SANITARY STATISTICS
OF
NATIVE COLONIAL SCHOOLS AND HOSPITALS.

BY FLOR­ENCE NIGH­TIN­GALE.

LONDON.

M.D.CCC.LXIII.

SANITARY STA­TIS­TICS OF NA­TIVE CO­LON­I­AL SCHOOLS AND HOS­PI­TALS.

IF it is said on reading this paper, There is nothing in it, I answer, That is why I wrote it, because there is nothing in it, in order that something might come out of nothing. It is to show that statistics, capable of affording complete practical results when wanted, have scarcely made a beginning in the colonies. It is to show that when the Colonial Office, with great labour and no little cost, has collected, and I, with the same, have reduced these materials, they are incapable of giving all the beneficial information expected. The material does not exist, or, if it does, it is in a very undeveloped state. Such as it is, I have tried to do the best I could with it. And this is the result.

Several years ago, before Sir George Grey returned to his government at the Cape, I had a conversation with him on a subject which had dwelt very much on his mind, viz., the gradual disappearance of the aboriginal races from the neighbourhood of civilized communities. One of the points raised in the discussion was the probable effect which European school usages and school education might exercise on the health of the children of parents and of races who had never hitherto been brought under education.

Colonial school returns.

It appeared of great importance to ascertain, if possible, the precise influence which school training exercised on the health of native children. And I applied to the Colonial Office for aid in carrying out such an inquiry. The Duke of Newcastle entered warmly into the subject, and offered at once to call for any information which might throw light on it. I had a simple school form prepared and printed, copies of which were sent by the Colonial Office to the Governors of the various colonies. Returns were made from a large number of schools, but as no information has been received from many more, I presume the school statistics did not afford the means of supplying the required information. {4}

I have received, through the Colonial Office, filled up returns from 143 schools, in Ceylon, Australia, Natal, West Coast of Africa, British North America, the results of which are given in the accompanying series of tables.

pp. [20] to 26.

Table A. gives the name and date of opening of each school, the numbers of years included in the Return, the average number of native children, their sexes and ages for quinquennial periods, together with the mortality for the period included in the return. The results of this table for all the colonial schools are given in the reduction Table A. a., which states the total average attendance for all the schools in each colony, together with the total deaths, arranged in quinquennial periods, so far as it could be done. This table merely gives the general numerical results; but as the periods vary considerably it has been necessary to reduce the data under one common denomination, to obtain the absolute annual rate of mortality. This has been done in the Tables B, C, D, E, F, which show the years of life and the mortality for each sex and age.

p. [26 ].

Table A. a. shows that the average attendance of all ages at these schools has been 7,485 boys, and 2,453 girls, making a total of 9,938 as the number of children on whom the rate of mortality has been obtained. A small proportion of these children, only 672 boys and 422 girls, were under 5 years of age. There were 3,546 (2,651 boys and 895 girls) between the ages of 5 and 10. Between the ages of 10 and 15 there were 3,268 children, viz., 2,288 boys, and 980 girls. At the age of 15 and upwards there were 1,391 boys, and only 156 girls, attending school.

The total deaths, for the various periods, on this school attendance were 451 boys and 132 girls, of all ages, besides 79 boys and 39 girls who are returned as leaving school annually to die at home. It is important to remark that, out of a total average school attendance of 9,938, only 235 boys and 82 girls are stated to leave school annually from ill-health.

pp. [27], 28.

The relative mortality of boys and girls attending these schools is shown by Tables B. to F.

The death rate, it will be observed, varies considerably in different colonies. It is least among the native children at Natal, where a little more than five males per 1,000 and three females per 1,000 die annually. The Ceylon schools give a death rate of 14 1⁄2 per 1,000 per {5} annum for boys and about 3 per 1,000 per annum for girls. But, including deaths among children who leave school to die at home, this rate would be nearly doubled.

The Indian schools in Canada afford a total annual death rate of 12 1⁄2 per 1,000 for both sexes; but the mortality of girls is nearly double that of boys.

The Sierra Leone schools afford a very high rate of mortality, viz., 20 per 1,000 for males, and 35 per 1,000 for females.

The Western Australian schools yield the highest death rate of any, nearly 35 per 1,000 for boys and 13 per 1,000 for girls.

These death rates are of course only approximations to the truth. But on any supposition they are very high.

It is important to compare these death rates with those of children of the same ages at home. But we have only the means of doing so for 5 years of age and onwards. The home rates are given in Table E., which shows that from 5 to 10 the total mortality of both sexes is 9·2 per 1,000 at home. From 10 to 15 it is 5·3 per 1,000. Above 15 the home mortality is 8·4 per 1,000. Making allowance for native children dying at home, we shall be within the truth in assuming the mortality of native children at school as double that of English children of the same ages.

Table G, p. [29].

The next point of the inquiry is to ascertain the nature of the fatal diseases. And here we find a remarkable difference in the returns from different colonies. Thus out of 190 deaths in the Sierra Leone schools, all except 8 are due to small pox, measles, and hooping cough, scarlet fever, and other forms of fever.

In the Ceylon schools these same diseases, with the addition of diarrhœa, dysentery, and cholera, give rise to 261 deaths out of a total mortality of 341. In contrast with this great prevalence of miasmatic diseases, the West Australian schools yield only 2 deaths from children’s epidemics, out of a total mortality of 9.

In the Natal schools three children died of miasmatic diseases out of a total mortality of 16, while in the Canadian schools there is only one miasmatic death out of a total mortality of 27.

The adult natives at many of the colonies are considered specially subject to tubercular diseases, more particularly consumption. This class of diseases is indeed supposed to be a main cause of the gradual decline and disappearance of uncivilized or semi-civilized races. {6}

The facts, as regards these colonial schools, are as follow:—

Amongst the Sierra Leone children there is only one death from consumption and one from scrofula reported out of a total of 190 deaths. In the West Australian schools two of the nine deaths arose from consumption. In the Natal schools there was one death from consumption and one from scrofula out of 16 deaths. But there died seven children of other chest diseases besides consumption. The Ceylon schools yielded seven deaths from consumption, five from other chest diseases, and one from scrofula, out of a total mortality of 341.

Table S, p.[47].

These figures, so far as they go, show comparatively little liability to consumptive diseases among children in these colonies. But there is a native training institution in South Australia, in which a very large proportion of the mortality is due to tubercular diseases. Scrofula, phthisis, and hæmoptysis are returned as having occasioned 69·6 per cent. of the total mortality in the institution, among males, and 61·9 per cent. among females. When we cross over to Canada we find that, out of a total mortality of 27, 16 deaths arose from consumption and five from scrofula. Indeed all the specified deaths arose from tubercular disease except one solitary death from fever.

I will next describe shortly the method of the school education, with its probable influence on the children’s health.

pp. [30] to 39.

The facts under this head are given in the form of notes to each school return. I have had them thrown together, for the sake of comparison, in Table H., the general results of which are as follow.

Many of the school houses are described in the returns as of bad construction, and ill situated for health, and the ventilation very insufficient. Some of them are unfavourably situated for free external ventilation, or their local position is damp and subject to malaria, the results of which, as well as the results of general defective sanitary condition in their vicinity are evidenced by the great prevalence of miasmatic diseases, such as fevers, diarrhœa, dysentery, and even cholera, among the children.

The period of tuition varies considerably, from two up to ten or more years. The school instruction is generally five; in a few cases, six days a week. At a few stations {7} nearly half the year is allowed for holidays. But generally the holidays are from two to six or eight weeks.

In most of the schools there seem to be no play hours on school days. When play hours are allowed these are from half an hour to two hours. At about a dozen schools only is there any out-door work combined with instruction. The largest amount of this work is given in the Natal and Canadian schools. Out of the whole number there are only nine schools at which there is any attempt made at combining the elements of physical education with the school instruction, and even where this is done the measure is partial and inefficient, being confined to a few exercises or simply to bathing. The obvious physiological necessity of engrafting civilized habits on uncivilized races gradually through the means of systematic physical training appears to be nowhere recognized, except at New Norcia (Benedictine) school, Western Australia, on the return from which there is the following very important statement:—Gymnastics are stated to be necessary to prevent sickness, and the reporter proceeds, “The idea of bringing savages from their wild state at once to an advanced civilization serves no other purpose than that of murdering them.” And the result of the out-door training practised at this school is said to have been hitherto successful “in preventing the destructive effects of this error.”

Appendix II. p. [62].

Confinement appears to be peculiarly injurious to the aborigines of South Australia, for the Governor states that he “almost always finds it necessary to release prisoners before the expiration of their sentences, as death is apt to ensue from any prolonged confinement.” Even partial confinement in schools, he thinks, injuriously affects the native constitution.

Another very important observation bearing on the necessity of careful consideration of habits is recorded on the return from one of the Natal schools. It might be supposed that one of the most obvious duties in bringing native children to school would be to clothe them, but nevertheless clothing an uncivilized child requires care.[†] In their natural state they expose themselves to torrents of rain which, runs off them, and they are easily warmed {8} and dried at the hut fire. But it is stated that, when clothed in flannel and jersey, they get chilled by the rain, and that pulmonary diseases ensue as a consequence.

[†] People have been asked to assist in making clothing for the Kaffir tribes whom missionaries were going out to address, that the feeling of decency might not be offended in addressing the naked.

The method of conducting colonial schools appears to be based on our home system, without reference to physical training or other local conditions affecting health. This fact, together with the high rate of mortality, is the most prominent result of our inquiry. And although there is not sufficient evidence to show to what extent the school education increases the mortality, there is strong reason to believe that it is a cause. By far the greater part of the mortality is the direct result of mitigable or preventible diseases.

In all the schools within or near the tropics the miasmatic class of diseases occasions most of the mortality at the earlier periods of life. A considerable proportion arises from small-pox, showing bad management of children, and that vaccination is either neglected or imperfectly performed. The other fatal diseases are mainly those which in this country are connected with bad drainage, deficient and bad water supply, overcrowding, and want of sufficient house accommodation and cleanliness. In the Canadian schools consumption and scrofula appear to occupy the place of miasmatic diseases. But there is nothing in the school education, as described in the returns, sufficient to account for their special prevalence in these schools. The causes must probably be looked for in the close foul atmosphere of the native dwellings in a climate where warmth is more likely to be sought by closing every opening capable of admitting fresh air than would be the case in warmer latitudes, together with exposure and other conditions depressing to the general health.

Although these returns show the necessity of making systematic physical training and bodily labour at useful occupations an element absolutely essential and never to be neglected in the training of uncivilized and half civilized children in civilized habits and trains of thought, there is nothing to show that education properly conducted tends to the destruction and disappearance of native tribes.

The general result may be summed up in the following words: “Educate by all means, but look carefully at the problem with which you have to deal, and above all things never forget that education everywhere, but more {9} especially with uncivilized tribes, must always include physical training and useful work.”


Colonial hospital returns.

Besides this statistical inquiry into the condition of schools, I had forms prepared for colonial hospitals into which natives are received for treatment, in order to compare the school diseases with those prevailing among the adult population. They were sent to the colonies, also by the great kindness of the Duke of Newcastle. And returns have been received from the following hospitals:—Free Town, Sierra Leone, Cape Coast, Natal, Mauritius, Colombo and Malabar, King William’s Town, Kaffraria, and from two native hospitals in Canada.

pp. [40] to 53.

These returns were applied for as affording the only means of arriving at a knowledge of the prevailing classes of diseases among natives and of the relative mortality from each class. Abstracts of the returns, showing the mortality on the admissions for different sexes and ages, and the relative per-centages of mortality from each disease, are appended. (Forms I. to Y.) Of course the results can be relied on only so far as they represent the proportions admitted and dead from each disease, taken on numbers often hardly sufficiently large for statistical purposes. On account of the smallness of these numbers, I consider the results as only approximations, which I give because there is nothing better to be had. The tables do not enable us to ascertain directly the state of health or rate of mortality of the native population; but they afford us in an indirect manner a considerable amount of important information as to the diseases from which natives suffer. The hospital statistics appear to be very much in the same unsatisfactory condition as they are in many of our home hospitals. With these reservations the mortality statistics of these hospitals show a very high death rate upon the numbers treated.

Table L, p. [41].

Thus, in Free Town Hospital, the mortality to admissions among males is upwards of 20 per cent., and among females 18·6 per cent. of the admissions.[†]

[†] The admissions are obtained by adding the deaths to the recoveries, in the absence of more definite information.

Table T, p. [48].

At the Civil Hospital, Port Louis, Mauritius, the mortality is 21·3 per cent. for males, and 38·8 per cent. for females. {10}

Table V, p. [50].

In the Ceylon hospitals it is 20·7 per cent. for males, and 18·1 per cent. for females.

Table P, p. [44].

At Natal the mortality is much lower, being 12·8 per cent. for males and 6·6 per cent. for females.

Table N, p. [43].

In Kaffraria the mortality for males and females is 21·8 per cent.

Table X, p. [52].

In the Canadian hospitals it is 12·3 per cent. for males and 14 per cent. for females.

These high death rates can be attributed only to one or more of the following causes:—Defective stamina in the population, delay in applying for medical relief, bad and insufficient hospital accommodation, or defective medical treatment and management of the sick. The exact influence of each of these elements could hardly be appreciated without local inquiry. But the tables enable us to obtain some insight into the matter.

Table M, p. [42].

We find, e. g., that in the tropical districts the miasmatic class of diseases occasions a large proportion of the mortality, e. g., at Sierra Leone 20·4 per cent. of the total mortality among males and 6·8 per cent. of that among females is due to small-pox; that 34 per cent. of the mortality among females is due to dysentery; and that 19 per cent. of the mortality among males is due to periodic fevers. The mortality from miasmatic disease in this hospital is no less than 43·9 per cent. of the total mortality among men, and 43·1 per cent. of the total mortality among women.

Table K, p.[40].

At Cape Coast Hospital the admissions from miasmatic diseases, at least those recorded, amounted only to 9 1⁄2 per cent. of the total admissions, and no deaths are attributed to this class of diseases. This is quite sufficient to show the imperfection of the hospital records at this station.

Table U, p. [49].

At Port Louis Hospital, Mauritius, the miasmatic deaths from dysentery, diarrhœa, cholera, continued fevers, and rheumatism amounted to 54·9 per cent. of the total mortality for men, and 47·9 per cent. of the total female mortality.

Table W, p. [51].

Dysentery appears to be particularly severe and fatal amongst the natives in Ceylon, for the returns show that 43·6 per cent. of the men’s mortality and 30·1 per cent. of the women’s were due to this one disease. The miasmatic class generally gave rise in these hospitals to 64·3 per cent. of the total deaths of men, and 60·1 per cent. of those of women. {11}

Table Q, p. [45].

In D’Urban Hospital and Grey’s Hospital, Natal, 41·1 per cent. of the men’s mortality arose from continued fever, and 6 per cent. from dysentery. This latter disease occasioned all the deaths in hospital among women. These two diseases are the only ones of the miasmatic class which proved fatal.

Table O, p. [43].

Miasmatic diseases appear to be rare among the native patients at King William’s Town, Kaffraria. Only one of them, dysentery, produced a fatal result, and it gave rise to no more than 6 per cent. of the total deaths of men and women conjointly.

Table Y, p. [53].

The same diseases appear to be rare also in the Canadian hospitals, where they occasioned 12·3 per cent. of the men’s mortality and 17·3 per cent. of the women’s. The prevailing types were diarrhœa, periodic fevers, and rheumatism.

Table M.

If we take the other points of comparison, supplied by tubercular diseases, we find a remarkable difference in the proportion of mortality in different colonies. Thus, the death rate from scrofula, phthisis, and hæmoptysis, at Free Town, Sierra Leone, amounts to 3·2 per cent. of the total deaths from all causes among men, and 2·3 per cent. among women. In this hospital other chest diseases give rise to a mortality of 2·4 per cent. for men.

