THE LIBRARY OF THE UNIVERSITY OF CALIFORNIA PRESENTED BY PROF. CHARLES A. KOFOID AND MRS. PRUDENCE W. KOFOID I b THE EPIDEMICS OF MAURITIUS. Digitized by tine Internet Archive in 2008 with funding from IVIicrosoft Corporation http://www.archive.org/details/epidemicsofmauriOOanderich THE EPIDEMICS OF MAUEITIUS WITH A DESCRIPTIVE AND HISTORICAL ACCOUxNT OF THE ISLAND BY DANIEL E. A.NDEKSON M.D.LOND. AND PARIS, B.A., B.8C. LOND., F.R S.K., F.R.G.S. ; EX-LAUREATE OF THE ROYAL COLLEGE, MAURITIUS ; THE HONYMAN-JILLESPIE LECTURER AND RESEARCH SCHOLAR IN MEDICINE ; LECTURER AT MANSFIELD COLLEGE, OXFORD, AND TO THE BOARD OF STUDY FOR THE PREPARATION OF MISSIONARIES, KINO's COLLKGE, LONDON ; SENT BY THE HONYMAN-GILLESPIE TRUST ON SCIENTIFIC MISSION TO S. AMERICA, PANAMA CANAL, AND THE VEST IVDIES, 1912; HON. SECRETARY OF THE INTERNATIONAL MEDICAL CONGRESS (TROP. DISEASES) 1913; A VICE-PRESIDENT OF THE BRIT, MED. ASSOC. CONGRESS (TROP. DISEASES) 1914; , LATE PHYSICIAN TO TWO HOSPITALS ; LATE SUPERINTENDENT OF THE M^CALL MEDICAL MISSION, PARIS ; LATE EXAMINER AND LECTURER TO ST. JOHN AMBULANCE ASSOCIATION, LOND. AND PARIS. WITH MAPS AND OTHER ILLUSTRATIONS. H. K. LEWIS & CO. LTD., 136, GOWEK STEEET, LONDON, W.C. 1. 1918. IVI360381 l\r\^ u .8 P\^ A Review of Docto?^ D. E. Ajidersons book on ' The Epidemics of Mauritius,' by L4on Lauret, m ' The Mauricien; April Ithfl^f. '^ ONE of our fellow -conntrymen, Doctor D. E. Anderson, a resident for many years past in London, has recently published a book on 'The Epidemics of Mauritius.' It in- cludes moie than what the title denotes, for it contains two pre- liminary chapters on the Geography and History of the Island, and is written in a popular style so that the common reader can understand it. ' Doctor Anderson is one of those Mauritians who far from hiding the place of their birth take every opportunity to let it be known that they were born in the Southern latitudes, in that little colony which has unfottunately lost so much of its pristine splendour. The Doctor's fidelity to his native Island is most touch- ing; it is that of a good son who cherishes his mother through fortune and misfortune. That is a virtue not to be found in every- body, but he inherits it from his exemplary parents. His father, born in Glasgovr, founded in Mauritius a delightful home, where he and his w4fe (of French origin) brought up their family in a lovely spot in Moka, by the side of the Grand River Glen. Our author refers to that Christian home, Glenside, in simple and loving language which makes one all the more regret the fact that that "home" no longer exists, for the old parents are dead, and the children are married and are scattered over the four corners of the Universe, but all have done honour to their name by their merits and their virtues. ' In the nineties, Doctor Anderson, who many years before had been a Laureate of the Royal ('ollege, returned to Mauritius for a couple of months, and devoted a large portion of his time in studying the endemic and epidemic diseases of the Island. He also took useful notes concerning everything which affected our interests, and he added to his own experience that of his fellow- physicians. Extracts from the publications and conclusions of Sir Ronald Ross and Doctor Meldrum. on the MalariaL Epidemic, of Doctor Bolton on the Sanitation of the Island, of the late Doctor Poupinel on Leprosy, and of many others on Cholera, Beri-beri, Plague, Diphtheria, and Mosquitoes, are copiously and precisely stated, and are illustrated by means of charts, statistical tables, and engravings. 'Our author renders full homage to the original researches of Doctors Rouget, Keisler, Clarenc, Lafont, and de Chazal. 'Professor W. J. Simpson, of King's College, London, in a preface to our countryman's book, states that no monograph on the Epidemics of Mauritius had been written before, and though he does not forget to mention the official reports and works of the ' Soci^tt? M^dicale," from which our author gathered much useful informa- tion, yet he praises him for having traced in chronological order the epidemics which ravaged our Island, and for having followed their march and progress from district to district, and sought out the f^3^C3g/ etiology of these diseases, and compared the treatment then adopted for their cure with the findings of the present-day science. Professor Simpson also tells us that Doctor Anderson was amongst the first doctors to discover Laveran's parasite, the Plasmodium Malarice, in 1890, in the blood of patients at the Civil Hospital in Port Louis. On his return to London he published his researches in the Lancet (August, 1890) and expressed his views on the origin of Malarial Fever in Mauritius, and drew the attention of the Mauritian Government to the pollution of our rivers, to which he attributed the frequency of Typhoid Fever, and also the dissemina- tion of Cholera germs in 1851:-1862. ' It would be difficult for a Mauritian not to interest himself in the Sugar Cane, and Dr. Anderson, knowing that that is the source, of our riches, and that we live by the sugar industry, paid special attention, during a recent visit to the West Indies, to the diseases of the sugar cane in those regions, and with the help of expert opinion he has given us a very useful chapter on that subject. ' Here also was his opportunity for a description of the animated scene around a sugar-mill during the "Coupe" or harvest. Dr. Anderson delights in the picturesque, which detracts naught from an interesting book, but on the contrary lends charm to a scientific work. ' In the chapter on Reminiscences, our author has not forgotten his Alma Mater, the Royal College, which has educated so many Mauritians of talent. He was a student under the rectorships of Redl, Bruce (afterwards Sir Charles), and Besant (afterwards Sir Walter, the celebrated novelist), and was with Isaac Paddle, Papillon, and Joachim, the first pupil in Maui'itius to take the B.A. of the London University. He recalls to memory a singular speech which Sir Charles Bruce made when he became Governor of the Island ; the ideas therein expressed were in such marked contrast with his former teaching when Rector, and with those of his pre- decessor, Professor Besant, who by pen and mouth aimed at raising the masses to a higher level, that it showed how a well-balanced mind may be influenced by the Caste system which prevails in India, where Sir Charles had spent several years in the interval between his rectorship and governorship. He said in that speech, delivered in Port Louis : " No lad nor girl whose parents were artisans or servants, should aspire to rise to a higher status in society than the one in which he or she was born ! " What would have become of so many of our great nien who have risen from the ranks ! ' Dr. Anderson, like most of us, had no admiration for Rector Redl, Besant's predecessor, but he admits that it was under the former's administration