torturing thirst, and the rapid fatality of the disease. In the early part of 1859 a violent attack of cholera, which extended from Maskat along the eastern coast of Arabia and Africa, committed terrible ravages in the island of Zanzibar and throughout the maritime regions. Of course, no precautions of quarantine or cordon militaire were taken, yet the contagion did not extend into the interior.
Strangers in East Africa suffer from dysenteries and similar disorders consequent upon fever; and, as in Egypt, few are free from hæmorrhoids, which in Unyamwezi are accompanied by severe colics and umbilical pains. Rheumatism and rheumatic fever, severe catarrhs and influenzas, are caused by the cold winds, and, when crossing the higher altitudes, pneumonia and pleurisis abound in the caravan. On the coast many settlers, Indian and Arab, show upon the skin whitish leprous spots, which are treated with various unguents. In the interior, though well provided with fresh meat and vegetables, travellers are attacked by scurvy, even in the absence of its normal exciting causes, damp, cold, and poor diet. This phenomenon has often been observed upon the upper course of the Nile; Europeans have been prostrated by it even in the dry regions westward of the Red Sea, and the Portuguese officers who explored Usenda of the Kazembe suffered tortures from the complaint.
Common diseases among the natives are umbilical hernia and prolapsus: the latter is treated by the application of powdered bhang, dry or mixed with ghee. They are subject to kihindu-hindu—in Arabic, sara—the epilepsy, which they pretend to cure by the marrow of rhinoceros’ shank. Of the many fits and convulsions which affect them, the kichyoma-chyoma is the most dreaded. The word, which means the “little irons,” describes the painful sensations, the cramps and stitches, the spasms and lancinations, which torment the sufferer. Many die of this disease. It is not extraordinary that the fits, convulsions, and contortions which it suddenly induces should lead the people to consider it in the light of possession, and the magician to treat it with charms. Madness and idiocy are not uncommon: of the patient it is said, “Ana wazimo”—“he has fiends.” In most parts the people, after middle age, are tender-eyed from the effects of smoke within, glare without, exposure and debauchery. Not a few samples of acute ophthalmic disease were seen.
In the lower and more malarious spots, desquamations, tumours, and skin diseases are caused by suddenly suppressed perspiration. The terrible kidonda or helcoma of the maritime regions and the prurigo of Ujiji have already been alluded to. The “chokea” is a hordeolum or large boil, generally upon the upper eyelid. The “funza” is supposed to result from the bite of a large variety of fly. It begins with a small red and fiery swelling, which bursts after a time and produces a white entozoon about half an inch in length. “Kumri” are common blains, and “p’hambazi” malignant blind-boils, which leave a deep discoloured scar; when the parts affected are distant from the seat of circulation, the use of the limb is sometimes lost. For most of these sores tutiya or murtutu, blue-stone, is considered a specific.
As might be expected amongst an ignorant and debauched race coming in direct contact with semi-civilisation, the lues has found its way from the island of Zanzibar to Ujiji and into the heart of Africa. It is universally believed both by the natives and by the Arabs, who support the assertion with a host of proofs, to be propagated without contact. Such, indeed, is the general opinion of the Eastern world, where perhaps its greater virulence may assimilate it to the type of the earlier attacks in Europe. The disease, however, dies out, and has not taken root in the people as amongst the devoted races of North America and the South Sea islands. Although a malignant form was found extending throughout the country, mutilation of the features and similar secondaries were not observed beyond the maritime region. Except blue-stone, mineral drugs are unknown, and the use of mercury and ptyalism have not yet exasperated the evil. The minor form of lues is little feared and yields readily to simples; the consequences, however, are strangury, cystitis, chronic nephritic disease, and rheumatism.
“Polypharmacy” is not the fault of the profession in East Africa, and the universal belief in possession tends greatly to simplify the methodus modendi. The usual cathartic is the bark of a tree called kalákalá, which is boiled in porridge. There is a great variety of emetics, some so violent that several Arabs who have been bold enough to swallow them, barely escaped with life. The actual cautery—usually a favourite counter-irritant amongst barbarous people—is rarely practised in East Africa; in its stead powder of blue-stone is applied to the sore or wound, which has been carefully scraped, and the patient howls with pain for twenty-four hours. They bleed frequently as Italians, who even after being startled resort to a mild phlebotomy, and they cut down straight upon the vein with a sharp knife. They prefer the cucurbitula cruenta, like the Arabs, who say,—
“Few that cup repent;
Few that bleed, rejoice.”
A favourite place is the crown of the head. The practitioner, after scarifying the skin with a razor or a dagger, produces a vacuum by exhausting the air through a horn applied with wetted edges; at the point is a bit of wax, which he closes over the aperture with his tongue or teeth, as the hospital “singhi” in India uses a bit of leather. Cupping—called ku hu míká or kumíká—is made highly profitable by showing strange appearances in the blood. They cure by excision the bite of snakes, which, however, are not feared nor often fatal in these lands. They cannot reduce dislocations, and they never attempt to set or splint a broken bone.