Table K.

At Cape Coast Hospital no deaths are registered from any class of tubercular or chest affections.

Table Q.

At D’Urban Hospital and Grey’s Hospital, Natal, there was a similar absence of mortality from these diseases.

Table W, p. [51].

The Ceylon hospitals afforded also only a small mortality, 0·7 per cent. for men, and 1·1 per cent. for women. There was, however, a mortality of 1·3 per cent. for other chest diseases, among men, and 1·7 per cent. among women. In striking contrast with this comparative exemption from a class of diseases to which the disappearance of the native races has been to a large extent attributed, we find a very considerable increase in the other hospitals.

Table U.

At Mauritius the mortality from scrofula, phthisis, and hæmoptysis, was 8·7 per cent. of the total mortality among men, and 3·7 per cent. among women. Other chest diseases furnish a mortality of 3·6 and 1·8 per cent. among men and women respectively.

Table O.

At King William’s Town Hospital, Kaffraria, the mortality from tubercular diseases, for men and women {12} conjointly, was no less than 70·6 per cent. of the total deaths, and from chest diseases 11·7 per cent.

Table Y.

Both classes of disease afford a high death rate in the Canadian hospitals. For the tubercular forms this amounts to 44·9 per cent. for men, and 41·3 per cent. for women. The other chest diseases give rise to 30·6 per cent. of the total hospital mortality for men, and 24·4 per cent. for women. Three-fourths of the whole hospital mortality among men, and two-thirds among women, were thus due to some form or other of chest disease.

Much has been said and written on the pernicious effects of the use of intoxicating liquors by uncivilized races. Diseases of the brain and nervous system, and liver diseases, are those which, at home, are generally supposed to indicate the greater or less prevalence of habits of intoxication among the people. Let us inquire to what extent admissions and deaths from these classes prevail in the various colonies.

Table M.

At Sierra Leone brain and nervous diseases occasion 5·7 per cent. of the total admissions, and 12·7 per cent. of the total deaths among men, and 9·2 per cent. of the admissions, with 21·6 per cent. of the deaths, among women. Liver diseases afford only 0·1 per cent. of the admissions, and no deaths.

Table K.

Cape Coast Hospital affords an extraordinary contrast to this, for there we find that, although brain and nervous diseases and liver diseases occasion no more than 4·8 per cent., and 2·4 per cent., respectively, of the admissions, all the deaths arose from them.

Table Q.

The Natal hospitals show a proportion of admissions from brain and nervous diseases, of 5·7 per cent. of men, and 8·3 per cent. of women. But no deaths and no admissions from liver disease.

Table O.

The King William’s Town Hospitals, Kaffraria, show no admissions from either class.

Table U.

At Mauritius the admissions from brain and nervous diseases were 3·5 per cent. for men, and 2·7 per cent. for women, and the deaths 6·1 per cent. for men, and 1·9 per cent. for women. Liver disease is so rare as to be scarcely appreciable.

Table W.

A similar remark applies to the infrequency of liver disease in the Ceylon hospitals. In these hospitals, the admissions from brain and nervous diseases are 1·6 per cent. for men, and 3·2 per cent. for women. And the deaths 1·5 per cent. and 3·1 per cent. respectively. {13}

Table Y.

No liver diseases were admitted into the Canadian hospitals. And the brain and nervous diseases afforded 6·5 per cent. admissions, and 2 per cent. deaths for men, with 5·2 per cent. admissions and no deaths for women.


Results.

These are the statistical results of this inquiry. To the extent to which the data are imperfect, the results are of course unreliable. The numbers are often much smaller than are required for such purposes. I have used them because the best obtainable, even with the assistance of the colonial governments; and the first lesson they teach is the necessity for assimilating the colonial registration and vital statistics to those at home. But, with all their defects, when these statistics are examined, they bring clearly into light certain great general facts.

As regards the schools, they show us that the educational idea in the colonies is just as deficient as it is at home, and that it is attended with worse physical consequences.

No account appears to be taken of the past history of the races on whom it is desired to confer the inestimable blessings of Christian civilization. Our teachers go among them just as they would into English villages. They collect the children who, together with their ancestors, have spent most of their existence in active out-door habits, into all classes of structures, good, bad, and indifferent, apparently without regard to the effect of local conditions on their health. In all probability the children are set together as close as they are placed in one of our Home “Model Schools,” without any reference to children’s epidemics or other fevers. This is not done without great risk, even with children of English birth. But to do this with children taken from their open air habits in uncivilized or semi-civilized communities is to incur the immediate danger of losing the most hopeful pupils by diseases, which, under a more rational system, might in all probability be avoided.

The education appears to be confined simply to head-work, and no provision is made for sustaining the health by physical training, while it is in danger of exhaustion by a cerebral stimulus, perhaps applied for the first time in the history of the family from which the child has sprung. It is true that cerebral disease forms only a small part of the school mortality; but the diseases from which the mortality proceeds in the tropical schools are {14} the result of overcrowding, defective ventilation, and other local sanitary evils, all of which are augmented by sedentary occupation.

The remedy for this is obviously to improve the school-houses, to give more attention to space, to ventilation, and to the locality where the school is placed, and above all to make physical training an essential and important part of the school system, never forgetting that the habits of generations cannot be suddenly broken through without danger to health and life.

In as far as concerns the effect of the schools on the disappearance of native races, the returns contain no appreciable evidence. Education, if properly conducted, together with the improved personal, physical, and moral habits consequent on it, ought everywhere to be conservative and not destructive; but to be so it should be conducted, as already stated, with a full knowledge of the physiological effects of altered habits and the influence of these on health.

The hospital returns, so far as they can be relied on, show in the tropical colonies a large mortality from diseases arising from bad drainage, bad water, imperfect agriculture, want of cleanliness, and from other bad habits. Bad, overcrowded, unventilated dwellings must also in these colonies, as at home, bear their proportion of the blame. Thus mortality arising from mitigable or preventible causes of an external nature occasions in all the colonies by far the greatest part of the death rate in hospitals. Incivilization with its inherent diseases, when brought into contact with civilization without adopting specific precautions for preserving health, will always carry with it a large increase of mortality on account of the greater susceptibility of its subjects to those causes of disease which can to a certain extent be endured without as great a risk by civilized communities born among them.

The hospital returns throw little light on the causes of the disappearance of native races, unless these are to be found in the great prevalence of tubercular and chest diseases in certain of the colonies. This is especially remarkable in the returns from Australia, Kaffraria, and Canada. But why this class of affections should be so much more prevalent in the temperate than in the tropical colonies could only be ascertained by careful local inquiry. One thing is certain that, in those colonies from which complaints of the disappearance of native races have come, {15} tubercular and chest diseases appear to occasion the largest amount of hospital mortality.

The discovery of the causes of this must be referred back to the colonies. Anything which exhausts the constitution; above all things, foul air during sleep, will engender these diseases. Open locality, healthy winds, active daily occupation, are by themselves no safeguards, if the nights be spent in unventilated cabins. The Alpine climates of Europe are known to be the most free of any climates from this tribe of diseases. But even on their healthy mountain slopes scrofula in all its forms prevails among the peasants, engaged during summer on the high pastures, when they pass their nights in the close unhealthy chalets there.

It is possible that a tubercular taint so engendered may be the cause of the whole evil, and it is to this point that the inquiry has brought us.


Appended to the school and hospital returns from each colony, there are very interesting notes, giving generally the impression of the reporters on the nature and causes of disease among the aboriginal population. These notes, the chief portions of which I have appended, confirm the statistical evidence; but they afford little additional light on the causation.

The decaying races are chiefly in Australia, New Zealand, Canada, and perhaps in certain parts of South Africa. They appear to consist chiefly of tribes which have never been civilized enough or had force of character enough to form fixed settlements or to build towns. Such tribes have few fixed habits or none. But the papers show that they are naturally, in their uncivilized condition, possessed of far stronger stamina, and that they resist the effects of frightful wounds and injuries far better than civilized men. This latter fact tells strongly against any natural proclivity to diseased action. But we nevertheless see that when they come in contact with civilized men, and are, as a necessary consequence, obliged to conform themselves to a certain extent to the vices and customs of their civilized (!) neighbours, they perish from disease.

Appendix II., pp. [62]–3.

The evidence contained in these notes unfortunately proves that the pioneers of British civilization are not always the best of the British people. Many of them, it is to be feared, leave their own country, stained with vice and vicious habits, ready for any act of oppression, ready {16} to take any advantage of the simplicity of the poor aborigines. Such people have introduced everywhere the use of intoxicating drinks, together with the diseases as well as the vices of their own depraved standard of civilization. Where the races are found most rapidly decaying, there the married women are found living in a state of prostitution and exposed to its diseases. And we know where such is the case, decline and extinction are inevitable.

This appears to be a main cause of the falling off in births; while the other evil habits introduced by Europeans destroy the stamina of the adult population and raise its rate of mortality. With the facts before us, imperfect as they are, we need feel no surprise at the gradual extinction of these unhappy races. But we should draw from them an argument for doing all that can be done to lessen these evils, and to remove, as far as practicable, any causes of disease and death which it may be in our power to remove.

Complaint of such things, in some form or other, runs through the whole of the evidence regarding these aboriginal populations, who appear to be far more susceptible of the operation of causes of disease arising out of imperfect civilization, than are civilized[†] men; how much more so must they be to such dreadful causes as those indicated above!

[†] Meaning by “civilized,” men who can live together in a city or village without cutting each other’s throats.

There is a strong presumption that, if aboriginal races are left undisturbed in their own country to follow their own customs and even their own vices, they will continue to exist as they have hitherto done, in a slowly increasing or stationary condition. But there is no reason to doubt the evidence contained in these papers that certain races require very little disturbance in their primeval habits to pass into a state of decline.

The great question at issue is, how this is to be arrested.

The facts appear to point to such remedial measures as the following:—

Our home experience hence teaches us the extreme importance of favourable sanitary conditions, whenever an {18} attempt is made to bring the uncivilized within the pale of civilization.

Every society which has been formed has had to sacrifice large proportions of its earlier generations to the new conditions of life arising out of the mere fact of change. Only by the greatest care and by the adoption of every requisite improvement can London itself bear the rapid increase of its population without danger from pestilence.

This destroying principle is now at work in the colonies where races are decaying. And its results can only be diminished by assimilating the new conditions, involved in the change, as nearly as possible, so far as healthiness is concerned, to the open air activity to which the people have been for generations accustomed.

These are the results of this inquiry. Defective in many particulars though they be, they are still sufficient to prove that, on the local authorities of the colonies, there rests a responsibility in the face of public opinion in Europe, of the very gravest kind. It is a matter for state interference. It is impossible to stand by, while races are disappearing, of whom it can be said that the “Australian is the finest model of the human proportions in muscular development,” that his “head might compare with an antique bust of a philosopher,” that his “perceptive faculties are peculiarly acute,” that he is an “apt learner,” and “possesses the most intense desire to imitate his more civilized brethren in almost every thing;” that the Australian aborigines are “possessed of mental power on a par with their brethren of the other races of man; that they are perhaps superior to the Negro and some of the more inferior divisions of the great human family;” that they have “keen perceptive faculties, with a considerable deficiency in their reflective faculties, and a certain want of steadiness of purpose in their characters which appears the great obstacle to be overcome in reclaiming them and bringing them within the pale of civilization and Christianity.”

These statements are from a report on the subject, made by a select committee of the Legislative Council of Victoria in 1858–9. In this report occurs the following passage, with which I conclude on account of its authority, appealing from its facts to the better feeling of the colonies, with the hope that the time is not far off when such a stigma as it affixes to the empire may be wiped away.

“The great and almost unprecedented reduction in the {19} number of the Aborigines is to be attributed to the general occupation of the country by the white population; to vices acquired by contact with a civilized race, more particularly the indulgence in ardent spirits; and hunger, in consequence of the scarcity of game since the settlement of the colony; and, also in some cases, to cruelty and ill-treatment. The great cause, however, is apparently the inveterate propensity of the race to excessive indulgence in spirits, which it seems utterly impossible to eradicate. This vice is not only fatal, but leads to other causes which tend to shorten life.

“Mr. Thomas, the guardian of Aborigines, states in evidence, that one morning he found five drunken blacks lying buried in the mud at the Merri Creek, which being followed by pulmonary attack, death, as is invariably the case, ensued. It may be remarked, that consumption forms a fruitful cause of mortality amongst them, in addition to the other causes enumerated.

“It would appear that they have materially degenerated since the advent of the whites, as Mr. Thomas has said ‘the young die two to one in proportion to the old; I have some old people yet.’ The rapid settlement necessary upon the country being occupied by flocks and herds was more unfavourable to the Aborigines than if it had only been gradually taken up for agricultural purposes.

“Your Committee are of opinion that great injustice has been perpetrated upon the Aborigines—that, when the Government of the colony found it necessary to take from them their hunting grounds and their means of living, proper provision should have been made for them. Had they been a strong race, like the New Zealanders, they would have forced the new occupiers of their country to provide for them; but being weak and ignorant, even for savages, they have been treated with almost utter neglect.

“With the exception of the Protectorate, which was an emanation of the Imperial Government, and which seemed to have been only partially successful, little or nothing has been done for the black denizens of the country.”

Every colony where the native races are declining could furnish some such report as this. The injustice has been a common one, and so should be the remedy. {20}

APPENDIX I. TABLES showing the MORTALITY and CAUSES of MORTALITY among ABORIGINES in COLONIAL SCHOOLS and COLONIAL HOSPITALS.


TABLE A.—ATTENDANCE and MORTALITY at COLONIAL NATIVE SCHOOLS.