that those great Professors Besant, Guthrie, Pinn, and MacMahon, from the principal Universities in Great Britain, were professors at the Royal College. Our author dwells with fond respect on the attractive pecu- liarities of the two French Professors, Doyen and Cahagnet, and on the amiable personality of the second usher, Mr. Standley, but he calls the senior usher " Cerberus." "Requiescant omnes in pace ! " ' I lay down with regret Doctor Anderson's book. Read it for yourself, it will certainly instruct you and retain your interest to the very end. It is, I like to repeat it, the work of one who passionately loves his country; it is refreshing to come across such an Author ; it is more than a book, it is a good action. '{Signed) Leon Laubet.' FROM SIR RONALD ROSS, K.C.B., F.R.S. 36 Harley House, London, N. WA, 'ilst December, 1918. Dr. D. E. Anderson, Greenhank, Merton Lane, Highgate, N. 6. Dear Dr. Anderson, Many thanks for sending me youi* book on Mauritius, which will be a valuable addition to my small Mauritius library, especially as it mentions a lot of my friends there. With compliments, yours sincerely, RONALD ROSS. FROM PROFESSOR CASTELLANI. Hotel Somerset, Orchard Street, W. 25/1/19. Dear Dr. Anderson, I have just come back to London, and found the copy of The Epidemics of Mauritius you have so kindly sent me. It is an extremely interesting book : allow me to congratulate you most sincerely on it. With kind regards and many thanks. Yours sincerely, A. CASTELLANI. FROM SIR HENRY HESKETH BELL, Governor of Mauritius. Conservative Club, St. James's, S. W, 10th June, 1919. Dear Dr. Anderson, Many thanks for letting me see the excellent review of your book, by M. Lauret. Its praise is fully justified. With kind regards, sincerely yours, H. HESKETH BELL. PREFACE By Professor W. J, Simpson, c.m.g., m.d., f.r.c.p., d.p.h. THIS book was originally written in 1911 as a Thesis for the decree of Doctor of Medicine in the London Uni- versity. Yielding to repeated requests that the work should be published, and having obtained permission from the University to do so, Dr. Anderson has prefixed two interest- ing chapters on the Geography, Industries, and History of Mauritius. A knowledge of the topography, climatology, geology, politics, mode of government, industry, and commerce of a country is important in the study of epidemics. It makes a great difference to an island situated in the Tropics whether it is in the path of cyclones and trade winds or not ; whether the prevailing winds are cool, or come from the Equator, and whether they pass over flat and marshy lands before they reach populous towns and villages ; whether there are ranges of high mountains on the plateaus or watersheds to arrest the clouds and attract the rain ; whether this watershed is covered with trees ; whether the rivers are always more or less full, and dash down deep chasms and glens in their impetuous course towards the ocean, or flow sluggishly in the dry season, leaving pools and puddles along their beds where mosquitoes may breed ; whether the streams are bordered by rank grass and thick undergrowth ; whether the soil is clayey or rocky, Ti THE EPIDEMICS OF MAURITIUS. retaining stagnant water in marshes and on subsoil strata ; whether the climate is hot and damp during many months of the year ; whether Anophelines besides Culicines abound in the country ; whether rats and other vermin are plentiful ; whether whites, blacks, and Asiatics live in close proximity to one another ; whether there is a great gulf between capitalists and labourers ; whether the former get laws passed to their own profit and leave the poor to eke out a hand-to- mouth existence ; whether the staple food of the country is dear ; whether the industries necessitate the immigration of coolies from other countries ; whether the commerce of the place exposes the people to infectious diseases im- ported from endemic centres ; whether the cities, towns, villages, and camps are well drained, and their sanitation kept under constant control by an organized and trained sanitary service ; whether extensive deforestation is allowed ; and, finally, whether the rivers supplying drinking water are kept free from pollution. On reading the account of the diiFerent epidemics that have devastated Mauritius, it will be noted how each of the above-mentioned points played an important part, singly or collectively, in one or in all of these diseases. This work will be useful in more ways than one : First, because no account of the difi'erent epidemics of Mauritius has been written before. True, much information on the subject lies scattered in Government Reports, Blue- books, the journals of the 'Societe Medicale de Maurice,' Davidson's book, and Sir Ronald Ross's Report on Malarial Fever ; but no one before Dr. Anderson has patiently waded through all this literature, and chronologically recorded the epidemics, traced their march over the Island, and examined their causes and treatment in the light of up-to-date know- ledge. Dr. Anderson was singularly adapted for such an PREFACE. vii undertaking, for he was born and was educated in Mauritius, and knows every nook and corner of the Island, and, after having qualified in medicine in London and Paris, he returned to his native Island for a short time, and sur- veyed from a scientific point of view the areas where Cholera had slain its thousands, and Malaria its tens of thousands. He was amongst the first to detect, in 1889, in the patients of the Civil Hospital in Port Louis, Laveran's malarial parasite (vide Laveran's Traite du Palludisme, p. 22), and on his return to Europe he published in the Lancet (August, 1890) his views on the origin of that fever in Mauritius, and drew public attention to the pollution of the rivers of the Island, accounting thereby for the constant occurrence of Typhoid and the previous spread of Cholera. Secondly, Dr. Anderson has adduced facts to establish that it is well-nigh impossible to stamp Plague out of Mauritius as long as thatched houses harbour rats, and the infected huts of the coolies and Chinese and of the poorer Creoles are not burnt down, and reconstructed with cemented floors, walls, and ceilings. Thirdly, he has given, with the valuable assistance of the Societe Medicale's Reports, evidence of the tenacity of Bacillus Diphtherias in the dust of crevices of rooms once infected, and of the difficulty of disinfecting thatched houses. Fourthly, he has drawn attention to the necessity of carrying out very strict and continuous sanitary inspection of sugar estate- camps, villages, and other localities where Asiatics congregate. Finally, his criticisms of the mistakes made by the responsible authorities in their abortive attempts to check the march of epidemics will no doubt prevent those errors from being repeated. Travellers who have visited Mauritius — the * Stella et viii THE EPIDEMICS OF MAURITIUS. Clavis Indian! Oceani' — will be