Kimberley, altitude 4000 feet, on the Great Northern Plateau, is the fourth largest city in South Africa, and is entirely unique in this, that it may be described as being run by a benevolent despotism, that of the De Beers Company, who own the diamond mines. This company has built at its own cost the best sanatorium in South Africa. The fierce heat and the dust-storms render it somewhat trying as a permanent residence.
Bloemfontein, 4500 feet, in the Northern Karroo, the capital of the Orange River Colony, has long been a favourite resort for phthisical patients, and has a well-deserved reputation for the extreme dryness of its climate. It has summer rains of short duration but very heavy while they last. Its mean humidity is 58. December, January, and February are the hottest months, with a mean maximum of 85.° It has very fair hotel-accommodation at prices much lower than those ruling in Johannesburg, and has sanatorium establishments. It is on the main line of railway from Cape Town, from Port Elizabeth, and from East London. It has a good water-supply, and should become a most successful centre for the treatment of many pulmonary affections. The principal drawback to its healthiness is the prevalence of dust-storms in the late winter months.
Johannesburg, 5700 feet, in the great northern plateau of the Transvaal, is the largest and busiest town in South Africa, and cannot, for these reasons, be recommended as a health-resort; moreover, for some time to come the scramble for accommodation and the general roughing that results must keep away all but the most active and robust. But it is in a very healthy position, and enjoys a splendid climate for ten months of the year. The later winter months (July and August) are spoilt by the severe dust-storms, and the wealthier Johannesburg residents usually leave it during these months. It is the centre towards which all railways converge, and may be reached from Cape Town (in 45 hours by mail train, once a week; in 60 hours by the ordinary daily service), from Port Elizabeth in 43 hours; from Durban in 24 hours. It has summer rains in heavy downpours, with clear, fine weather between the showers. The healthiest parts of Johannesburg are the Hill and Parktown, which are fashionable suburbs. There are numerous hotels, which at the present time are very expensive; a single room with board cannot be had under 25s. a day; servants’ wages are high, from £6 to £10 per month; food-stuffs are dear and difficult to procure; fresh meat is unobtainable, all supplies being imported frozen; eggs are 11s. a dozen; milk 1s. a pint; house-rent, for a six-roomed house, averages from £20 to £30 a month. These details are mentioned to give the intending visitor warning what he may expect at the present moment; and the great rush which is continuing will doubtless keep up the prices and lack of accommodation, so that for a considerable time to come Johannesburg is a place for the delicate and the ill to avoid.
Pretoria, the official capital of the Transvaal colony, is 30 miles north of Johannesburg, but it is 1760 feet lower, and is sheltered and shut in by mountains, which render it a pleasant resort from Johannesburg in its windy months. The winter climate is delightful. The sanitation, both of Johannesburg and Pretoria, is very imperfect and bad, and enteric and dysentery are in consequence very prevalent. Pneumonia is one of the scourges of Johannesburg, probably owing to the frequency of chills, the variation in temperature from the heat of the day to the cool of the evening being very great—as much as 70° at times. Water is not too plentiful, and there are seasons of scarcity which increase epidemic disease.
Basutoland has been called the Switzerland of South Africa from its beautiful mountain-scenery. It is, however, not open to invalids, or indeed to travellers, owing to its being still a native reserve.
Harrismith, 5250 feet, in the Orange River Colony, is probably the nearest available health-resort to Basutoland, and is an excellent place for consumption in earlier stages. A sanatorium is being provided. It is easily reached from Durban. I have known a case of phthisis with repeated hæmoptysis to be arrested by a visit of six months to Harrismith.
Rhodesia is, as has been said, a continuation of the elevated tableland of the great northern plateau, and its climate is very similar to that of the higher Karroo, with the exception that malaria is found in some parts of the country, and is not present in the Karroo. The country is on the whole healthy, but is as yet too undeveloped to receive invalids.
THE SPAS OF SOUTH AFRICA
There are numerous mineral-springs in the country, but they remain for the most part but little used, and there is here an excellent opportunity for future development. A few words upon some of the better known of these may be useful.
Caledon, altitude 900 feet, 80 miles from Cape Town, is the best known and most developed watering-place in South Africa. A line of railway, connecting it directly with the Cape main-trunk line, has just been completed. Its reputation dates from the times of the earliest Dutch occupation. It has ferruginous springs, both hot and cold, which offer a most successful treatment for gout, rheumatism, anæmia, and cardiac diseases and renal insufficiency. There is excellent and increasing accommodation in connection with the springs. The climate is very pleasant, and especially to be recommended in summer, as being drier than the coast towns, though within such a short distance of Cape Town. The rains are in the winter.