Sub-table A1, SIERRA LEONE, WESTERN AUSTRALIA, and NATAL. Part 1.
Name of Colony and School.Date of Opening.Years included in the Return.Average Number of Native Children, with Sexes and Ages, attending during these Years.
Under 5 Years.5 to 10 Years.10 to 15 Years.15 Years and upwards.All Ages.
M.F.M.F.M.F.M.F.M.F.
SIERRA LEONE.
C. M. Jubilee18451855 to 1860100
Kessy18421859 to 18605240442488052
Campbell Town18481859 to 18602015181611124943
Government3141115325920573
Bananas18471859 to 18602618141211105140
Christ Church18479030284408816642
Buxton18371858 to 1860484620253948116118125
Gibraltar18411858 to 186029255464502056138115
Jehovah Shalom18591859 to 186038364626311811580
York18581859 to 18602822141016125844
Zion18401858 to 186031292014263914129194
Tabernacle18491859 to 18602220262224197261
Liberated African18551855 to 1860383
Total418322320260421230105241,747[†]836
[†] Includes 483 children whose ages are not distinguished.
WESTERN AUSTRALIA.
Annesfield18521852 to 1860987915
New Norcia18571857 to 186031015735
Sisters of Mercy18471855 to 1860527
Total128107155724422
NATAL.
Day and Industrial, Edendale18581858 to 186014865322315
New Germany18571857 to 1859226618122620
St. Michael’s18561856 to 18601434111
Ekukanyeni18561856 to 186017520564310
Ifumi Station, S.18561856 to 18604385128
Spring Vale18581858 to 18603655145
Umvoti18451856 to 1860100106100106
Kwangubeni18491855 to 18605101010102552550
Verulara (Wesleyan)18501859 to 18601517872324
Indaleni18481859 to 18608781096222725
Pie­ter­mar­itz­burg18481855 to 186015257512530522330143232
Total3747260301881035255437506
Sub-table A1, SIERRA LEONE, WESTERN AUSTRALIA, and NATAL. Part 2.
Name of Colony and School.Mortality during same Period.Average number of Children leaving School every Year from ill-health.Average Number of Children who leave School to die at Home every Year.No. of Years in Return.
Under 5 Years.5 to 10 Years.10 to 15 Years.15 Years and Upwards.All Ages.
M.F.M.F.M.F.M.F.M.F.M.F.M.F.
SIERRA LEONE.
C. M. Jubilee215
Kessy31114277211
Campbell Town895322151443121 3⁄4
Government44
Bananas55351191121131 3⁄4
Christ Church6321
Buxton362327972562
Gibraltar1122
Jehovah Shalom66228823121 3⁄4
York46242181122311 1⁄2
Zion2113163322
Tabernacle9432552131312
Liberated African405
Total413719201810211226839292320
WESTERN AUSTRALIA.
Annesfield6116268
New Norcia3 3⁄4
Sisters of Mercy15
Total6111726
NATAL.
Day and Industrial, Edendale2
New Germany2
St. Michael’s4 1⁄4
Ekukanyeni14 3⁄4
Ifumi Station, S.112314 1⁄4
Spring Vale12
Umvoti114
Kwangubeni11115
Verulara (Wesleyan)11 3⁄4
Indaleni21111331 3⁄4
Pie­ter­mar­itz­burg121258125
Total333421976812
Sub-table A2, CEYLON Part 1.
Name of Col­ony and School.Date of Open­ing.Years in­clud­ed in the Re­turn.Average Number of Native Children, with Sexes and Ages, attending during these Years.
Un­der 5 Years.5 to 10 Years.10 to 15 Years.15 Years and up­wards.All Ages.
M.F.M.F.M.F.M.F.M.F.
CEYLON.
Colombo academy18361857 to 186013584617
Galle central school18491855 to 1860591428
Kandy central school18441856 to 18605211743
Colombo Pettah English school18351856 to 18604813624208
Grand Pass English school18391855 to 18591304576
Negombo Government boys’ school1855 to 185918123786504
English school, altura18361856 to 186024262777
Pantura boys’ English school18351856 to 186020321567
Matura Government elementary school18431855 to 1860610723
English Kornegalle18591859 to 18601530550
Government Malrandahn mixed school18511858 to 18602154782
Copetty mixed school18441856 to 1860115381771
Kandane1859 to 1860129728
Mahola mixed school18591859 to 1860512211654
Kaigalle mixed school18521857 to 1860378523
Rutnapoora mixed school1859 to 18603313211176
Mixed school, Bentotte18371855 to 18604211338
Government mixed school, Bale­pi­ti­mo­dera.18571857 to 186015520
Oodoovil fem. board. school18241824 to 1861347347
Batticotta high school18561856 to 186157075150
Batticotta training and theological school18591859 to 18612020
Boys’ school, Matura18431855 to 1860611724
Girls’ school, Matura18571857 to 186012013236
Boys’ school, Belligam18451856 to 1860323430
Boys’ school, Dondra18511856 to 18601818
Boys’ school, Nupa1856 to 1860141832
Girls’ school, Gabe­du­we­di­ya1856 to 1860571224
Galle mixed school1856 to 186025351171
Callowelle mixed school18591859 to 186017171751
Belligam mixed school18451856 to 1860323430
Mixed school, Hambantotte1859 to 18603811
Boys’ mixed school, Trincomalie18491855 to 186013247347
Kandy mixed school18491856 to 1860528221469
Pitiyagedere18561857 to 186014418
Made­welle­tenne18541855 to 186036514
Mixed school, Gampola1859 to 18601220335
Nawelepitiye mixed school1858 to 186013221162
Kadugannawa1858 to 186046515
Harispattoo mixed school18591859 to 1860713323
Ambagamuwa mixed school1859186074112
Mede­ma­ha­nu­wera18591859 to 1860181230
Mixed school, Odoonuwera18591859 to 186015431674
Newera Ellia, mixed school1857 to 186051922319563
Mixed, Badulla18361859 to 1860527436
Matelle mixed school1858 to 186051244768
Odetenne, in Matelle18591859 to 186087116
Madampe mixed school18541855 to 185927101130
Mixed school, Putlam18481856 to 186021103612205
Mixed school, Calpentyn18381857 to 186056112
Mullativoe Government mixed school18471855 to 185919107178100404
Mixed, Manaar18381855 to 18591012426
Mixed, An­u­rad­ha­poora18581858 to 18604610
Mattacooly18471852 to 18575220981
Wattelle vernacular boys’ school18471855 to 1860211132
Pamanugama vernacular boys’ school18561859 to 18601815740
Mahawatta18561858 to 18601818238
Mahare1856186034023470
Kohillewatte vernacular school18481859 to 18601724546
Kottawa vernacular, boys18541858 to 18601812131
Slave Island boys school18471856 to 186022420753
Milagria1850186020161652
Dehiwella18471856 to 18608181339
Attidiya vernacular school18521852 to 18602020848
Weligampittia18561856 to 1860111672553251586
Dandogame18511856 to 18602126552
Seedua18481855 to 18602011839
Katane18561859 to 186024361676
Andiamblam vernacular18561856 to 1860121931
Imbulgodde school18571857 to 1860251217531
Indebetta vernacular boys’ and girls’ vernacular school18581858 to 186015151514104029
Waragodde vernacular school18591859 to 18602026450
Bandaragama boys’ school18471859 to 18601217433
Vernacular boys’ school at Waskaduwa18571857 to 1860516425
Katukurunde boys’ and girls’ school18571857 to 18603661144710
Vernacular at Payagalle18581858 to 18609442337696989
Vernacular school at Barbaryn18571856 to 18601510833
Maccoon18571857 to 18603844688
Vernacular boys’ school Dondra18511856 to 18601818
Kandy gaol school18561859 to 18603030
Government vernacular boys’ school, Parnegame1857613726
Singhalese school, Passara18561856 to 186013114181
Badulla, Singhalese18501859 to 186030122062
Tamil vernacular, Badulla18501855 to 18601011542095
Paioogame school186018601183150
Combalwella186018602013235
Matelle Tamil school18581858 to 186011215432
Ratotte school186018606915
Vernacular, Kotmalie18561856 to 186016422684
Dum­ma­la­den­iya of Chilau18571858 to 18601015530
Calpentyn Tamil school18471857 to 1860914225
Female seminary1860332105518
Superior girls’school, Kandy18501858 to 186032536771
Grand Pass mixed girls’ school18591859 to 18601625546
Borella18431856 to 1860119192511226
Colpetty girls’ school Caltura18441856 to 1860321951
Matura Government girls’ school18571857 to 186012013236
Kottawa, vernacular, girls’18541858 to 1860166224
Pantura mixed girls’ school18591859 to 18608201139
Vernacular girls’ school at Pantura18511856 to 1860
Government Tamil girls’ school1846314219
Total185271,9562431,6305431,163294,934842
Sub-table A2, CEYLON Part 2.
Name of Colony and School.Mortality during same Period.Av­er­age num­ber of Chil­dren leav­ing School ev­ery Year from ill-health.Av­er­age Num­ber of Chil­dren who leave School to die at Home ev­ery Year.No. of Years in Re­turn.
Un­der 5 Years.5 to 10 Years.10 to 15 Years.15 Years and Up­wards.All Ages.
M.F.M.F.M.F.M.F.M.F.M.F.M.F.
CEYLON.
Colombo academy2213 3⁄4
Galle central school1125
Kandy central school437214 3⁄4
Colombo Pettah English school145174 3⁄4
Grand Pass English school426215
Negombo Government boys’ school225
English school, altura1234 3⁄4
Pantura boys’ English school1128 or 104 1⁄2
Matura Government elementary school22125
English Kornegalle4 or 51 3⁄4
Government Malrandahn mixed school1112
Copetty mixed school1115
Kandane1 3⁄4
Mahola mixed school1 1⁄2
Kaigalle mixed school11213 1⁄2
Rutnapoora mixed school1 3⁄4
Mixed school, Bentotte5
Government mixed school, Bale­pi­ti­mo­dera.44213
Oodoovil fem. board. school1919338
Batticotta high school1565 1⁄4
Batticotta training and theological school2 1⁄4
Boys’ school, Matura22125
Girls’ school, Matura22223 1⁄2
Boys’ school, Belligam112135
Boys’ school, Dondra3314 3⁄4
Boys’ school, Nupa
Girls’ school, Gabe­du­we­di­ya1
Galle mixed school11
Callowelle mixed school2
Belligam mixed school12315
Mixed school, Hambantotte1 3⁄4
Boys’ mixed school, Trincomalie1235
Kandy mixed school2621083 3⁄4
Pitiyagedere1234 3⁄4
Made­welle­tenne21315 3⁄4
Mixed school, Gampola3⁄4
Nawelepitiye mixed school112 3⁄4
Kadugannawa112
Harispattoo mixed school22221 1⁄4
Ambagamuwa mixed school1⁄4
Mede­ma­ha­nu­wera111
Mixed school, Odoonuwera61
Newera Ellia, mixed school113
Mixed, Badulla1
Matelle mixed school111 1⁄2
Odetenne, in Matelle1 1⁄2
Madampe mixed school11215
Mixed school, Putlam224 3⁄4
Mixed school, Calpentyn13 3⁄4
Mullativoe Government mixed school645152036
Mixed, Manaar1113125
Mixed, An­u­rad­ha­poora1112 1⁄2
Mattacooly32515
Wattelle vernacular boys’ school5
Pamanugama vernacular boys’ school2131 3⁄4
Mahawatta1123
Mahare6711433⁄4
Kohillewatte vernacular school11 3⁄4
Kottawa vernacular, boys11212 1⁄2
Slave Island boys school21335
Milagria13⁄4
Dehiwella2245
Attidiya vernacular school11229
Weligampittia3 3⁄4
Dandogame4151055
Seedua115 1⁄2
Katane64212121
Andiamblam vernacular24 1⁄2
Imbulgodde school22623 1⁄2
Indebetta vernacular boys’ and girls’ vernacular school11642 1⁄4
Waragodde vernacular school2241 3⁄4
Bandaragama boys’ school1
Vernacular boys’ school at Waskaduwa23
Katukurunde boys’ and girls’ school31141943
Vernacular at Payagalle21115522
Vernacular school at Barbaryn2338425
Maccoon46534103103
Vernacular boys’ school Dondra5564 3⁄4
Kandy gaol school331 1⁄4
Government vernacular boys’ school, Parnegame111
Singhalese school, Passara4 1⁄4
Badulla, Singhalese1
Tamil vernacular, Badulla11136
Paioogame school1⁄4
Combalwella1⁄4
Matelle Tamil school2212
Ratotte school63⁄4
Vernacular, Kotmalie11915
Dum­ma­la­den­iya of Chilau83
Calpentyn Tamil school213224
Female seminary
Superior girls’school, Kandy12 1⁄2
Grand Pass mixed girls’ school2215631 1⁄2
Borella224
Colpetty girls’ school Caltura2225
Matura Government girls’ school223 3⁄4
Kottawa, vernacular, girls’12 1⁄2
Pantura mixed girls’ school1 1⁄4
Vernacular girls’ school at Pantura212271274 3⁄4
Government Tamil girls’ school
Total6210541293161330140185345517
Sub-table A3, CANADA. Part 1.
Name of Colony and School.Date of Opening.Years included in the Return.Average Number of Native Children, with Sexes and Ages, attending during these Years.
Under 5 Years.5 to 10 Years.10 to 15 Years.15 Years and upwards.All Ages.
M.F.M.F.M.F.M.F.M.F.
CANADA.
Saugeeng1859 to 18606122614
Snake Island18401859 to 1860335655641918
Rice Lake18801859 to 1860234524812
Chemong or Mud Lake18351859 to 1860425261155
Alnwick industrial school18281859 to 1860671210117433327
New England, co. Mohawk18821859 to 18602332232710
Mohawk18401859 to 1860124856121118
Mohawk Institution18331856 to 186130101054015
Manitowaning18391854 to 18562126267
Wikwemikong18451855 to 18608339233325211910170
Calpentyn Tamil18471857 to 1860914225
St. Clair common day school18361856 to 1860157148313216
Walpole Island common school18481855 to 1860116107222315
Mount Elgin18491856 to 1860241313732220
Total201810584134996446323247
Sub-table A3, CANADA. Part 2.
Name of Colony and School.Mortality during same Period.Average number of Children leaving School every Year from ill-health.Average Number of Children who leave School to die at Home every Year.No. of Years in Return.
Under 5 Years.5 to 10 Years.10 to 15 Years.15 Years and Upwards.All Ages.
M.F.M.F.M.F.M.F.M.F.M.F.M.F.
CANADA.
Saugeeng111
Snake Island111121251
Rice Lake1
Chemong or Mud Lake1
Alnwick industrial school1121
New England, co. Mohawk1
Mohawk111
Mohawk Institution1115
Manitowaning113
Wikwemikong2333368346
Calpentyn Tamil24
St. Clair common day school25
Walpole Island common school25
Mount Elgin24
Total13545711121555

TABLE A. a.—Summary of Table A.

Table A. a. Part 1
Colony.Average School Attendance.
Under 5.5–10.10–15.15 and upwards.All Ages.
M.F.M.F.M.F.M.F.M.F.
Sierra Leone418322320260421230105241,747836
Western Australia128107155724422
Natal3747260301881035255437506
Ceylon185271,9562431,6305431,163294,934842
Canada201810584134996446323247
Total6724222,6518952,2889801,3911567,4852,453
The “all ages” for Sierra Leone includes 483 children whose ages are not given.
Table A. a. Part 2
Colony.Total Deaths for same Period.Average Number who leave school from ill-health every year.Average Number who leave School to die at Home every year.
Under 5.5–10.10–15.15 and upwards.All Ages.
M.F.M.F.M.F.M.F.M.F.M.F.M.F.
Sierra Leone413719201810211226839292320
Western Australia611726
Natal333421976812
Ceylon6210541293161330140185345517
Canada13545711121555
Total57461323215450645451132235827939

B. MORTALITY IN THE COLONIAL SCHOOLS. (SIERRA LEONE.)

AGES.Years of Life.Deaths.Annual Rate of Mortality per Cent.
Both Sexes.M.F.Both Sexes.M.F.Both Sexes.M.F.
All ages7,779[†]5,885[†]1,894190[‡]122[‡]682·442·073·59
Under 5 years1,6841,0196657841374·634·025·56
5–10 years1,4097816283919202·772·433·19
10–15 years1,8121,2595532818101·551·431·81
15 and upwards45941148321·65·492·08

[†] This total includes the years of life of 483 male children whose ages were not specified.

[‡] Including 42 deaths of male children whose ages were not specified.

C. MORTALITY IN THE COLONIAL SCHOOLS.(NATAL.)

AGES.Years of Life.Deaths.Annual Rate of Mortality per Cent.
Both Sexes.M.F.Both Sexes.M.F.Both Sexes.M.F.
All ages3,8321,7102,1221697·42·53·33
Under 5 years3441412036331·742·131·48
5–10 years2,2791,0351,244734·31·29·32
10–15 years898346552321·33·58·18
15 and upwards411188223

D. MORTALITY IN THE COLONIAL SCHOOLS. (WESTERN AUSTRALIA.)

AGES.Years of Life.Deaths.Annual Rate of Mortality per Cent.
Both Sexes.M.F.Both Sexes.M.F.Both Sexes.M.F.
All ages3572021559722·523·471·29
Under 5 years14783647614·767·231·56
5–10 years933756
10–15 years815625111·244·00
15 and upwards362610

E. MORTALITY IN THE COLONIAL SCHOOLS. (CEYLON.)

AGES.Years of Life.Deaths.Annual Rate of Mortality per Cent.Annual Rate of Mortality in England and Wales.
Both Sex-
es.
M.F.Both Sex-
es.
M.F.Both Sex-
es.
M.F.Both Sex-
es.
M.F.
All ages35,33920,72114,61834130140·961·45·27
Under 5 years644575698621·241·042·90
5–10 years7,2786,51076810910541·501·61·52·92·92·91
10–15 years23,0909,37713,71316012931·691·38·23·53·52·54
15 and upwards, say 17.4,3274,25968646131·481·434·41·84·82·85

NOTE.—The mortality at all ages was ·96 per cent. of both sexes, but including the deaths of children who have been returned as leaving school to die at home, this number will be nearly doubled.