grateful to Dr. Anderson for liaving in the first two chapters brought back to their memory the happy days they spent in the congenial society of the Mauritians, amidst the picturesque scenery of that lovely Island. His Chapter of Reminiscences is particularly interesting as it gives the public a few glimpses into the life and aims of some of the eminent men who have helped to raise Mauritius into influence and affluence. Yery few of us knew that Sir Walter Besant the novelist had spent some years in that Colony, and that the late. Brown-Sequard, the Professor of Physiology of world-wide renown, was a Mauritian. But it is to the student in Epidemiology that w^ specially recommend this valuable work. {Signed) W. J. Simpson, Professor at King's College^ London, AUTHOR'S PREFACE. "TN presenting this work to those readers interested in -^ Mauritius, I beg to publicly record my indebtedness to my esteemed friend, Professor W. J. Simpson, C.M.G., M.D., F.R.C.P., D.P.H., for writing a Preface to it; to Viscount Harcourt, late Secretary of State for the Colonies, for grant- ing me permission to consult the Government Records, Blue-books, and Health Reports on Mauritius at the Library of the Colonial Office ; to Sir Charles Bruce, G.C.M.G., late Governor of Mauritius, for allowing me to republish his lecture on the 'Evolution of the Crown Colony of Mauritius,' as it is a concise and short history of the Colony ; to the other authors whom I quote in my chapter on the Description of the Island, especially to Mr. Alister McMillan, whose Mauritius Illustrated is a standard work, and to Mr. Walter, the Astronomer at the Mauritius Observatory, for his notes on the Climate, Commerce, and Industries of the Colony, published in the Mauritius Almanac and in McMillan's book ; to Sir Ronald Ross, whose valuable Government Report on the Malarial Fever in Mauritius is the fullest and most recent work on that subject, and to Drs. Davidson and Antelm, who, more than thirty years ago, adduced ample proofs that Malaria was introduced into the Island by coolie immigrants infected with Malaria ; to Dr. Bolton, the late Sanitary Warden of Mauritius, for writing for me the chapter on * Sanitation in Mauritius,* and for his X THE EPIDEMICS OF MAURITIUS. interesting notes on the Beri-beri Epidemic, and on the Pollution of the Rivers of Mauritius ; to Dr. Rouget, of the Civil Hospital of Port Louis, whose Thesis on the short Phagedaenic Epidemic in Mauritius is the only work extant on the subject ; and, finally, to the learned ' Societe Medicale de Maurice ' for the valuable information obtained from their journals on the Diphtheric and Small-pox epidemics. As the physical geography of the Island — especially its mountain ranges, forests, rivers and marshes, towns, villages, and camps on sugar estates — must be known, I have devoted a chapter to that subject and drawn a special map to show the formation of the central plateau (1900 ft.) superimposed on a series of lower ones, each one of less altitude than the one above it, until the plains along the coast are reached, extending some ten to twelve miles in some places from the foot of the plateau, and being only ten to fifteen feet, or even a foot above sea-level, whereas in other places, as in Savanne and Black River, the plateau comes right to the shore, its cliffs being forty to fifty feet high. I have also clearly marked those rivers which flow in deep glens and are not likely to retain stagnant pools on either side of their beds ; the marshes likewise which have not yet been drained, and which are the nests of mosquitoes : and only those townp, villages, and estates mentioned in the book have been noted. The Plan of Port Louis gives a fair idea of the parts of the town that so far have been properly drained, and also those suburbs which were most severely visited by the different epidemics. I have said nothing about Dysentery, Bronchial, Pul- monary, and Gastric Catarrh. These diseases have existed from the very first in the Island, and never took on an epidemic character ; for the last reason I have also omitted PREFACE. xi Typhoid Fever, Ankylostomiasis, Blackwater Fever, and the so-called Bombay Fever. The first two never took on an epidemic form, the third is rare and has only come on since Malaria invaded the Island, and the fourth only attacked immigrants from Bombay and very rarely other people, showing that it cannot be Yellow Fever nor be carried by the Stegomyia fasciatay which abounds in the Island. Tuberculosis is endemic just like Influenza. I have mentioned the principal genera of the Flora of Mauritius, and particularly noted those species of its Fauna which are either venomous or are carriers of diseases. I have not described the Surra epidemic or Trypanosomiasis in cattle and other ruminants, as it is outside the scope of this work, which treats only of those epidemics which affected the health of the inhabitants of the Island. I have purposely written in a popular style in order that the book may be interesting even to readers who do not belong to the medical profession. I have added a chapter on the industries of the Island, and one on the diseases that affect the sugar-cane in the West Indies, and the remedies adopted in those islands, hoping the information may be of use to the planters in Mauritius. Mr. H. A. Ballou, M.Sc, the Government entomologist of Barbadoes, whom I had the pleasure of meeting in that island, has published a most useful little book, issued by the Barbadian Commissioners of Agriculture (1912), on the Insect Pests of the Lesser Antilles. With his permission I have copied from this work some of the en- gravings representing these pests. The publications of the Tropical Exploration Syndicate, Ltd., will also be found of the greatest value to the agri- culturists in Tropical countries. I am greatly indebted to Mons. Deschiens (Ingenieur xii THE EPIDEMICS OF MAURITIUS. des Hopitaux de Paris and fabricant of the HaBmoglobin Deschiens) for permission to use two of his diagrams on mosquitoes and malarial parasites from his Parasitological Atlas. I am also indebted to the London University for per- mission to incorporate my * Thesis on the Epidemics of Mauritius ^ in this book. It appears within single inverted commas. The catalogue of books written on Mauritius at the end of the book will be found useful. Finally, I apologise to those distinguished Mauritians (or to their relatives) whose names or biographical sketches are not mentioned in my chapter of E,eminiscences. Want of space is my only excuse. Daniel E. Anderson. 26, Ilarley Street, London. CONTENTS, CHAPTER PAGE I. General Description of the Island of Mauritius, and of its Commerce and Industries .... 1 II. Sugar Cane in the West Indies: its Cultivation, Diseases, and Remedies . 21 III. "^HE Evolution of the Crown Colony of Mauritius. By Sir Charles Bruce, G.C.M.G 37 lY. Reminiscences .... 68 V. Sanitation in Mauritius . . .84 VI. Leprosy ..... 