F. MORTALITY IN THE COLONIAL SCHOOLS. (CANADA.)

AGES.Years of Life.Deaths.Annual Rate of Mortality per Cent.
Both Sexes.M.F.Both Sexes.M.F.Both Sexes.M.F.
All ages2,1411,2868552712151·26·931·75
Under 5 years9360334134·301·679·09
5–10 years6794142659541·301·211·51
10–15 years93355837512571·29·901·87
15 and upwards436254182211·46·39·55

G. TABLE showing the CHIEF CAUSES of MORTALITY at the SCHOOLS in each COLONY.

Table G. Part 1.
Small-Pox.Scarlet Fever, Measles, Whooping-Cough.Fevers.Diarrhœa, Dysentery.Cholera.
M.F.M.F.M.F.M.F.M.F.
Sierra Leone42341192323
Natal111
Western Australia11
Ceylon74211819508710
Canada1
Table G. Part 2.
Consumption.Other Chest Diseases.Brain and Nervous System.Scrofula.Not specified.Total Deaths.
M.F.M.F.M.F.M.F.M.F.M.F.
Sierra Leone1113212268
Natal14312197
Western Australia24172
Ceylon6151164230140
Canada7932141215

H. EDUCATION AND STATE OF SCHOOLS IN THE DIFFERENT COLONIES.

Sub-table H1, SIERRA LEONE, WESTERN AUSTRALIA, and NATAL. Part 1.
Name of School.Length of School Ed­u­ca­tion.[†]No. of School days per Week.Annual No. of Holidays.School Hours.
Instruction.Play.Out-door Work.
SIERRA LEONE.
C. M. Jubilee3 1⁄2 years642 days621 1⁄2
Kessy2 years521 days5NoneNone
Campbell Town521 days5NoneNone
Government5NoneNone
Bananas521 days5NoneNone
Christ Church7 years51 month4 1⁄21⁄2None
Buxton2 years521 days5NoneNone
Gibraltar2 years521 days5NoneNone
Jehovah Shalom515 days5NoneNone
York515 days5NoneNone
Zion2 years521 days5NoneNone
Tabernacle515 days5NoneNone
Bathurst St.2 years521 days5NoneNone
Liberated African
WESTERN AUSTRALIA.
Annesfield10 years5Twice a year4 or 5None
New Norcia (Benedictines)Till mar­ried512 days33
Sisters of MercyTill mar­ried535 days52None
NATAL.
Infant school, Edendale5None.4None
Day and Industrial, Edendale.5None.2 1⁄2None3 1⁄2
New Germany52
St. Michael’s52NoneNone
Ekukanyeni5 years620 days57
Ifumi Station54 to 5NoneNone
Spring Vale52None3
Umvoti6 years521 days511
Kwangubeni51 month3NoneNone
Verulam (Wesleyan)5 years51 month3 to 5At intervals.3 to 5
Indaleni51 month5None3 to 4
Pie­ter­mar­itz­burg542 days4 1⁄2NoneNone
† In many instances this question has been misinterpreted as meaning the number of hours of instruction, and has been so filled up.
Sub-table H1, SIERRA LEONE, WESTERN AUSTRALIA, and NATAL. Part 2.
Name of School.Physical Education (Including Gymnastics, Bathing, Exercise).Remarks on State of School, &c.
SIERRA LEONE.
C. M. JubileeGymnasticsBuilding well constructed. Ventilation somewhat impeded. Diet plain and simple.
KessyNoConducted in a thatched chapel. Situation good.
Campbell TownNoStone chapel, without special ventilation.
GovernmentNo——
BananasNoFrame built chapel, situated on the Island of Bananas. No special ventilation.
Christ ChurchNoBuilding large and well ventilated.
BuxtonNoConducted in the cellar of the chapel. Position and ventilation good.
GibraltarNoBuilding stone. Ventilation and position good.
Jehovah ShalomNoFrame built chapel, without special ventilation.
YorkNoFrame chapel, without special ventilation.
ZionNoStone chapel. Position and ventilation excellent.
TabernacleNoFrame built chapel, without special ventilation.
Bathurst St.NoConducted in a wooden chapel. Ventilation indifferent.
Liberated African——
WESTERN AUSTRALIA.
AnnesfieldNoBrick house, situated on a hill. Diet: milk, porridge, bread, meat, vegetables, soup, rice, &c.
New Norcia (Benedictines)GymnasticsDiet: bread, meat, tea, rice, vegetables, &c. Gymnastics necessary to prevent sickness. “The idea of bringing savages from their wild state at once to an advanced civilization serves no other purpose than that of murdering them.” This out-door training has been hitherto successful “in preventing the destructive effects of this error.”
Sisters of MercyNoAll girls.
NATAL.
Infant school, EdendaleNo——
Day and Industrial, Edendale.No——
New GermanyYesRoom made of wattle and daub. Ventilation good. Diet: porridge and potatoes.
St. Michael’sNoDiet regular and simple.
EkukanyeniYes Room well ventilated. Diet: porridge, meat, and and coffee. The greatest danger to the children is to be apprehended from their carelessness about getting wet with European clothing on them. In their native state they are used to be wet. And their bodies are easily warmed and dried at the hut fire. Thus they care little about rain. And, being exposed to the sudden storms of a semi-tropical climate, they are constantly found sitting in wet flannels and jerseys, and suffer much from coughs and colds. It cannot be doubted that much pulmonary disease will thus be generated by the very effort to improve their condition, unless constant care be taken to guard against this danger.
Ifumi StationNo——
Spring ValeNoRoom of wattle and daub. Situated on the side of a hill. Diet: meal, milk, and potatoes.
UmvotiNoBuilt of brick, thatched roof, mud floor.
KwangubeniNoHeld in a chapel.
Verulam (Wesleyan)Only bathingDiet: porridge with meat.
IndaleniNoHeld in a chapel, well ventilated.
Pie­ter­mar­itz­burgNo——
Sub-table H2, CEYLON. Part 1.
Name of School.Length of School Ed­u­ca­tion.[†]No. of School days per Week.Annual No. of Holidays.School Hours.
Instruction.Play.Out-door Work.
CEYLON.
Colombo academy12 to 15 years52 1⁄2 months and wet weather.52None
Galle central school6 years565 days5NoneNone
Kandy central school5 years550 days5 1⁄23⁄4None
Colombo Pettah English school.25 years536 days51None
Grand Pass English school5 to 8 years564 days51None
Negombo Government boys’ school.539 days51None
Caltura English school5 years556 days51None
Pantura boys’ English school.5 to 6 years545 days51None
Matura Government elementary school.5 to 6 years556 days51None
Kornegalle English4 years563 days5NoneNone
Malrandahn Government mixed school.4 years556 days51⁄2None
Copetty mixed school5 years545 days5NoneNone
Kandane5 years556 days51None
Mabola mixed school5 to 8 years564 days51None
Kaigalle mixed school8 years556 days5 1⁄21⁄21⁄2
Ratnapoora mixed school3 years561 days51None
Bentotte mixed school10 years566 days5NoneNone
Government mixed school at Bale­pi­ti­mo­dera.5 years540 days5NoneNone
Matura boys’ school556 days51None
Matura girls’ school556 days5NoneNone
Belligam boys’ school6 years556 days51⁄2None
Boys’ school, Dondra3 years562 days5NoneNone
Oodoovil female boarding school.5 years5Thrice a year711
Batticotta high school6 years53 months71None
Batticotta training and theological school.2 and 3 years53 months961
Galle mixed school4 years565 days5NoneNone
Kallowelle mixed4 years565 days5NoneNone
Belligam mixed school6 years559 days5 1⁄21⁄2None
Hambantotte mixed school559 days5NoneNone
Trincomalie, mixed, boys’ school.7 years546 days5NoneNone
Kandy mixed school5 years556 days51⁄2None
Kandy industrial school528 days516
Pit­iya­ge­dere556 days51None
Made­welle­tenne1 to 4 years556 days5NoneNone
Gampola mixed school556 days7NoneNone
Nawe­le­pi­ti­ye mixed school541 days61None
Kadugannawa556 days5NoneNone
Harispattoo mixed school1 to 3 years556 days5NoneNone
Ambagamuwa mixed school556 days51None
Mede­ma­ha­nu­wera557 days6 1⁄21⁄2None
Odoonuwera mixed school562 days51None
Newera Ellia mixed school6 to 7 years561 days51None
Badulla mixed4 years550 days4NoneNone
Matelle mixed school2 to 2 1⁄2 years543 days51None
Odetenne in Matelle543 days5NoneNone
Madampe mixed school556 days61None
Putlam mixed school3 years557 days51None
Calpentyn mixed school6 years551 days6NoneNone
Mullativoe Government mixed school.9 years552 days6None5 min.
Manaar, mixed7 years560 days6NoneNone
An­u­rad­ha­poora, mixed2 2⁄3 years564 days7NoneNone
Mattacooly3 years561 days5NoneNone
Watelle vernacular boys’ school.3 or 4 years549 days51None
Pamanugama vernacular school.561 days5NoneNone
Mahawatta5 years563 days5NoneNone
Mahare554 days5NoneNone
Kohillewatte vernacular school.4 years545 days5NoneNone
Kottawa vernacular, boys5 years548 days5NoneNone
Slave Island boys’ school2 to 4 years542 days5NoneNone
Milagria540 days5NoneNone
Dehiwella540 days5NoneNone
Attidiya vernacular school8 years545 daysNoneNone
Weligampittia556 days5NoneNone
Dandogame556 days51⁄2None
Seedua556 days5NoneNone
Katane554 days5NoneNone
Andiamblam vernacular school.557 days5NoneNone
Imbulgodde school559 days5NoneNone
Indebetta vernacular boys’ and girls’ school.4 or 5 years545 days5NoneNone
Waragodde vernacular school.549 days5NoneNone
Bandaragama vernacular boys’ school562 days51⁄2The rest.
Waskaduwa vernacular boys’ school.5 years545 days5NoneNone
Katukurunde vernacular boys’ and girls’ school.4 or 5 years545 days5NoneNone
Payagalle, vernacular542 days5NoneNone
Barbaryn vernacular school562 days5NoneNone
Maccoon570 days5NoneNone
Dondra vernacular boys’ school.3 years562 days5NoneNone
Parnegame Government vernacular boys’ school.4 3⁄4 years560 days5NoneNone
Passara, Singhalese school4 years550 days5NoneNone
Badulla, Singhalese4 years550 days4NoneNone
Badulla (Tamil) vernacular5 years550 days6NoneNone
Paloogame school55NoneNone
Combalwella4 years556 days5 1⁄21⁄41⁄4
Matelle (Tamil) school.2 years543 days6NoneNone
Ratotte school543 days5NoneNone
Kotmalie, vernacular4 1⁄3 years556 days5NoneNone
Dum­ma­la­den­iya of Chilau542 days5NoneNone
Calpentyn (Tamil) school4 years551 days6NoneNone
Female seminaryup to 16563 days5NoneNone
Kandy superior girls’ school.5 years563 days5NoneNone
Grand Pass mixed girls’ school.4 years556 days51None
Borella3 to 5 years536 days5NoneNone
Colpetty girls’ school.2 to 3 years542 days5NoneNone
Caltura girls’ mixed school5 to 8 years556 days51None
Matura Government girls’ school.556 days51None
Kottawa, vernacular, girls548 days5NoneNone
Pantura, mixed, girls560 days5NoneNone
Pantura, vernacular, girls5101 days3 to 91None
Government (Tamil) girls’ school.5 years546 days5NoneNone
† In many instances this question has been misinterpreted as meaning the number of hours of instruction, and has been so filled up.
Sub-table H2, CEYLON. Part 2.
Name of School.Physical Education (Including Gymnastics, Bathing, Exercise).Remarks on State of School, &c.
CEYLON.
Colombo academyBathing, quoits, &c.Situation the best that could be selected, and ventilation good. Principal buildings in bad repair. School cannot be held in wet weather. More and better accommodation required.
Galle central schoolNoWell ventilated, and situated in the healthiest part of the town.
Kandy central schoolNoThe building is constructed at the bottom of a hill, and damp during wet weather. Ventilation good. Diet: rice, vegetables, and fish.
Colombo Pettah English school.NoLocality of the school-house is very bad, situated in a very noisy, hot, and dusty road.
Grand Pass English schoolNoWell ventilated. Situated on the rising ground, enjoys the benefit of the sea breeze. Diet: rice, fish, curry, and beef occasionally.
Negombo Government boys’ school.NoSituated on the plain, bordering the sea shore, admitting sea breeze freely.
Caltura English schoolNoSituated on the left bank of the Kaln Ganga. Ventilation very satisfactory.
Pantura boys’ English school.NoVentilation sufficient. Situated on the bank of the lake, not far from the sea; district remarkably salubrious.
Matura Government elementary school.NoSchool-room spacious and airy. Situated near the sea; position healthy.
Kornegalle EnglishNo——
Malrandahn Government mixed school.NoSchool-room is now more commodious and airy; will prove more beneficial to the health of the children.
Copetty mixed schoolNoSchool-room is spacious and airy, situated near the sea.
KandaneNoSchool-room of stone, and well ventilated. Station generally healthy, except in November and three following months. “Tobacco much practised,” with pernicious results.
Mabola mixed schoolNoBuilding consists of two halls, well ventilated. Diet: rice, fish, beef occasionally. General health of the children good.
Kaigalle mixed schoolNoSchool an open shed, and considered healthy.
Ratnapoora mixed schoolNoSituated in a noisy and filthy position. Mud floors, dilapidated walls, and want of free ventilation.
Bentotte mixed schoolNo——
Government mixed school at Bale­pi­ti­mo­dera.NoHouse airy, but not kept clean. No provision made for a sweeper. Boys have materially suffered in health.
Matura boys’ schoolNoSchool-room is spacious and airy, situated near the sea.
Matura girls’ schoolNoSchool is situated in a healthy locality, not far from the sea, and well ventilated.
Belligam boys’ schoolNoSituated in a salubrious part of the town.
Boys’ school, DondraNoSituated near the sea, in a salubrious locality.
Oodoovil female boarding school.BathingSchool-room and dormitories well ventilated. Health of pupils generally good.
Batticotta high schoolNoHouse well ventilated. Diet simple. Climate generally healthy.
Batticotta training and theological school.NoRooms well ventilated.
Galle mixed schoolNoBuilding sufficiently ventilated, but rather damp. Situated in the healthiest part of the town.
Kallowelle mixedNoBuilding is commodious and well ventilated. Situated in a healthy locality.
Belligam mixed schoolNoSituated in a salubrious part of the town.
Hambantotte mixed schoolNoSituated in a healthy locality; enjoys the benefit of sea breeze.
Trincomalie, mixed, boys’ school.NoSchool is built in a healthy place.
Kandy mixed schoolNoSituated in a healthy locality. Room is large and well ventilated. Diet: rice and vegetables.
Kandy industrial schoolBathing and drill.Diet: rice, milk, curries, and vegetables.
PitiyagedereNo——
Made­welle­tenneNoSituated in a healthy locality.
Gampola mixed schoolNoSituated in the heart of the town. School consists of one large hall. Ventilation free.
Nawelepitiye mixed schoolNoSchool built on an elevation. Well ventilated.
KadugannawaNoThe school walls are constructed of mud; roof thatched with cadjans.
Harispattoo mixed schoolNoSchool is built in a healthy locality.
Ambagamuwa mixed schoolNoSchool is built on an elevated place, and freely ventilated.
Mede­ma­ha­nu­weraNo——
Odoonuwera mixed schoolNoSituated on a rock in the centre of a range of paddy fields. Building open, surrounded by a parapet wall.
Newera Ellia mixed schoolNo——
Badulla mixedNoSituated in the town. Surrounded by buildings, which prevent ventilation. Injurious to the children.
Matelle mixed schoolNo——
Odetenne in MatelleNoSchool is an open shed; airy, and not crowded.
Madampe mixed schoolNoSituated near the high road, opposite a large field and the lake.
Putlam mixed schoolNoDistrict is proverbial for its febriferous climate. Pupils are of impaired health from periodic fevers. They also suffer from catarrh, ophthalmia, diarrhœa, and dysentery: cholera occasionally, and the school is shut up.
Calpentyn mixed schoolNoPupils have been suffering from repeated attacks of fever. Fever is peculiar to this country.
Mullativoe Government mixed school.No——
Manaar, mixedNoSituated in the heart of the town. Construction good. Ventilation free.
An­u­rad­ha­poora, mixedNoSchool-room has plenty of ventilation, and its construction and position are tolerably good.
MattacoolyNoHouse is a tile-roofed building, well ventilated.
Watelle vernacular boys’ school.NoConstruction, mud walls and cadjan roof. Position airy and slightly elevated. Ventilation ample.
Pamanugama vernacular school.NoSchool-room is well erected.
MahawattaNoHealthy place.
MahareNo——
Kohillewatte vernacular school.NoSchool is a large tile-roofed bungalow, situated on the bank of the Kalany Ganga; is well ventilated. Diet: rice, fish, and curry.
Kottawa vernacular, boysNoConstruction, mud walls and cadjan roof. Position high. Ventilation free. Diet: rice, yams, vegetables, fish, and grains.
Slave Island boys’ schoolNoSchool-room is spacious but not airy.
MilagriaNoSchool is a fine open building, situated in a very nice healthy and airy locality.
DehiwellaNo——
Attidiya vernacular schoolNoSchool is a large roofed building, having a parapet wall round it.
WeligampittiaNoSchool-room is well ventilated. Cold fever, sore eyes, and dysentery prevail to a great extent.
DandogameNo——
SeeduaNo——
KataneNo——
Andiamblam vernacular school.No——
Imbulgodde schoolNo——
Indebetta vernacular boys’ and girls’ schoolNoBungalow construction, situated near a lake, which affords a gentle breeze.
Waragodde vernacular school.NoConstruction, mud walls and cadjan roof. Position airy and slightly elevated.
Bandaragama vernacular boys’ schoolNoSchool-house is a poor building, situated in an interior village. Children enjoy good health.
Waskaduwa vernacular boys’ school.NoBuilding is a cadjan thatched open bungalow, giving full light and ventilation. Locality healthy.
Katukurunde vernacular boys’ and girls’ school.NoBungalow construction, situated near the sea; enjoys a gentle breeze during the day.
Payagalle, vernacularNo——
Barbaryn vernacular schoolNoSchool is unhealthy, being too close to the sea.
MaccoonNo——
Dondra vernacular boys’ school.No——
Parnegame Government vernacular boys’ school.NoWant of a school-room much felt.
Passara, Singhalese schoolNo——
Badulla, SinghaleseNo——
Badulla (Tamil) vernacularNo——
Paloogame schoolNoNo school. School “is not yet built up.”
CombalwellaNoSchool is situated in a healthy part of the village.
Matelle (Tamil) schoolNo——
Ratotte schoolNoSchool is an open shed, airy and not crowded.
Kotmalie, vernacularNo——
Dum­ma­la­den­iya of ChilauNo——
Calpentyn (Tamil) schoolNo——
Female seminaryNo——
Kandy superior girls’No——
Grand Pass mixed girls’ school.NoSchool is a cadjan-roofed bungalow, situated in a garden; well ventilated. Diet: rice, curry, fish, and vegetables.
BorellaNoSchool is a fine building, situated in a healthy place.
Colpetty girls’ schoolNoSchool-room is spacious and airy.
Caltura girls’ mixed schoolNoConstruction: built of cabook. Position: situated on the left bank of the Kaln Ganga. Ventilation satisfactory.
Matura Government girls’ school.No——
Kottawa, vernacular, girlsNoConstructed of mud. Situation high. Ventilation free. Diet: rice, yams, vegetables, fish, &c.
Pantura, mixed, girlsNoSchool is an open building.
Pantura, vernacular, girlsNo——
Government (Tamil) girls’ school.NoSchool is situated in a most salubrious place. Ventilation free, and the children’s health good.
Sub-table H3, CANADA. Part 1.
Name of School.Length of School Ed­u­ca­tion.[†]No. of School days per Week.Annual No. of Holidays.School Hours.
Instruction.Play.Out-door Work.
CANADA.
Saugeeng6 to 8 years5None6NoneNone
Snake Island8 to 10 years5 1⁄2None6NoneNone
Rice Lake5 or 6 years57 daysNoneNone
Chemong or Mud Lake5 or 6 years535 days5 1⁄2None2
Alnwick industrial school56NoneNone
New England, co. Mohawk528 days61None
Mohawk528 days61None
Mohawk Institution5 or 6 years5 1⁄240 days624
Manitowaning4 to 5 years5 1⁄27 days4NoneNone
Wikwemikong5 to 7 years5 1⁄27 days710 min­utes.None
St. Clair common day school.514 days6NoneNone
Walpole Island common school.6 to 15 years528 days6NoneNone
Mount Elgin5 to 6 years5 1⁄27 days4 1⁄233
[†] In many instances this question has been misinterpreted as meaning the number of hours of instruction, and has been so filled up.
Sub-table H3, CANADA. Part 2.
Name of School.Physical Education (Including Gymnastics, Bathing, Exercise).Remarks on State of School, &c.
CANADA.
SaugeengNoWooden frame building. Position, airy and healthy.
Snake IslandNoA frame building in a good airy position, well ventilated, on the borders of a lake.
Rice LakeNoA frame building in an airy situation, well ventilated.
Chemong or Mud LakeNoSchool house commodious and well ventilated.
Alnwick industrial schoolNoBrick building properly ventilated. Position elevated Diet: soups, vegetables, meats, and bread.
New England, co. MohawkNoChildren healthy.
MohawkNo——
Mohawk InstitutionYesBrick building, well ventilated, situated in a healthy position. Diet: bread, meat, vegetables, corn meal, milk, butter, and soup.
ManitowaningNo——
WikwemikongYes——
St. Clair common day school.No——
Walpole Island common school.NoSituated on the River Pont. Island damp.
Mount ElginNoChildren remarkably healthy. Institution stands in an elevated position on the banks of the River Thames. Sleeping apartments well ventilated. Diet: plain and wholesome.