95 YII. Cholera 108 VIII. Small-pox, 1856 AND 1891. . . 154 IX. Malarial Fever . . . .160 X. Malarial Fever, continued. . . 185 XL Dengue Fever . . . . 217 XII. Beri-beri 222 XIII. Diphtheria, 1878 and 1907-9 . . 238 XIV. Plague 246 XV. Phagedenic Epidemic . . . 259 xiT CONTENTS. APPENDIX : PAGE Fauna of Mauritius 269 Flora 274 CONCHOLOGY .... 275 Bibliography 277 Addendum to Eeminiscences 282 Cyclone of April 29, 1892 285 LIST OF ILLUSTRATIONS. Author's Portrait . . . Frontispiece Map of Mauritius . . . facing page 1 View of Port Louis . . . „ „ 20 Insect Pests affecting the Sugar Cane „ 24-28 Plan of Port Louis . . . „ „ 84 Leprosy Bacillus . . . . „ „ 96 Leper's Face and Hands . . . „ „ 96 Anaesthetic Leprosy . . . „ ,, 97 Cholera Bacillus .... „ 110 Small-pox Charts, showing Relation be- tween Temperature, Rainfall, and Mortality, &c. .... pages 158, 159 Mosquitoes : Stegomyia, Anophelina, CuLiciNA . . . facing page 160 Malaria: Charts of Temperature . „ 161 Evolution of Mosquitoes . . ,, 163 Evolution of Malaria Parasites . ,,169 Map of Elevations of Mauritius . „ 177 Chart illustrating the Relation of the Mean Monthly Fever Admissions and Death Rates TO THE Average Monthly Rainfall ,, 179 xvi ILLUSTRATIONS. Diphtheria Bacillus • . ... page 245 Plague Bacillus .... „ 249 Phagedjenic Ulcer : Leishman Parasites „ 261 The Laff . . . . . „ 273 THE EPIDEMICS OF MAURITIUS. CHAPTER I. General Description of the Island of Mauritius, AND OF ITS Commerce and Industries. MAURITIUS, an island of volcanic origin, is situated in the Indian Ocean, about half way between the Cape of Good Hope and Ceylon, between latitudes 19° 58' and 20° 32' south, and longitudes 57° 17' and 57° 46' east. The great island of Madagascar is 500 miles to the west, and Bourbon or Reunion 100 miles to the south-west. It is 36 miles long and 28 broad, covering an area of 705 sq. miles (about that of Surrey), with a coast-line of 154 miles. It is divided into nine districts, viz.. Port Louis, Pamplemousses, Riviere du Rempart, Flacq, Grand Port,. Savanne, Black River, Plaines Wilhems, and Moka. It resembles more than one of the West Indian islands not only in shape, but also in climate, vegetation, physical geography, and befauty ; the map, which is somewhat trian- gular, looks like a big periwinkle with its head protruding ; its mountain ranges are, however, differently arranged. There are three groups, one at each corner of the triangle, except the one at the northern angle, which is some distance from the apex, leaving a flat plain — the districts of Pample- mousses and Riviere du Rempart — between it and the sea. These three groups enclose between them an elevated tableland or plateau, which in some parts rises over 1200 feet above sea-level. The south-western range has a peak, the Black River, 2711 feet high; the north-western, thePieter B 2 THE EPIDEMICS OF MAURITIUS. Both peak, 2686 feet high ; and the south-easterrx, the Bambou peak, 2059 feet high. Each of these ranges sends spurs or buttresses seaward, as if to consolidate their foundations. * Colonel Pike says there is no doubt that these basaltic mountains are the remnants of a huge crater's rim, the crater filled in with the debris of this broken-up rim has, after thousands of years formed the above-mentioned central plateau, the districts of Plain es Wilhems and Moka. There is also another theory, that in addition to the central crater there were auxiliary large and small ones, that the district of Port Louis is one of those, Black River and Grand Port two others ; and that the Piton du Milieu, the Piton des Pamplemousses, and the Trou aux Cerfs are the small subsidiary volcanic outlets which are usually found inside or outside the main craters ; the Trou aux Cerfs with its deep central excavation being indisput- ably an extinct crater ; whilst the Grand Bassin, the Bassin Blanc, the Mare aux Lutins, the Mare de Cheval, Trou Bourguignon, Trou Figuier, Trou Glacis, Trou d'Eau Douce, and the Puits des Hollandais, all of which are filled with water, show by their circular banks and depth that they too were formed by volcanic eruptions. Moreover, all over the island, the stratified rocky beds, as in the Plaine des Roches in the Riviere du Rempart district, the lava, tufa, scoriae, basaltic and prismatic columns, as in the Camisard Mountain, and in the districts of Flacq, Savanne, and Black River, are further evidence that in the pristine ages Mauritius was thrown up by a Yolcano or a series of volcanoes, and afterwards rent by earthquakes which caused the fissures, now widened and deepened by rivers into the beautiful glens of Grand River, Tamarind, and Chamarel. In the Mahebourg harbour, and at the south-western extremity of the island, the rim of craters is visible in calm weather, under the sea. The islands to the north of Mauritius are all of volcanic origin ; the Gunner's Quoin is composed of volcanic sandstone, basalt, and lava ; Flat Island, though partly of coral formation, has * Pike : Sub-tKopical Rambles. GENERAL DESCRIPTION OF THE ISLAND. 3 :also strata of fossilised endogenous trees, between whicli are layers of stones and pebbles. Round Island, near by, was probably a crater filled up, and on the Pigeon Rock masses of basalt lie at its foot. Though within historical times no volcanoes nor earth- -quakes have terrified the inhabitants of Mauritius, yet a vol- canic mountain, the Piton des Neiges, in the sister island of La Reunion, still occasionally smokes, and then the rumbling -of a * tremblement de terre ' is felt in both islands. Port Louis. — The northern or Port Louis range of moun- iiains, which sends branches north, east, and west, encloses between two of the westward spurs a large basin, in which lies Port Louis, the capital of the island. This amphitheatre, which is widely open to the sea, is about two miles long from north to south, by three miles broad from east to west, and has in its crater a low hill, the Citadel, connected with the range behind, dividing the city into the commercial town proper in front of it, and the eastern and western suburbs, more correctly the northern and southern. The city contains a 3afe and vast harbour capable of anchoring scores of ships, the Government and municipal buildings, the banks, mer- •cantile firms, hospitals, schools, churches, mosques, Hindu temples, theatres, and public gardens. At the back of the city are the Champ de Mars, a vast plain whereon races are run and troops are reviewed, and there too are the houses of the well-to-do citizens, situated in the midst of orchards and gardens; but since 1870 most of these houses have either been turned into offices or are only tenanted during the cool season. The eastern suburb, or Camp Malabar, is the residential quarter of the Indians and Lascars ; and the western, or Camp Yoloff, that of the descendants of the former African slaves. Between the spurs of the south-eastern and of the north- western