I. CAPE COAST. COLONIAL HOSPITAL.

Of the Admissions into Hospitals, the proportion per cent. who died and who recovered during One Year, 1857–1858.

——All Ages.
Died in Hospital.
M. and F.
Recovered.
M. and F.
All diseases4·387·0
Variola
Dysenteria100·0
Diarrhœa
Cholera biliosa or Cholera spas­mo­di­ca
Periodic fevers100·0
Continued fevers
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus100·0
Scrofula or Phthisis or Hæ­mop­ty­sis
Brain and nervous system50·050·0
Chest diseases
Liver diseases50·0

NOTE.—In some instances the number of admissions were exceeded by the deaths + the recoveries; in calculating the per-centages the aggregate of the deaths and recoveries (D. + R.) were in these instances regarded as the number of admissions.

In instances where the proportion of deaths or recoveries approach 100 per cent, the observations have been very few.

K. CAPE COAST. COLONIAL HOSPITAL.

——Proportion of Deaths from each Cause to 100 Admissions from each Cause.
M. and F.
Proportion of Admissions from each Cause to 100 Admissions from all Causes.
M. and F.
Proportion of Deaths from each Cause to 100 Deaths from all Causes.
M. and F.
All causes4·3100·0100·0
Variola
Dysenteria4·7
Diarrhœa
Cholera biliosa or
Cholera spas­mo­di­ca
Periodic fevers2·4
Continued fevers
Rheu­ma­tis­mus acutus or
Rheu­ma­tis­mus chronicus
2·4
Scrofula or
Phthisis or
Hæ­mop­ty­sis
Brain and nervous system50·04·850·0
Chest diseases
Liver diseases50·02·450·0
Other diseases83·3

NOTE.—The deaths + recoveries have been taken as the admissions in making these calculations.

L. FREETOWN, SIERRA LEONE. COLONIAL MEDICAL DEPARTMENT.

Of the Admissions into Hospitals, the Proportion per cent. who died and who recovered during Five Years, 1855 to 1860.

Table L, Part 1
——All Ages.Under 5 Years.5 and under 15 Years.
Died in Hospital.Recovered.Died in Hospital.Recovered.Died in Hospital.Recovered.
M.F.M.F.M.F.M.F.M.F.M.F.
All diseases20·318·679·274·9100·0100·010·325·081·275·0
Variola26·27·072·893·0100·0100·013·51·786·598·3
Dysenteria16·783·383·313·9100·090·99·1
Diarrhœa25·075·0100·016·783·350·0
Cholera biliosa or Cholera spas­mo­di­ca
Periodic fevers14·884·625·075·0
Continued fevers16·783·3100·0
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus5·628·692·671·4100·0
Scrofula or Phthisis or Hæ­mop­ty­sis19·710·080·375·0100·066·6
Brain and nervous system40·042·248·348·9100·0
Chest diseases18·060·0100·016·758·3100·0
Liver diseases100·0
Table L, Part 2
——15 and under 40 Years.40 and upwards.
Died in Hospital.Recovered.Died in Hospital.Recovered.
M.F.M.F.M.F.M.F.
All diseases21·313·278·769·520·68·747·113·0
Variola28·614·870·674·133·366·7100·0
Dysenteria12·088·066·0100·0
Diarrhœa30·070·050·0
Cholera biliosa or Cholera spas­mo­di­ca
Periodic fevers11·785·426·773·3
Continued fevers16·783·3100·0
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus4·028·696·071·433·333·3
Scrofula or Phthisis or Hæ­mop­ty­sis20·711·879·376·5
Brain and nervous system40·241·948·051·2100·0100·0
Chest diseases19·261·5100·0
Liver diseases100·0

NOTE.—In some instances the number of admissions were exceeded by the deaths + the recoveries; in calculating the per-centages the aggregate of the deaths and recoveries (D. + R.) were in these instances regarded as the number of admissions.

In instances where the proportion of deaths or recoveries approach 100 per cent. the observations have been very few.

M. FREETOWN, SIERRA LEONE. COLONIAL MEDICAL DEPARTMENT.

——Proportion of Deaths from each Cause to 100 Admissions from each Cause.Proportion of Admissions from each Cause to 100 Admissions from all Causes.Proportion of Deaths from each Cause to 100 Deaths from all Causes.
M.F.M.F.M.F.
All causes20·318·6100·0100·0100·0100·0
Variola26·27·015·619·420·46·8
Dysenteria16·783·32·98·02·434·0
Diarrhœa25·0·9·51·0
Cholera biliosa or Cholera spas­mo­di­ca
Periodic fevers14·826·219·0
Continued fevers16·7·4·2·3
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus5·628·62·91·6·82·3
Scrofula or Phthisis or Hæ­mop­ty­sis19·710·03·33·83·22·3
Brain and nervous system40·042·25·79·212·721·6
Chest diseases18·02·11·12·4
Liver diseases·1
Other diseases19·311·639·956·237·833·0

NOTE.—The deaths + recoveries have been taken as the admissions in making these calculations.

N. KAFFRARIA. KING WILLIAM’S TOWN HOSPITALS.

Of the Admissions into Hospitals, the Proportion per Cent. who died and who recovered during Four Months, 1858.

——All Ages.
Died in Hospital.
Male. and Female.
Recovered.
Male. and Female.
All diseases21·878·2
Variola
Dysenteria10·090·0
Diarrhœa100·0
Cholera biliosa or Cholera spas­mo­di­ca
Periodic fevers
Continued fevers
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus
Scrofula or Phthisis or Hæ­mop­ty­sis70·629·4
Brain and nervous system
Chest diseases50·050·0
Liver diseases

NOTE.—In some instances the number of admissions were exceeded by the deaths + the recoveries; in calculating the per-centages, the aggregate of the deaths and recoveries (D. + R.) were in these instances regarded as the number of admissions.

In instances where the proportion of deaths or recoveries approach 100 per cent., the observations have been very few.

O. KAFFRARIA. KING WILLIAM’S TOWN HOSPITALS.

——Proportion of Deaths from each Cause to 100 Admissions from each Cause.
M. and F.
Proportion of Admissions from each Cause to 100 Admissions from all Causes.
M. and F.
Proportion of Deaths from each Cause to 100 Deaths from all Causes.
M. and F.
All causes21·8100·0100·0
Variola
Dysenteria10·012·8
Diarrhœa3·9
Cholera biliosa or Cholera spas­mo­di­ca
Periodic fevers
Continued fevers
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus
Scrofula or Phthisis or Hæ­mop­ty­sis70·621·870·6
Brain and nervous system
Chest diseases50·05·111·7
Liver diseases
Other diseases4·556·411·7

NOTE.—The deaths-recoveries have been taken as the admissions in making these calculations.

P. NATAL. D’URBAN HOSPITAL AND GREY’S HOSPITAL.

Of the Admissions into Hospitals, the Proportion per Cent. who died and who recovered during Five Years, 1855–1860.

Table P., Part 1
——All Ages.Under 5 Years.5 and under 15 Years.
Died in Hospital.Recovered.Died in Hospital.Recovered.Died in Hospital.Recovered.
M.F.M.F.M.F.M.F.M.F.M.F.
All diseases12·86·679·773·3100·025·575·0
Variola
Dysenteria9·1100·090·9
Diarrhœa
Cholera biliosa or Cholera spas­mo­di­ca
Periodic fevers
Continued fevers33·366·7
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus100·0
Scrofula or Phthisis or Hæ­mop­ty­sis100·0
Brain and nervous system70·025·0
Chest diseases100·0
Liver diseases
Table P, Part 2
——15 and under 40 Years.40 and upwards.
Died in Hospital.Recovered.Died in Hospital.Recovered.
M.F.M.F.M.F.M.F.
All diseases11·081·178·6100·0100·0
Variola
Dysenteria9·190·9100·0
Diarrhœa
Cholera biliosa or Cholera spas­mo­di­ca
Periodic fevers
Continued fevers33·366·7
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus100·0
Scrofula or Phthisis or Hæ­mop­ty­sis100·0
Brain and nervous system70·025·0
Chest diseases100·0
Liver diseases

NOTE.—In some instances the number of admissions were exceeded by the deaths + the recoveries; in calculating the per-centages, the aggregate of the deaths and recoveries (D. + R.) were in these instances regarded as the number of admissions.

In instances where the proportion of deaths or recoveries approach 100 per cent., the observations have been very few.

Q. NATAL. D’URBAN HOSPITAL AND GREY’S HOSPITAL.

——Proportion of Deaths from each Cause to 100 Admissions from each Cause.Proportion of Admissions from each Cause to 100 Admissions from all Causes.Proportion of Deaths from each Cause to 100 Deaths from all Causes.
M.F.M.F.M.F.
All causes12·86·6100·0100·0100·0100·0
Variola
Dysenteria9·1100·09·08·36·0100·0
Diarrhœa
Cholera biliosa or Cholera spas­mo­di­ca
Periodic fevers
Continued fevers17·041·1
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus3·2
Scrofula or Phthisis or Hæ­mop­ty­sis100·0·8
Brain and nervous system5·78·3
Chest diseases3·3
Liver diseases
Other diseases12·061·083·452·9

NOTE—The deaths + recoveries have been taken as the admissions in making these calculations.