ranges, i.e., from the elevated tableland, numerous rivers rush down in beautiful cascades over precipices thirty to four hundred feet high, and "v^end their way through 4 THE EPIDEMICS OF MAUEITIUS. lovely glens lined with tall trees and flowery creepers and' aloes to the sea, two or twent)^ miles away. Here, in some- places, they have dug in their impetuous course, during the rainy season, wide and deep pools, in which the * gouramis,* * the dames-ceres ' (gold-fish), the chits, and the carp abound ;: there, leaping noisily over huge boulders which block their way, and under which the ' camarons ' (big prawns), shrimp, and ' cabots' (small inedible black mud-fish) hide themselves,, they spend their fury in foam long before they commingle their fresh water with the waves of the sea. Yachts and coasters of no great depth can sail a short distance up some of these rivers. Graceful and solid railway and carriage- bridges span the glens, the longest of which is the Grand River N.W. ravine, running due north from the central plateau. Most of the mountain ranges are clad almost to their summits with trees, shrubs, aloes, and grass, but Pieter Both,- looked at from the west, rises from the plains below., a sheer adamantine wall of blue" basalt, nearly 2000 feet high, with scarcely a blade of grass on its face. On its eastern side, how- ever, it slopes gracefully down to the 'plateau, two or three hundred feet below. Not very far from it, and united to it by a long arm with a precipitous ridge naturally carved into fantastic shape of crouching lions and other figures, is the Pouce or Thumb, 2650 feet high, the summit of which is flat like a table, about ten feet square, and from which one gets a most magnificent view of a large portion of the Island" and of its coast wreathed with coral reefs. The south-eastern and south-western ranges are not as attractive as their fellow in the north except for their forest- clad slopes, the lovely rivers and waterfalls between their spurs, and the beautiful peep which one gets here and there of distant landscapes far below. On the southern side of the Black E-iver range a stream, the Riviere du Cap, swollen into a mighty torrent after the rain, leaps over the ledge of a yawning abyss, an unbroken foaming sheet of snow, to a depth of more than 300 feet. The magnificence of this fall (the Chamarel), with the dark red cliffs behind it and the- GENERAL DE8CRIPTI0X OF THE ISLAND. 5 ■green foliage on each side, baffles description. On the nbrthern side of the same range are the seven falls of the Tamarind River, tumbling down 400 feet over six ledges of rock through a lovely gorge to the sugar-cane fields below. That glen like all the others, is the haunt of monkeys, •quails, partridges, and Phaeton candidus, or paille- en- queue '(the sea-gulls with only a couple of feathers in their tails). Here, too, screech the martins, the mynas, and the chicken- eater ; and here the Creole canaries or ' seurins ' sing, and * pingoes,' ' bengalis-mouchetes,' woodcock, cardinals, merles, and the ' oiseaux-maniocs,' chirp and build their nests. Most of these birds are insectivorous, and are consequently the benefactors of the sugar-cane fields ; but the deforestation on the one hand and the mongoose on the other are gradually causing their extermination. The Mo me Brabant is the end of a branch of the south- western range, projecting into the sea like a snaiFs head. Amidst its barren slopes the turtle-dove, the cuckoo, the •curlew, the turnstone, the plover, and the ' corbigeaux ' at sunset, call back home from the brooding tempest the fisher- men catching for next morning's market the ' capitaines,' the ^cordonniers,' the ' tons,' the 'Dames Berris,' the 'rougets,' the * gueules pavees,' the mullet, the carp, the ' cateaus,' and the ' vieilles,' most of which are multi-coloured fishes, with red, yellow, blue, and green scales on their back. To the south .and east of the Morne, and, in fact, almost all round the Island, lie the coral fields, where grow in variegated beauty immense coral-flowers, between which crawl huge molluscs : the mura, with its numerous spines, the cj'^praea, whose shell provides the jeweller with cameos ; the gigantic * cornes d'abondance' {Scalaria) , the precious olives or cones, .the beautiful harp, and the mitras, pleurotinas, tritons, pectens, and other bivalves, and 340 other species of shells. A little further away from the shore, among the coral, swim the Octopus vulgaris^ with its hideous tentacles, the spotted sea-eel the Muriena te)dacuJata, with bright yellow dorsal .and blue anal fins, in company with its more beautiful .cousin, the crimson-eyed green ribbon-eel, spotted all over 6 THE EPIDEMICS OF MAURITIUS. with, yellow ; and, near by, the contractile ' cent- bras '' (Erraritia) awaits the unwary fisherman to hug his leg with its tuberous tentacles. All around the Island are to be found the spiny holothuria or ' boultang ' ; the medusa) {Cassioj)ea Andromeda)^ of all sizes and colour, whose tentacles sting fearfully ; and edible oysters, lobsters, crabs, and shrimps. Closer to the shore, in shallow water, hidden in the mud or under the fine sand, the terrible * laff ' or wocA^er (the Scorpcena synanceiciy or Pterdis) of different varieties, is ready to inject through the hollow spines of its dorsal fins a painful and almost fatal venom into the feet of fishermen and bathers. Some distance beyond the coral belt, in the deep sea, fisher- men catch hammer-headed sharks, dog-fish, skate, ray, and tiger-sharks. The latter here grows to a length of twenty- five feet, and is eaten by the coolies. Lastly, the * million,' that diminutive fish so invaluable to man because it prej^s upon the mosquito larvae, is plentiful at the mouths of the rivers, but has not yet been reared in the fresh-water marshes and streams of the Island, although in the West Indies and in British Guiana, where I first saw them, they thrive luxuriantly in any water, fresh or salt, clear or foul. As will be seen from the map, the plateau between the three ranges of mountains slopes gradually towards the sea on the north-east, east, and west, but ends abruptly in a pre- cipice of thirty or forty feet high, in some places, along the southern coast. To the north, north-east, and north-west the plains extending from the northern range of mountains have but little elevation ; so flat, in fact, are Pamplemousses and Hiviere du Rempart, that in the dry season the rivers flow sluggishly along, and leave many a shallow puddle on either side of the main bed, which becomes the breeding- ground of the mosquitoes, especially of the Anophelinac, and of small shell-fish which harbour the embryos of dangerous fluke- worms, the Bilhartzia hcematobia, e.g., which I more than once detected in some coolies' bloody urine. GENERAL DESCRIPTION OF THE ISLAND. 7 These northern districts, swept by the warm trade winds during certain months, have, on account of their flatness and stagnant streams, paid heavy tribute to several of the epidemics which devastated the Island. Cholera and malarial fever were more prevalent here than elsewhere, except Port Louis, which as before said lies in a basin and is open only along the west to the benign influence of the sea. Nevertheless, these two northern districts have attrac- tions of their own. In Pamplemousses are the world- famed Botanical Gardens, a charming spot containing specimens of every useful tree that grows in the tropics. Here lie buried * Paul and Virginia ' — (Hush ! dispel not by sceptic doubts the fascination of that love-idyll) — whose common tomb is kept perpetually green by the veneration of their fellow-islanders. Not far from the Gardens is Tombeau Bay, where Virginia's body was discovered after the shipwreck of the Gerant^ which was bringing her back to Paul.* The adjoining district of Piviere du Pempart is remarkable for its Plaine des Poches, or fields of rocky lava, and its beautiful sandy beach, inlets and islets, and for its subterranean rivers and caverns. Flacq. — To the south of Piviere du Pempart is Flacq, the eastern district of the Island, with undulating sugar- cane fields, and numerous sugar mills, and neat abodes of the planters. As will be seen on the map, Flacq and Grand Port have a larger low - level area than Piviere du Pempart and Pamplemousses, and are fertilised by more and larger rivers than the last two. Flacq, as before mentioned, must have been the site of several volcanoes ; its numerous marshes and basins are all extinct craters filled with water to-day from internal springs, but the marshes of St. Amand and of * Trou d'Eau Douce ' are fed by springs close by. All these marshes, ponds, and pools, if reclaimed from the Pyretophorus costalis, the Stegomyia, * Paul and Virginia, a pathetic love romance, one of the chefs-d'oeuvre in purest French of the eighteenth century, by Bernardin de St. Pierre,, author of Etudes de la Nature and the Cabane Indienne. 8 THE EPIDEMICS OF MAURITIUS. and other mosquitoes, can be turned to useful account for irrigation purposes, and as reservoirs of drinking water, and for fish-rearing, for here no dashing currents after heavy rains can disturb the spawn. The largest river in Mauritius is the Grand River S.E. which flows at the foot of the Bambou or Camisard Range, and is distinguished by the picturesque and wild beauty of its channel, chequered by numerous cascades, the principal one being the l)ia Mamouve Falls. The Grand River S.E. Ealls, about a mile from the river's mouth, remind one of Niagara in miniature. Flacq, like Pamplemousses, was severely tried during the cholera epidemics of 1854 and 1856, and like that district and Riviere du Rempart, its coast villages suffered greatly during the malaria epidemic of 1866, but malaria has now become endemic all along the coast of Mauritius. Grand Port. — To the south of Flacq, Moka, and Plaines Wilhems is the district of Grand Port, which was the first to be inhabited by the Dutch and the French, and around its beautiful harbour rose the former capital of 3Iauritius, called Port Bourbon, afterwards Mahebourg, after Mahe de Labourdonnais, who however transferred the capital to the more capacious north-western harbour on the lea side of the Island. At the entrance into Mahebourg or Grand Port Bay are several small islets and rocks, which together with €oral reefs make it not only dangerous, but even almost impossible for big ships to pass through into the harbour. I: was between He de la Passe and the coral reef, that the famous naval battle of Grand Port was fought in August 1810, between the French squadron under Captain Duperre, and the British attacking fleet under Captain Willoughby. 3Iost of the opposing frigates became jammed inside the narrow channels, or got stranded on the shoals of coral, and English and French fired, ' a bout portant,' broad- sides into each other's flanks. Though the French after two days won the victory, their elation was to be of only a short duration, for the English though beaten returned GENERAL DESCRIPTION OF THE INLAND. 9 again to the fight three months after, but this time with a fleet of 193 vessels from India and the Cape, and with an army of 1600 men whom they wisely landed on the north- east of the Island, on a more propitious part of the coast than that of Mahebourg ; and in three days the Island capitu- lated and became English. After the capital had been transferred to Port Louis, Grand Port lost prestige, and it is now a poor village with but few remnants of its ancient affluence. Like Port Louis, it is not considered salubrious, as malarial fever is endemic here. The north-west portion of Grand Port lies on a high level, and is still covered by forest trees, some of which are hoary with age and send their roots deep into the soil, which is very damp here, and which allows the formation of several marshes : the ' Mare la Violette,' the * Mare d' Albert,' the * Sabloniere,' the 'Mare aux Singes,' where the bones of that extinct bird, the Dodo, were found ; and nearer Mahebourg, the ' Mare aux Jones.' As before said, the Island is surrounded by a belt of reefs except along the southern coast, where the surf beats with fury against the shore, and has excavated a natural bridge and a blow-hole or * souffleur ' in the rocky cliffs. Savanne. — To the west of Grand Port is Savanne, the 'best-watered district of the Island, there being no less than twelve rivers emptying themselves along its shore, four of which, viz., * Riviere du Poste," ' Riviere des Anguilles, ' Riviere de la Savanne,' and * Riviere des Galets,' are fair- sized rivers. No wonder then that some of the most flourishing sugar estates are situated in this district. As will be seen further on, the average yield of sugar cane per 1*04 acre (arpeiit) is about twenty- three tons. Savanne has many attractions to the visitor ; first, among the spurs of the Savanne Mountain, on the south-western range, at an altitude of 2000 feet, is a small lake, the ■' Grand Bassin,' with an islet in the centre ; it is surrounded by forest-clad hills, some of which come close to the water's •edge. * * This " Bassin " is about three-quarters of a mile in * MacMillan's Mauritius Illustrated. 10 • THE EPIDEMICS OF MAURITIUS. circumference, and fifty to sixty feet deep, and is no doubt the crater of a secondary extinct volcano ; lava and basalts strew its banks, and not far off on the north-eastern side can be seen a high cliff covered to-day with shrubs and creepers,, but which must have once formed part of the crater's rim.' The Bassin Blanc, south of Grand Bassin, ten acres in extent, is no doubt also another extinct crater, so are Kanaka and Grand Trou. All these, together with the Grand Bassin, lie in a virgin forest, where live the deer and wild boar. During certain months of the year the " Ohasse aux Cerfs " in these woods is looked forward to with great sporting anticipation, and venison can be purchased from the butcher. * To the geologist the multi-coloured madrepores at the mouth of the River des Galets will prove of interest, so also the lofty basaltic columns at the mouth of the River du Cap, which form the bluif end of the Grand Cap on the eastern bank of the river.' 