In instances where the proportion of deaths or recoveries approach 100 per cent. the observations have been very few.

R. SOUTH AUSTRALIA. POONINDIE NATIVE TRAINING INSTITUTION.

Of the Admissions into Hospital, the Proportion per Cent. who died and who recovered, during the 4 3⁄4 Years, 1856–60.

Table R., Part 1
——All Ages.Under 5 Years.5 and under 15 Years.
Died in Hospital.Recovered.Died in Hospital.Recovered.Died in Hospital.Recovered.
M.F.M.F.M.F.M.F.M.F.M.F.
All diseases15·930·984·169·150·044·450·055·637·5100·062·5
Variola
Dysenteria
Diarrhœa
Cholera biliosa or Cholera spas­mo­di­ca
Periodic fevers
Continued fevers
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus100·0
Scrofula or Phthisis or Hæ­mop­ty­sis70·081·230·018·8100·0
Brain and nervous system100·0
Chest diseases100·0
Liver diseases100·0100·0
Table R., Part 2
——15 and under 40 Years.40 and upwards.
Died in Hospital.Recovered.Died in Hospital.Recovered.
M.F.M.F.M.F.M.F.
All diseases17·527·582·572·5
Variola
Dysenteria
Diarrhœa
Cholera biliosa or Cholera spas­mo­di­ca
Periodic fevers
Continued fevers
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus100·0
Scrofula or Phthisis or Hæ­mop­ty­sis70·077·030·023·0
Brain and nervous system100·0
Chest diseases100·0
Liver diseases100·0100·0

NOTE.—In some instances the number of admissions were exceeded by the deaths + the recoveries; in calculating the per-centages, the aggregate of the deaths and recoveries (D. + R.) were in these instances regarded as the number of admissions.

In instances where the proportion of deaths or recoveries approach 100 per cent, the observations have been very few.

S. SOUTH AUSTRALIA. POONINDIE NATIVE TRAINING INSTITUTION.

——Proportion of Deaths from each Cause to 100 Admissions from each Cause.Proportion of Admissions from each Cause to 100 Admissions from all Causes.Proportion of Deaths from each Cause to 100 Deaths from all Causes.
M.F.M.F.M.F.
All ages15·930·9100·0100·0100·0100·0
Variola
Dysenteria
Diarrhœa
Cholera biliosa or Cholera spas­mo­di­ca
Periodic fevers
Continued fevers
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus4·1
Scrofula or Phthisis or Hæ­mop­ty­sis70·081·215·923·569·661·9
Brain and nervous system100·02·113·0
Chest diseases3·4
Liver diseases2·81·5
Other diseases3·871·775·017·438·1

NOTE.—The deaths + recoveries have been taken as the admissions in making these calculations.

In instances where the proportion of deaths or recoveries approach 100 per cent. the observations have been very few.

T. MAURITIUS. CIVIL HOSPITAL, PORT LOUIS.

Of the Admissions into Hospital, the Proportion per Cent. who died and who recovered, during the Six Years, 1855–60.

Table T., Part 1
——All Ages.Under 5 Years.5 and under 15 Years.
Died in Hospital.Recovered.Died in Hospital.Recovered.Died in Hospital.Recovered.
M.F.M.F.M.F.M.F.M.F.M.F.
All diseases21·338·878·761·242·536·457·563·626·227·773·872·3
Variola100·0100·0
Influenza31·420·068·680·0100·033·366·7100·0
Ophthalmia5·316·794·783·3100·0100·0
Dysenteria40·775·059·325·071·4100·028·644·455·6100·0
Diarrhœa37·761·762·338·353·840·046·260·052·250·047·850·0
Cholera biliosa or Cholera spas­mo­di­ca62·063·638·036·4100·061·633·338·466·7
Periodic fevers25·025·0
Continued fevers14·627·885·472·2100·07·992·1100·0
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus11·933·388·166·7100·0
Syphilitic diseases4·316·795·783·3100·0100·0
Anasarca59·560·640·539·450·050·0100·021·450·078·650·0
Scrofula or Phthisis or Hæ­mop­ty­sis57·172·742·927·340·060·0
Brain and nervous system36·926·763·173·371·428·6
Chest diseases29·250·070·850·0100·0
Fractura24·013·676·086·4100·027·372·7100·0
Liver diseases31·668·4100·0
Table T., Part 2
——15 and under 40 Years.40 and upwards.
Died in Hospital.Recovered.Died in Hospital.Recovered.
M.F.M.F.M.F.M.F.
All diseases18·436·381·663·738·761·961·338·1
Variola100·0100.0
Influenza25·750·074·350·046·453·6100·0
Ophthalmia5·494·6100·05·694·4
Dysenteria36·371·463·728·656·6100·043·4
Diarrhœa34·264·665·835·455·857·144·242·9
Cholera biliosa or Cholera spas­mo­di­ca57·364·742·735·384·0100·016·0
Periodic fevers27·372·7100·0
Continued fevers13·129·086·971·032·150·067·950·0
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus9·829·290·270·824·550·075·550·0
Syphilitic diseases3·717·596·382·512·187·9
Anasarca59·260·940·839·167·1100·032·9
Scrofula or Phthisis or Hæ­mop­ty­sis54·566·745·533·371·0100·029·0
Brain and nervous system31·210·068·890·047·960·052·140·0
Chest diseases24·750·075·350·045·050·055·050·0
Fractura22·533·377·566·730·269·8100·0
Liver diseases27·772·3100·050·050·0

NOTE.—In some instances the number of admissions were exceeded by the deaths + the recoveries; in calculating the per-centages the aggregate of the deaths and recoveries (D. + R.) were in these instances regarded as the number of admissions.

U. MAURITIUS. CIVIL HOSPITAL, PORT LOUIS.

——Proportion of Deaths from each Cause to 100 Admissions from each Cause.Proportion of Admissions from each Cause to 100 Admissions from all Causes.Proportion of Deaths from each Cause to 100 Deaths from all Causes.
M.F.M.F.M.F.
All Causes21·338·8100·0100·0100·0100·0
Variola·1
Dysenteria40·775·05·76·410·912·4
Diarrhœa37·761·710·114·518·023·0
Cholera biliosa or Cholera spas­mo­di­ca62·063·64·33·912·56·5
Periodic fevers25·0·1·1
Continued fevers14·627·812·76·48·84·6
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus11·933·38·31·14·61·4
Scrofula or Phthisis or Hæ­mop­ty­sis57·172·73·32·18·73·7
Brain and nervous system36·926·73·52·76·11·9
Chest diseases29·250·02·71·43·61·8
Liver diseases31·6·5·3·7
Other diseases11·428·448·761·226·044·7

NOTE.—The deaths + recoveries have been taken as the admissions in making these calculations.

V. SINGHALESE HOSPITALS. COLOMBO AND MALABAR.

Of the Admissions into Hospitals, the Proportion per Cent. who died and who recovered, during Four Years, 1855–59.

Table V., Part 1
——All Ages.Under 5 Years.5 and under 15 Years.
Died in Hospital.Recovered.Died in Hospital.Recovered.Died in Hospital.Recovered.
M.F.M.F.M.F.M.F.M.F.M.F.
All diseases20·718·184·080·46·16·693·993·417·310·682·788·3
Variola11·29·988·890·110·06·790·093·34·34·295·795·8
Dysenteria49·054·151·045·925·0100·075·040·838·159·261·9
Diarrhœa30·952·368·547·720·020·080·080·062·526·737·573·3
Cholera biliosa or Cholera spas­mo­di­ca45·670·054·430·0
Periodic fevers1·70·898·399·22·997·2100·0100·0100·0
Continued fevers2·397·7100·033·466·6
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus2·01·998·298·1100·0
Scrofula or Phthisis or Hæ­mop­ty­sis15·229·484·870·6100·0
Brain and nervous system12·612·676·358·6100·033·3
Chest diseases20·724·279·372·7100·0
Liver diseases12·033·388·066·7100·0
Table V., Part 2
——15 and under 40 Years.40 and upwards.
Died in Hospital.Recovered.Died in Hospital.Recovered.
M.F.M.F.M.F.M.F.
All diseases12·917·086·681·825·624·874·472·6
Variola13·07·987·092·114·326·585·773·5
Dysenteria43·351·856·748·262·962·637·137·4
Diarrhœa25·354·274·745·847·557·448·542·6
Cholera biliosa or Cholera spas­mo­di­ca46·057·154·042·940·0100·060·0
Periodic fevers1·41·598·698·53·696·4100·0
Continued fevers1·898·2100·02·497·6100·0
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus2·03·098·097·02·197·9100·0
Scrofula or Phthisis or Hæ­mop­ty­sis14·333·385·766·718·881·2100·0
Brain and nervous system8·38·183·567·620·020·662·944·1
Chest diseases14·726·385·373·735·023·165·069·2
Liver diseases7·450·092·650·018·281·8100·0

NOTE.—In some instances the number of admissions were exceeded by the deaths + the recoveries; in calculating the per-centages, the aggregate of the deaths and recoveries (D. + R.) were in these instances regarded as the number of admissions.

W. COLOMBO AND MALABAR. SINGHALESE HOSPITALS.

——Proportion of Deaths from each Cause to 100 Admissions from each Cause.Proportion of Admissions from each Cause to 100 Admissions from all Causes.Proportion of Deaths from each Cause to 100 Deaths from all Causes.
M.F.M.F.M.F.
All causes20·718·1100·0100·0100·0100·0
Variola11·29·91·18·5·84·6
Dysenteria49·054·114·210·243·630·1
Diarrhœa30·952·38·27·816·122·3
Cholera biliosa or Cholera spas­mo­di­ca45·670·0·4·5·92·0
Periodic fevers1·7·820·316·02·1·7
Continued fevers2·31·3·2·2
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus2·01·94·84·3·6·4
Scrofula or Phthisis or Hæ­mop­ty­sis15·229·4·7·7·71·1
Brain and nervous system12·612·61·63·21·53·1
Chest diseases20·724·21·01·31·31·7
Liver diseases12·033·3·3·1·2·2
Other diseases11·013·246·147·232·033·8

NOTE.—The deaths + recoveries have been taken as the admissions in making these calculations.

X. CANADIAN HOSPITALS. MANITOWANING AND TUSCARORA.

Of the Admissions into Hospitals, the Proportion per Cent. who died and who recovered, during Five Years, 1855–60.

Table X, Part 1
——All Ages.Under 5 Years.5 and under 15 Years.
Died in Hospital.Recovered.Died in Hospital.Recovered.Died in Hospital.Recovered.
M.F.M.F.M.F.M.F.M.F.M.F.
All diseases12·314·087·773·59·512·690·572·67·712·392·382·2
Variola
Dysenteria12·587·5100·0100·0100·0
Diarrhœa10·218·689·881·411·119·288·980·811·137·588·962·5
Cholera biliosa or Cholera spas­mo­di­ca
Periodic fevers6·25·093·887·762·525·037·535·6100·0100·0
Continued fevers
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus14·3100·085·7
Scrofula or Phthisis or Hæ­mop­ty­sis93·679·26·420·8100·0100·0
Brain and nervous system4·51·610·948·4100·05·5100·033·3
Chest diseases33·042·967·057·175·025·0
Liver diseases
Table X, Part 2
——15 and under 40 Years.40 and upwards.
Died in Hospital.Recovered.Died in Hospital.Recovered.
M.F.M.F.M.F.M.F.
All diseases16·213·183·876·312·418·477·658·8
Variola
Dysenteria50·050·0
Diarrhœa100·0100·0
Cholera biliosa or Cholera spas­mo­di­ca
Periodic fevers100·0100·0100·0
Continued fevers
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus100·0100·026·7100·073·3
Scrofula or Phthisis or Hæ­mop­ty­sis92·170·67·929·4100·0
Brain and nervous system13·316·786·783·367·742·3
Chest diseases29·438·170·661·935·142·164·957·9
Liver diseases

NOTE.—In some instances the number of admissions were exceeded by the deaths + the recoveries; in calculating the per-centages the aggregate of the deaths and recoveries (D. + R.) were in these instances regarded as the number of admissions.

In instances where the proportion of deaths or recoveries approach 100 per cent. the observations have been very few.

Y. CANADIAN HOSPITALS. MANITOWANING AND TUSCARORA.

——Proportion of Deaths from each Cause to 100 Admissions from each Cause.Proportion of Admissions from each Cause to 100 Admissions from all Causes.Proportion of Deaths from each Cause to 100 Deaths from all Causes.
M.F.M.F.M.F.
All causes12·314·0100·0100·0100·0100·0
Variola
Dysenteria12·51·0·71·0
Diarrhœa10·218·67·77·56·28·7
Cholera biliosa or Cholera spas­mo­di­ca
Periodic fevers6·25·010·413·05·14·3
Continued fevers
Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus14·34·94·94·3
Scrofula or Phthisis or Hæ­mop­ty­sis93·679·26·18·344·941·3
Brain and nervous system4·51·66·55·22·0
Chest diseases33·042·911·810·930·629·4
Liver diseases
Other diseases2·53·851·649·510·212·0

NOTE.—The deaths + recoveries have been taken as the admissions in making these calculations.

APPENDIX II. ABSTRACTS of PAPERS relating to the CAUSES of MORTALITY among ABORIGINAL RACES, received from the COLONIAL OFFICE.

SIERRA LEONE.

Under the head of “All other Diseases” is included one “lethargus,” a disease which, as far as I am aware, is altogether confined to the native population, “more particularly to the Kossohs and Congos tribes.” It is not restricted to any particular period of life, as old and young are equally liable to it. It is purely a disease of the brain and nervous system, generally fatal, except when seen in the very early stages. As it is generally met with, the patient sleeps continually, even when standing up, and becomes perfectly incapable of any exertion; the sufferer will even fall asleep while being fed. I have seen them last in this state for months, and gradually die of inanition from want of a sufficiency of food to support life. I have tried all kinds of treatment, but cannot recommend any more likely to be beneficial than a prolonged slight salivation, if you can meet the case in the inflammatory stage or that previous to the sleeping state just alluded to.

This and leprosy are the only diseases met with here from which the European is exempt.

ROBT. BRADSHAW, L.K. & Q.C.P.I.
Colonial Surgeon.

Freetown, Sierra Leone.


NATAL.

Special Remarks.—Of seven of the eight cases of syphilis (native), Hottentots were the subjects. Here, as elsewhere, they copy European vices very readily. The Kafirs adhere to their own vices, but are more slow in copying European manners and habits, good or evil.

I have met with one decided case of scrofula among the Zulus, and one only.

The ages of infants are reckoned by moons, but adult Kafirs (as the rule) do not know how old they are; the ages given are therefore only surmised, and cannot be depended on.

The tendency of disease among the Kafirs is to collapse and paralysis. No year goes round without deaths from cold and wet, which they bear less well than European settlers. They are apt to sink under any serious form of disease.

Flesh wounds heal well, causing less constitutional disturbance than among Europeans, but fractured bones do not so soon re-unite. I have found lime water, a pint or more given daily, promote their union. Lime is scarce here, and the shells of eggs are correspondingly thin.