'Savanne shows in certain places evidence of its having been once under water, for even at an altitude of 2000 feet plastic clay, many feet deep, has been found underlying beds of gravel and corals mixed with debris of cretaceous forma- tion, and calcareous rocks are still to be seen near Chamarel over fifty feet above sea level.' This district, together with Grand Port, was not affected by the first epidemic of malarial fever of 1866, but became so in 1867, and, alas ! its lower portion, like the rest of the coast, is now the region where malaria is endemic. As will be seen in the map, this is no doubt due to the low level of the land, and to the numerous marshes along the coast. Blacli River. — On the other side of the river called Black River, and of the Bale du Cap, and also to the west and north of the south-western range of mountains, is the Black River district which has the longest sea-coast of all the districts. Except along the sea-board, it is on high level ground, and from its range rises the Black River peak, ■ the highest in the Island ; and from the same range alsa- GENERAL DESCRIPTION OF THE ISLAND. 11 springs the River du Cap, winding along a beautiful glen, witli its two cascades, black boulders, and precipices covered with creepers and thick bushes. As previously described, the Morne Brabant, a mountain 1809 feet high, slips out into the sea, as if loth to lose the last glimpse of the setting sun's rays reflected from the ' Piton des Neiges ' in the neighbouring island of Reunion. There are several caverns in this district, one of which communicates by a long subterranean passage with the shore at Petite Riviere. Black River has the evil reputation of being the first district (at Petite Riviere) to start in 1866 the malarial fever, and of having been affected ever since by this disease ; but of this anon. In spite of the malaria, its high and lovely mountains, rivers, cascades, and scenery, will make this district one of the most attractive to the visitor. Plaines Wilhcms and MoJia. — For cool and invigorating breezes and healthiness one must ascend to the plateau of Plaines Wilhems and Moka. Plaines Wilhems is the most popular of all the districts. All along the- railway, or main road, from Beau Bassin to Forestside beyond Curepipe, the richer class of the Mauritian community have established their abodes since they were driven from Port Louis by the epidemic of malarial fever in 1866, each one vying with his neighbour in making his house or villa and surrounding gardens and orchards the prettiest in the locality. Hamlets and villages have sprung up like mushrooms within easy distance of the railway stations. Though the continual rains and consequent dampness of Moka have made it less hospit- able than its fellow, yet its climate is very cool and pleasant, and here are situated the houses of many of the elite of Mauritian society. On the frontier between these two districts is the beautiful and unique glen through which the Grand River flows. It is not an exaggeration to say that few places in the world can equal in picturesqueness- the scenery that unfolds itself at each turn along the course of the river from its mouth right to the '"Digue," some six miles up, where the tributary from Moka joins- 12 THE EPIDEMICS OF MAURITIUS. it, and where splitting along two glens one ascends towards the south-east to Mount Ory, and the other to the south-west to Beau Bassin, both ending in high waterfalls. To see the ibeauty of this Grand River ravine, with its red precipices, here rising sheer up like a wall, with only aloes and maiden- Jiair ferns clinging to its ledges, there sloping upwards over massive boulders, between which the ^jamalaque' and the '* jambrosa' have found root-hold, the visitor must start early in the morning and ascend the glen on foot from the Grand River railway bridge, or drive to Failles and descend the steep bank of the glen in front of la Tour Mil ward to the Digue. He will not have gone far before he comes to the ford, or chaussee, where texts of Scripture have been chiselled into the rock by pious hands. Here, on each side of the chaussee, the precipices tower over him, not dark and frown- ing, but lit up in resplendent grandeur by the slanting rays •of the sun, and resonant with the echoes of the roaring •torrents dashing over innumerable boulders, which the force of the swollen river has scattered all over the place. Many a time have I contemplated with delight the reflection of the gorgeous sunset against the summit of those red precipices, the tone being relieved by patches of green, or by the white jiests of the paille-en-queue. As you ascend the river along the footpath, the cliffs ■come nearer each other, and the blue sky seems to be far above you. You have now to be on your guard, for the monkeys, in search of food, are throwing stones to frighten the birds that have built their nests in the crevices of the rocks, and these rogues are watching to detect where the birds fly out and whence they may steal the eggs. The ' Digue ' is the j)rincipal reservoir supplying drink- ing-water to Port Louis ; but alas ! the rivers and rivulets from Moka that flow into it are not guarded against pollution by the thousands of Indians who live on their banks; and enteric-fever bacilli lurk in that reservoir. As before said, the main glen now splits into two, and each branch becomes -contracted, the banks are less precipitous, but are still high, ^nd are covered with trees. After a difiicult climb over huge GENERAL DESCRIPTION OF THE ISLAND. la rocks, and after wading throuo^li tlie river more than once,, you come to the cascades: the one dashing down the left arm- of the Moka glen is much higher and prettier than its fellow in the right or Plaines Wilhems glen. The river formin g the Moka waterfall gradually deepens its bed as you ascend to its origin a few miles up, and where another short beautiful glen opens before you at Heduit ; here it suddenly comes to an end with another cascade tumbling down ai great height into a pool below. Reduit, the residence of the Governor of the Island, is in the Moka district, and is most picturesquely situated between two deep and woody ravines uniting at the * Fin du Monde,'' in front of the mansion, whence the view is most mag- nificent. The freshness of the atmosphere, the foaming cataract,.. the variegated foliage of every shrub, the clear streams, the deep ravine, the barren cliff, the dark pool reflecting trees and flowers of every kind, with a thousand shadows from projecting rocks ; and overhead the bright azure of a fre- quently unclouded sky; all these form a