Lung disease is more frequent among natives than white settlers, unless the latter bring the seeds of disease with them; but I doubt whether it is true phthisis. I suspect that the lungs of both natives and settlers are more liable to become hepatized or otherwise disorganized than tuberculated. In examining the lungs of cattle who have died of lung sickness, I have found large portions of lung degenerated into an impervious muscle-like substance resembling beef, while in other portions the disease has shown itself to be of so anemic a character as to have proceeded without much pause to suppuration. I believe that in this climate, subjects of phthisis, who had only small tubercles in their lungs, would find their further development arrested; indeed this has been, in many cases, proved to have occurred.

The lung disease, called lung sickness, in cattle, does not, with regard to the organ attacked, affect human beings, but the tendency of the present race of mankind is to anemic rather than acutely inflammatory diseases. The most destructive modern diseases, influenza, cholera, and diphtheria, are of an anemic character; other diseases are now, more than formerly, inclined to assume this character. It is not that medicine and doctors, but that human constitutions, vary. The rule laid down by Pinel that bleeding confirms mania is good now; but 50 or 70 years ago, as, perhaps, 50 or 70 years hence, more exceptional cases did and may again occur than are at present met with. {55}

Vide Tables P. and Q., pp. [44] and 45.

The mortality from fever will be seen to have been great; but of the seven deaths recorded, six came into the hospital in a dying state. One, admitted November 25th, died five hours after admission; another, admitted at noon, December 11th, died at half-past four a.m. next morning; another, admitted on the 5th, died on the 6th; another, admitted on September 19th, died on the 20th; other two rallied by the administration of wine, sago, &c., but died from two to five days after admission, again sinking. They received shelter and attention, and had what chance there was of recovery; and some others, beyond all reasonable expectation, recovered. The number of Kafir and druggist-doctored patients thrown upon my hands in a moribund state is great. Of the cases of fever that I attended throughout, most did well. The hospital has been occupied somewhat more than three years and a half, but I have held office as district surgeon in the service of Government eight years and a half, and I speak of my experience during the whole term of such service.

In giving names to complaints, I have not set down diarrhœa or even tænia, of which many instances have occurred, but these instances have been incidental or symptomatic. Tænia has been discovered and treated in cases of patients who had wounds, &c., and this frequently. There is no complaint so generally prevalent among both natives and settlers. The tapeworm of South Africa is about two-fifths in width[†] narrower than that of Europe. The most effective treatment has been 1 1⁄2 oz. sp. terebinth, early in the morning, and one drop of croton oil, or a dose of other aperient medicine, four or five hours after, nisi prius soluta sit alvus. A less dose than 1 1⁄2 oz. more disturbs the system than this quantity, and fails to act. I procured some ethereal extract of male fern in one case, of which I gave one scruple early in the morning, and a black draught some hours after. It caused no nausea or other apparent constitutional disturbance, and a piece of tapeworm was expelled, still alive, which measured 22 feet long. Turpentine generally expels them dead.

[†] The English assumed as 1 in width, the South African 0·6.

The fracture that ended fatally was a compound fracture of the left thigh, and compound comminuted fracture of the tibia and fibula of the right leg, from a waggon accident. He sunk at the end of two days, never rallying from the shock to his system, and refusing to submit to the not very hopeful operation of amputation of the more seriously injured limb. I have had two cases of injury among the aborigines in which amputation was necessary, one a little above the ancle, the other four inches above the knee. In the latter case the leg had been torn off by the machinery of a flour mill, the knee stripped of its integuments, and the muscles above the knee stretched and contused, so that I felt myself obliged to operate high up, lest a second amputation should become requisite. The case occurred a few months ago. Both cases did well. I have represented my wish in both cases that an artificial leg and foot should be sent for to England, as it would be a convenience to the parties, and also have a good sanitary and social effect upon the natives. The cost of the cork or other artificial two legs, black imitation toes inclusive, would not, I should think, exceed 30l. Their aversion to operations necessary to save life would thus be in some measure overcome or lessened.

The natives who have become Christians evince some of the uncomfortableness and maladroitness that are incidental to a state of transition, but, perhaps, less than might have been expected. The premises I go upon are, perhaps, scanty and insufficient, but I am inclined to think that among Christian Kafirs more children die in infancy than among the unchristianized natives. This is not to be depended upon, nor can I, generally speaking, say much that is definite upon the subject of physical or other differences between Christian and other natives.

The natives hitherto, as the rule, have not shown the appetence for alcohol which the North American Indians so early, and so fatally for themselves, acquired. There are cases of elephantiasis among them; they are subject to skin diseases. These and other trifling diseases or cases of injury seldom appear at the hospital, or only as accompaniments of injury or other disease.

Prior to the completion and occupation of Grey’s hospital, a row of cottages was rented as a hospital; prior to this the gaol and hospital were under one roof.

SAMUEL GOWER, M.R.C.S. Engl., &c. {56}


Change of Diet and irregular Habits.—There is one very striking difference between the semi-civilized native and the one fresh from his original habits and mode of life. The one is more subject to inflammatory diseases than the other, from which the former does not so readily recover as the latter. Wounds and injuries of a very serious character readily admit of reparation; for instance, a native falls on a stake, which penetrated (by the side of the “sphincter ani”) the bladder; he walked 10 miles, and arrived at hospital with a pendulous coagulum at the mouth of the urethra. The catheter was used; urine and blood escaped, and continued to flow for a day or two; in a week he returned home quite well.

Civilization increases the proneness to Disease and the facility to succumb to its Power.—Skin diseases are more prevalent among the natives than the settlers. Phthisis carries off a great number; exposure to extremes is the cause. The subject requires to be treated at full length.

ED. W. HOLLAND, M.R.C.S.


MELBOURNE. VICTORIA.

Mr. Thomas, who has for 20 years been the guardian of the tribes contiguous to Melbourne, furnishes a statement, showing during that period 210 deaths as compared with 28 births, and, as he adds in a note, that of the children born most died before the first month was over, it cannot be expected that these tribes, now reduced to only 35 individuals in all, will be long in existence.

Making every allowance, indeed, for the effects of European vices, and especially of intemperance, by which quarrels are fomented, and exposure to cold and damp and disease produced, there is, it must be confessed, something mysterious in that deterioration of the savage which succeeds the introduction of civilization,—and which can hardly be more forcibly described than in the language of the old man quoted by Mr. Goodwin,—“before white fellow came, black fellow could run like emu, but now supposing big one run, then big one tired, and plenty heart jump about.”

Physical prostration, in fact, seems to follow the attempt to imitate the customs of civilized society; and, as I had abundant opportunity of observing in British Guiana among the Indians, the wearing of clothes and adoption of a more settled mode of life detracts from skill in hunting or fishing without imparting sufficient knowledge of or taste for agricultural pursuits to afford a livelihood in exchange.

HENRY BARKLY.


Names.Diseases.
Mr. OrrIntemperance and venereal.
"  LaneScorbutic.
"  TempletonIntemperance and venereal.
"  SherardIntemperance and exposure.
"  ShuterConsumption and decline.
"  WilsonIntemperance and exposure.
"  FeskinBronchitis, pericarditis, psoriasis, and intemperance.
"  McLeodIntemperance and exposure.
"  OrmondConsumption, venereal, and intemperance.
"  CookSyphilis.
"  AitkinLiver complaints; intemperance; rheumatism.
"  SkeneSyphilis, consumption, and rheumatism.
"  BeveridgePulmonary consumption and venereal.
"  AllenInfluenza.
"  CraigInfluenza, consumption, and intemperance.
"  GillesIntemperance.
"  StruttIntemperance and violence.
"  J. M. AllanInfluenza; inflammation of lungs; venereal.
"  GodfreyDrunkenness; consumption; venereal.
"  GottreuxBronchitis; affection of the chest.
"  CurriePulmonary complaints; intemperance.
"  LydiardSyphilis; intemperance; rheumatism.
"  StewartConsumption; intemperance.
"  MitchellPulmonary consumption; venereal.
"  CoakeConsumption and old age.
"  HuouInfluenza; intemperance.
"  Wills (Omeo)Intemperance; gun-shot wounds; venereal.
"  Feath­er­ston­haugh.Pulmonary; venereal.
"  LewesAtrophy; influenza.

RETURN of ABORIGINAL NATIVES admitted into the Melbourne Hospital from 1st January to 8th November to date.

DATE.NAME.TRIBE.DISEASE.REMARKS.
April 17Tommy BuckleyGipps’ Ld.Burnt backDischarged, July 20
July 4MariaYarraPneumoniaDischarged, July 24
September 14James ShawHopkins’ R.Pleurisy; Phthisis.Died, October 21
September 18SandySydneyPneumonia and Phthisis.Died, September 25
October 30Tommy BuckleyGipps’ Ld.Pneumonia and Phthisis.Died, November 2
October 30Tommy NanneringYarraPneumonia and Phthisis.Died, November 2

4 deaths, and 2 discharged.

RETURN showing the Number of Aboriginal Natives who have died in the Yarra and Western Port Districts from the 1st April 1839 to the 31st December 1859, distinguishing Sexes, Tribes, &c.

——Yarra Tribe.Western Port Tribe.Other Tribes journeying.TOTAL.Grand Total.REMARKS.
M.F.M.F.M.F.M.F.
1 April 1839 to 1 Mar. 1840414321105151 murdered.
1 Mar. 1840 to 1 Mar. 184111146172 murdered; 1 shot himself; 2 shot by authorities; 1 died in jail.
1 Mar. 1841 to 1 Mar. 1842631252127192 murdered; 2 died of grief; 1, after leg amputated; 2 executed.
1 Mar. 1842 to 1 Mar. 18434211273101 executed.
1 Mar. 1843 to 1 Mar. 1844253322710171 died by violence.
1 Mar. 1844 to 1 Mar. 184511143358131 murdered; 1 died of wounds.
1 Mar. 1845 to 1 June 1846531318513
1 June 1846 to 1 June 1847142584122 executed.
1 June 1847 to 1 June 1848473219817
1 June 1848 to 1 June 184922313285131 murdered.
1 June 1849 to 31 Dec. 184947245101222
1 Jan. 1850 to 31 Dec. 185011112242 murdered by Gipps’ Land blacks.
1 Jan. 1851 to 31 Dec. 1851111121 speared in drunken fray.
1 Jan. 1852 to 31 Dec. 185223151102125 murdered; 1, through intemperance.
1 Jan. 1853 to 31 Dec. 185311112
1 Jan. 1854 to 31 Dec. 18541123141 murdered in drunken row; 1, intemperance.
1 Jan. 1855 to 31 Dec. 18553125161 poisoned while drunk; 1, intemperance.
1 Jan. 1856 to 31 Dec. 185621326282, through intemperance; 1, supposed poisoned.
1 Jan. 1857 to 31 Dec. 185712114151 Murray R. black, through intemperance.
1 Jan. 1858 to 31 Dec. 1858111213
1 Jan. 1859 to 31 Dec. 185911135162 suddenly intoxicated; 1, Collingwood stockade.
12981210

RETURN showing the Number of Aboriginal Natives born in the Yarra and Western Port Districts from the 1st April 1839 to the 31st December 1859.

——Yarra Tribe.Western Port Tribe.Other Tribes journeying.TOTAL.Grand Total.REMARKS.
M.F.M.F.M.F.M.F.
1 Apr. 1839 to 1 Mar. 184011133

It will be apparent from this Return, taken carefully from my journal, that there has been no comparison of births in proportion to deaths.

Of these children born, it is lamentable that most died before the first month, or removing from the encampment for a week or two and return childless.

I have in one line included the last nine years, as there have been no births from any other tribe in the Yarra and Western Port Districts.

1 Mar. 1840 to 1 Mar. 1841111
1 Mar. 1841 to 1 Mar. 1842111
1 Mar. 1842 to 1 Mar. 184311112
1 Mar. 1843 to 1 Mar. 1844
1 Mar. 1844 to 1 Mar. 1845111
1 Mar. 1845 to 1 June 184622224
1 June 1846 to 1 June 1847111
1 June 1847 to 1 June 1848
1 June 1848 to 1 June 1849111123
1 June 1849 to 31 Dec. 184913134
1 June 1850 to 31 Dec. 1859, the last 10 years2312358
111728

WM. THOMAS,
Guardian of Aborigines.


SOUTH AUSTRALIA

Having travelled much in Australia, America, and the West Indies, and having also resided on the Coast of Africa, where I penetrated a considerable distance into the interior, traversing the countries between the Gambia and the Senegal, and ascending the former river 600 miles, I was consequently frequently brought into contact with numerous aboriginal tribes of very different characters and descent, and under varying physical and external circumstances.

I have, however, never seen natives whose general habits and physical conformation impressed me so completely with the idea of a perishable and doomed race as the aborigines of the southern portion of this continent.

I may add that as I almost always find it necessary to release native prisoners before the expiration of their sentences, because death is apt to ensue from any prolonged confinement, I cannot but think that even the partial confinement in schools injuriously affects the native constitution, so nearly do they approximate to the lower animal creation.

RICHARD GRAVES MACDONNELL,
Governor.

Adelaide,
Nov. 23, 1860.


The aboriginies of this colony (South Australia) have not a very wide range of disease from which they suffer.

I have never seen a case of small-pox, scarlet fever, measles, or hooping cough, and I was officially connected with them for 18 years.

Fever occurs, but not frequently, as they have no confined badly ventilated dwellings.

Diarrhœa and dysentery make their appearance in the hot weather, and from five to ten per cent. of the cases prove fatal; these attacks occur most frequently during dentition, as with the Europeans.

The brain and nervous system are seldom attacked primarily. In their native state they indulge in no stimulants, and are not guilty of overtaxing their mental powers.

Consumption is common amongst them; and in every death that I have seen in the school children, there have been tubercular deposits in the lungs. The same occurs in the adults who have been six months and upwards confined in gaol; in fact, they cannot survive confinement in a prison beyond two years. Confine them two years and they will waste and die in a few months after liberation.

The most fatal disease that has come under my notice is the venereal, contracted by contact with the Europeans. Males and females suffer alike from it, and die generally of secondary effects.

As a race the aborigines are dying off and disappearing before a more highly civilized people, and must eventually disappear altogether. The venereal disease on the one hand, and the fact that the women are apt to become prostitutes, and in consequence cease to bear children, on the other, are reducing them at a very rapid rate.

M. MOORHOUSE,
Late Protector of Aborigines.


It is universally admitted that they are fast decreasing in number, and the cause of this decrease is attributed by most witnesses to their partial assumption of semi-civilized habits; where formerly they clothed themselves with the skins of animals taken in the chase, contact with Europeans has so changed their habits that they now, in a great measure, depend upon the scanty dole of blankets issued by the Government, which supplies, it appears from evidence, have been most irregular. Great suffering has been occasioned, especially among the aged and infirm natives, by the insufficient and ill-timed supplies, both of blankets and provisions. Disease appears to be induced by this partial and irregular clothing; pulmonary complaints prevailed to a fearful extent during last winter, aggravated by, if not entirely attributable to, this cause.

This decrease in their numbers is attributable to many causes:—

GEO. HALL,
Chairman.


WESTERN AUSTRALIA.

The question raised by Miss Nightingale, “Can we civilize the aborigines without killing them?” naturally arises from the fact that wherever Europeans have taken possession of the country of savage races, the latter have gradually disappeared before the face of the “white man.”

This state of things, I believe, may be traced to the three following causes:—

It will thus be easily seen that the aborigines do not, in reality, gradually disappear before the advantages of civilization, but rather fall victims to the vices and diseases introduced by the advent of unprincipled Europeans among them.

JOHN FERGUSON,
Colonial Surgeon.

Perth, Nov. 17, 1860.


It is quite certain that the natives die in quick succession in the districts inhabited by Europeans, and it appears not less certain that a great many of the deaths are attributable to their having lived among us. But it is not civilization that has caused their deaths; it is rather the vices of the Europeans which they have imbibed, and the ignorance and recklessness of results in the natives themselves. They are mere children in understanding, and if their present wants are gratified they care not for the future. As an instance:—There is a stringent law prohibiting the selling or giving intoxicating drinks to them, but they willingly yield to the assistance offered to them by unprincipled sailors and others to elude this law made for their benefit. The men become intoxicated, and misery and wretchedness are the consequences to a portion of their families, who die prematurely, but not before their vicious habits have injured many besides themselves. There are many individuals in all countries who neither regard the laws of God nor man, and these unfortunate people might have been of the number, even if they had been civilized, but the probability is, that there would not have been so many victims if they had been rescued as children, and been taught what was right and really civilized. To live such a life as they now lead in towns among Europeans is not being civilized.

Not one of the Annesfield school children have ever shown the slightest wish to return to the bush; and from their parents and other relatives visiting them they have had opportunities enough to do so, if they had chosen to go. They duly appreciate civilization, and it has not injured the health of any of them, but, on the contrary, several that were ill when they came have improved in health.

It can scarcely be said that the civilization of the aborigines has been attempted in Western Australia. Five or six schools have at different times been established; some of these by private societies or individuals, and the remainder by Government. But there has been no organized system adopted, such as is necessary to the carrying out any great work. How little can any single school do! In the Annesfield Government Institution it has been the aim to prove that the natives are capable of being made useful members of society, and, what is more, that they are capable of understanding and embracing the great truths of salvation; and the result is fully satisfactory. But this institution is limited to 24 children.

The aborigines are like so much material without capital or tools to fashion it. For in a country such as this, where there are so many profitable {64} ways of employing money and labour, few can be found willing to furnish either of these requisites for this work of benevolence and unsought justice. It is said that nothing can be effected among the adult natives. But the colony has now been in the possession of the English 31 years, and if the then parents had been induced to give up their children for training, or even if they had given them up three or four years after, when they had got to know us as a friendly people, there would now be few of them in the settled districts but such as would have had the opportunity of being civilized.

ANNE CAMFIELD.


CEYLON.

In reply to Miss Nightingale’s question, “Whether we can civilize the native people without killing them?” it is gratifying to be able to assure her, that in Ceylon the native population, both of Singhalese and Tamil race, instead of declining and dying off before the European settlers, is rapidly increasing, and that the number both of our schools and scholars would be far greater than it is, if only we had the means of maintaining them at command.

J. COLOMBO.


The steady increase of population, however, except perhaps in the remotest districts, which education in any form has not yet reached, inclines me to believe that schools, whether conducted on the native or English systems, have proved an unqualified benefit to the people, and that, instead of inducing or extending disease of any kind, many of those enumerated in Miss Nightingale’s list being unknown in Ceylon, they have, by even temporarily withdrawing those who by reason of their tender age are most subject to the injurious consequences of bad habits and premature exertion, secured for them a remarkable immunity from the prevailing diseases of the country for the remainder of their lives.

C. P. LAYARD,
Govt. Agent.


See Tables V. and W., pp. [50] and 51.

The principal civil medical officer has prepared returns to show the diseases of the Singhalese and mixed races, and of the Malabars. The deaths among the latter are in the proportion of 20 per cent. against 8 per cent. among the former. This remarkable disproportion in the mortality may be accounted for by the starving condition in which the Malabar coolies generally arrive in this colony; their uncleanly habits; their abstinence from animal food, and, as a consequence, the low standard of their vital organization; and exposure without sufficient clothing in the cold climate of the hills. They sink rapidly under attacks of diarrhœa, dysentery, and anasarca.

The diseases which are most prevalent and fatal among the native races are such as are incidental to this climate, viz., fever, chiefly of the intermittent type, bowel complaints, and anasarca, while cases of scrofula and consumption, to which Miss Nightingale alludes as prevalent “among those converted to Christian civilization,” are happily seldom met with.

The Commission states, in reply to Miss Nightingale’s question, “Can we civilize these people without killing them?” that those diseases which are supposed to be attendant on European civilization are not common among the native inhabitants of the colony, and that, so far from the natives dying out before the march of civilization, the native population is on the increase in the neighbourhood of the larger towns, while it is only in the remote and less civilized districts that the population is decreasing, and this from causes which are being gradually removed by the spread of education.

C. J. MAC CARTHY


It will doubtless be satisfactory to Miss Nightingale to learn that scrofula and consumption are not common diseases among the native inhabitants of the colony, and that, so far from the efforts made to civilize the people having the effect of causing the extinction of the native races in this colony, the natives in the neighbourhood of the larger towns are rapidly increasing in numbers, while in some of the remoter districts where schools are as yet unknown the population is decreasing. Amongst the causes of this decrease may be mentioned the hateful practice of polyandry, now happily forbidden by law, and the want of proper sustenance, the result partly of imperfect means of cultivation. A better state of things is gradually being brought about by {65} the spread of education, and by this very civilization which is said to be likely to cause the extinction of the native races.

J. F. DICKSON.


Remarks by the Rev. Mr. Ondoatjee.

MATURA.

In reference to the reasons which induced Miss Nightingale to enter on the present field of inquiry, it may be stated that the conversion of the natives of this island to Christianity, so far from its exerting any fatal or injurious effect on health and life, has vastly improved their condition socially as well as physically. Christian civilization is doing much for them; and the only hope we have of raising the people from that state of moral degradation in which they are found throughout the country is by imparting to them the knowledge of Christian truth, which never fails to produce the happiest effects on their habits of life in general, though it may occasionally happen, that by intercourse with foreigners, vices inimical to longevity are learnt by the aborigines. On the whole, however, it cannot for a moment be doubted that it is to the introduction of Christianity, and, along with it, of European science and European literature, that we have to look for the gradual amelioration of the condition of the races that inhabit this island; and, consequently, it appears to me that no effort should be spared to extend the benefits of a sound Christian education (giving it as much as possible a practical tone and character) throughout the length and breadth of this beautiful and interesting country. It must be admitted that there has been but little done as yet in the island in the way of Christian civilization; but those who are in a position to compare the state of things at present with what it was 20 or 30 years ago admit that there are signs of progress to be seen in various parts of the island, and surely this as a ground of encouragement is not to be despised or underrated.

W. C. MACREADY,
Acting Asst. Agent.

Matura, 20th December 1860.


MAURITIUS.

This return contains the numbers of admissions to, deaths and discharges from, the civil hospital, during the last six years, of the creoles and Indians, which may be taken to represent the aboriginal population of this island, although few, except the creoles, are really natives. It will be seen that the rate of deaths is very large, and this, without explanation, might give rise to false inference as to the healthfulness of the island. The general death rate of the Indians throughout the island for 1859 was 25 per 1,000, or only 2 per 1,000 above that of all England for 1858; and, when it is considered that all, or almost all, the Indians are agricultural labourers or servants, and from the nature of their labour much exposed to casualties, such a death rate points to Mauritius as (what it is) an exceedingly healthy locality. Why then so large a mortality as 22 per cent. in the civil hospital? The answer is readily given by the fact that the same prejudice against hospitals exists among the Indians and creoles here as among the poorer classes in England, but in an exaggerated degree, and consequently that a very large proportion of absolutely hopeless cases are admitted; so much is this the case, that in 1860, out of 696 deaths, no less than 108 died within 24 hours after admission, and nearly one-half of the deaths occurred within the first week.

In this return two epidemics of cholera are included; one of very severe character in 1856, and a smaller one in 1859, which carried off above 306 patients. The most fatal diseases, it will be seen, are dysentery, diarrhœa, phthisis, dropsy, and fever. The greater number of the cases of dysentery admitted are old worn-out cases in the last stage of emaciation, filth, and misery; many of them abandoned by their friends, picked up by the police, and brought into hospital to die. The greater part of the cases entered as diarrhœa in former years were undoubtedly either dysentery or phthisis; the latter is as prevalent (if not more so) among all classes of inhabitants as in England. The cases of dropsy depend on the same causes as in Europe, but many cases are seen which present scarcely any morbid change in any of the organs. Fever is of very low type, and true typhus and typhoid are not unfrequent. Although many of the Indians and creoles are habitual drunkards, cases of delirium tremens are very rare. Leprosy is a frequent and fearful disease among creoles and Indians, but the frequency is not shown in the return, as, until {66} lately, all the cases of leprosy were sent to a ward for that purpose in the lunatic asylum. This disease rarely occurs among Europeans arrived from Europe, it is more frequent among creoles of European parents born in the island, and very much more so among the mixed African race and the Indians. Tetanus, both traumatic and idiopathic, occurs very much more frequently than in Europe.

P. B. AYRES, M.D. Lond.,
Surgeon in charge.

Civil Hospital, Port Louis,
22d June 1861.


CANADA.

Diseases of malarious origin are most numerous among Indians as well as whites, the former comparing favourably with the latter as far as health is concerned.

R. H. DEE, M.D.


MANITOWANING.

As regards the diseases it is easy to perceive that some predominate over others; for instance, chronicus rheumatismus, worms, porrigo, bronchitis chronica, phthisis pulmonalis, and others. These, of course, in a great measure originate from the careless and dirty habits of the semi-civilized Indians, along with their daily exposure to all sorts of weather without having different clothing to wear in winter from that which they have been in the habit of using during the summer; in addition to which, their living principally upon corn and potatoes (fish not always being procurable), which induces the production of worms, and at the same time being a sort of food very unsuitable for children. Scrofula is universal amongst them, and in a great measure is produced from their near intermarriages; and it is quite a common circumstance for a boy of 16 or 17 to marry a girl of the same age, and very often much younger; hence the offspring of such parents must necessarily be weak and degenerate, and in consequence of their hereditary debility more liable to the attacks of illness. Again, those Indians uncivilized living at a great distance in the interior, and who come down occasionally to trade with the Hudson’s Bay Company, I have always been given to understand were for the most part generally healthy, much more so than those of the semi-civilized tribes. I myself have had but little communication with them, as they seldom visit our island, but the officers of the Company’s service, with whom I have become acquainted, have always expressed but one opinion upon the subject.

DAVID LAYTON.


In running over the diseases for the last five years, many cases of common occurrence, not of dangerous or severe nature, are omitted, from the fact that no particular inventory was required, so that the enclosed number of cases are merely taken at the time of attendance from their symptoms and necessity for peculiar or active treatment.

You are aware that the Savnia Indians are principally Christians, or call themselves such, although living in a half-civilized state. For one portion of the year they are living in warm comfortable houses, while provisions and the necessaries of life are easily procured by them; during this period they are happy and contented, little sickness prevailing. The other portion of the year, from a peculiar propensity, I suppose inherent in the race, they take to the bush, while their living in wigwams, scant of clothing, provisions hard to be obtained, exposed to all the vicissitudes of climate, wet feet, &c., as a natural consequence intermittents, remittent, and other fevers, rheumatism, laryngitis, bronchitis, pleurisy, pneumonia, phthisis pulmonalis, follow invariably.

Their diversity of diet and method of living has a most pernicious influence in causing dyspepsia, worms, and most other ills to which the alimentary canal is liable, while congestion of liver, lungs, and irritation of bladder are of very frequent occurrence in a mild form; from this cause the whole tribe suffer, even to children of a year old.

What may have been their ailments while in a heathen state I cannot say, not being in attendance on them, but from what I hear of the number of deaths at that period, from variola before the introduction of vaccination, exposure, scant clothing and diet, and changes of climate, &c., it must have been enormous; to draw any definite result or give an average of deaths from their former and present mode of living would be impossible on my part. The few families of {67} Christian Indians on the reserve who live as whites are just as healthy, and increase in numbers equally, while the whole tribe, as they are at present, increase yearly.

THOMAS W. JOHNSTON, M.D.,
Savnia, C. W.


NEW ZEALAND.

As to the sanitary state of the native population, I regret to state, not only from the information of several gentlemen with whom during my mission I had an opportunity of conversing, but also from personal observation and inquiry, that they are by no means in that healthy state which one would be led to expect when compared with the advance they have made in other respects. In the former it would appear that they are retrograding, and this decline is especially visible in and near the European towns, and easily attributable to causes, the prevalence of which is more or less detrimental to any body of persons, but felt in a greater degree in a mixed community of Europeans and natives. In illustration of this, I may mention the comparatively few births, while from the census it will be seen that a greater equality of the sexes prevails than was generally believed to be the case throughout the entire districts; and perhaps, therefore, the most favourable conclusion to form is, that the native population is not increasing, or, in other words, that, taking the deaths and births into account, it is likely to remain stationary for some time to come, unless swept off by some unusual and fatal disease.

H. TACY KEMP,
Native Secretary.

Wellington,
15 June 1850.

LONDON

Printed by GEORGE E. EYRE and WILLIAM SPOTTISWOODE,

Printers to the Queen’s most Excellent Majesty.

TRANSCRIBER’S NOTE

Scanned page images of the original book are available from archive.org, search for sanitarystatisti00nigh. Original spelling and grammar are generally retained, with a few exceptions noted below. Original page numbers look like this: {35}. Footnotes are left near their original locations. The transcriber produced the cover image by editing the original, and hereby places it in the public domain. Quotations extending through more than one line of text were printed with a left-quotation mark at the head of each line. These have been converted to modern quotation style. Ditto marks have been sometimes removed, by replacement of the mark with appropriate text. The book was printed with sidenotes, many which pointed to a specific table in Appendix I. Those which were semantically headings, were converted to h3-level html headings.

Page [14]. Comma was inserted after personal, in “the improved personal physical, and moral habits”.

Page [20]. Table A, which originally spread in small print over about 6 1⁄2 pages, was split into three distinct tables (A1–A3), on the Colony Headings in Column 1. Sub-table A1 comprises Colonies Sierra Leone, Western Australia, and Natal. Sub-table A2 covers Ceylon. Sub-table A3 covers Canada. Then each of the three sub-tables was split into two Parts after column 13, with the first column repeated in each Part.

Page [26]. Table A. a. was split into two parts after column 11, repeating the first column in both parts.

Page [27]. In the column headings for columns 3, 4, 6, 7, 9, and 10, "Males." was changed to "M.", and "Females." was changed to "F.". Tables C, D, E, and F, pp. [27]–28, were treated similarly.

Page [29]. Table G. was split into two parts after column 11, repeating the first column in both parts.

Page [30]. Table H was split into three tables, (H1–H3), on the Colony headings in column 1, the headings being the same as for Table A, see above. Then each sub-table was split after column 7, repeating column 1 in both Parts.

Page [36]. In Table H, there are five succussive rows headed by Milagria, Dehiwella, Attidiya vernacular school, Weligampittia, and Dandogame. In column five, the corresponding entries were 5,", - -, ", and ", respectively. In this edition, the spaced hyphens have been converted to an em dash, and the three ditto marks are made “5”. There is ample room for debate about this judgment, however.

Page [40]. Tables I and K each (and other tables, too) had three tall RIGHT CURLY BRACKETs intended to combine the information in two or three table cells. This edition removes the brackets, and combines the information into one cell per bracket, by the use of the word or. ¶ Furthermore, in Table K, in the second column opposite Rheu­ma­tis­mus acutus or Rheu­ma­tis­mus chronicus, there were three spaced hyphens; also in the last row, 2nd column. The rest of the data in columns 2–4 were either numbers or em dashes. The meaning of the spaced hyphens is not clear to the transcriber, and all such, even in other tables, have been converted to em dashes.

Page [41]. Table L was split into two parts after column 13, retaining the first column in both parts. Same for Table P, page [44], and for Table R, page [46], and for Table T, page [48].

Page [50]. Table V, column 2, opposite Chest diseases. Changed “20 7” to “20·7”. This table and also Table X, page [52], were split into two parts.

Page [59]. Phthsis was changed to Phthisis.

Page [66]. In the sidenote, MANATOWANING was changed to MANITOWANING. Also, ana verage was changed to an average.