combination of what is attractive in nature, that must be felt and seen to be appreciated. In Moka district, at the foot of Pieter Both, is the Malagasy village, founded by the London Missionary Society for the Christian refugees from the Madagascar persecution in the forties of last century. Their descendants still' worship in the little chapel built for them by Lady Elizabeth. Gomm, wife of Governor Gomm. As will be seen on the malarial map of Mauritius, Moka,. Plaines Wilhems, and the northern part of Grand Port escaped the epidemics of malarial fever (1866-8), which,, even until now, scarcely ever begins de novo on that elevated plateau. But rumour has it that the Anophelinae are be- ginning to make their habitats among the marshes and in the- glens, in spite of the altitude of these districts, for even Eeduit which had so far not seen a mosquito has recently paid tribute to malaria. Moka, with Savanne, was the district that had the lowest 14 THE EPIDEMICS OF MAURITIUS. mortality during the epidemic of cholera (1854-6). Not so with the sister-district of Plaines Wilhems, which fared very badly, owing to the number of cholera- stricken patients who sought refuge thither from Port Louis and Pamplemousses ; Moka was sparsely inhabited in those days. Though called Plaines Wilhems, it is less a plain than Moka. From the Kanaka Forest, at the foot of the south- eastern range of mountains, from a height of over 2000 feet it gradually slopes in every direction, especially northwards and westwards, giving a strong inclination to the rivers which take their origin from its marshes. * Curepipe ' is the principal town of Plaines Wilhems. It is so called because it was here the French soldiers, during the French occupation, on their march from Port Louis to Mahebourg, rested, and smoked their pipes — after having cleaned or ' cure ' them first. In those days it was but a small hamlet situated 1800 feet above sea-level, in a dense forest of old and venerable trees. It has a climate resembling that of England in the spring, and when the malarial fever broke out in 1866 all the richer families fled to this part of the Island ; and to-day, in spite of its heavy rainfall and consequent humidity, it is a pros- perous and healthy town, the most populous after Port Louis. The hamlets of Quatre Bornes and Yacoas, a little lower down the plateau northwards, are drier and contain many coquettish villas, as do Rose Hill and Beau Bassin further down still. Not far from Yacoas is the Mare aux Yacoas, which has been deepened, cleaned, and turned into a reservoir of pure water. The Mare aux Yacoas Waterworks.* 'The reservoir afc Mare aux Yacoas, where the avera.o-e annual rainfall is 137 inches, has a catch raeufc area of about five square miles. The top water-level is 1840 feet above the mean sea-level, and the reservoir has a maximum capacity of 570,000,000 gallons. The water flows from the reservoir for 4000 ftet in a concrete conduit with a ferro-concrete covering, and for a further distance * With permission, from MacMillan's Mauritius Illustrated. GENERAL DESCRIPTION OF THE ISLAND. 15 •of 7700 feet is taken in a sixteen-inch cast-iron pipe to the filterinin: establishment at la Marie, \Yhich is 1645 feet above sea-level. 'At the filtering establishment there is a depositing reservoir with a capacity of 500,000 gallons. Owing to the water being at times heavily charged with organic matter, the Anderson Process for the purification of water was installed, and concrete partitions were erected in the depositing reservoir to improve the settlement of solids. Originally there were only four filter-beds, with a super- ficial area of 0720 square feet, but five additional filter-beds have since been constructed with a superficial area of 18,000 square feet, and extra aerating trays have been added. These additional works and the increased filtrations area enable two filters to be always left exposed to sun and air ; and with a slower process of filtration there are few complaints about the quality of the water. ' The daily consumption of water exceeds 1,000,000 gallons, and with the exception of the supply to the town of Curepipe, the water flows by gravitation to the loAver districts. The supply for Curepipe is pumped by means of hydraulic rams to two reservoirs standing 368 feet above the filtering establishment, the motor being driven by water-power from the sixteen-inch supply main. * The increase in the population of Curepipe has necessitated additions to the pumping plant and the reconstruction of the reservoirs. A masonry building was erected at the filter-beds for the pumping machinery, and a second sixteen-inch cAst-iron pipe has been laid to supply the motive power.' It is a pity the government does not make similar use of all the marshes in this district. Quite close to Curepipe is the famous ' Trou aux Cerfs,' an extinct crater already referred to, which rises like a conical hill on the western suburb of Curepipe. From the * Trou aux Cerfs ' one gets an extensive view of the central plateau with the three mountain ranges in the distant corners, north, south-east, and south-west. Nearer to the left are the peaks of the * Trois Mamelles,' and to the south-west the summit of * Corps de Garde ' Mountain, and of the Grand and Petit Malabar Hills. To the right are Mont Auvillard, the Butte de Chaumond, and Piton du Milieu. Farther afield are small towns and villages scattered all over the landscape, and also the sugar mills in the middle of their sugar-cane plantations. It is a pleasant sight to see these sugar-cane fields as you go to town by train from Curepipe ; 16 THE EPIDEMICS OF MAURITIUS. they change colour at the different seasons of the year. In the- early months, the Island seems to have a tender green table- cloth spread all over it ; then a couple of months later the colour has changed to a dark green, and a little later still when the blossom is out, to a delicate mauve, and finally to- yellow when the leaves have become seared and the canes are ready to be cut. According to John Anderson's Descriptive Account of Mauritius, dense forests used to cover the Island in Mahe de Labourdonnais' time, and it was he who first began to make good roads through those forests to the distant villages, and to connect Mahebourg with the Pample mousses and Riviere du Rempart districts, and planted sugar cane, which became so productive that an attempt was made to cultivate it in the other districts also ; but the higher altitude, and the dampness of the soil in Plaines Wilhems, Moka, and Black River, proved a barrier until 1854, when guano was im- ported and used as a warm fertiliser, and now the forests have to a great extent made way for the sugar cane, which covers 144,296 ' arpents ' ; and with the exception of the heights beyond Curepipe, Grand Bassin, the Kanaka forest, and the mountain slopes covering 60,000 ' arpents,' and a comparatively small acreage for aloes, the whole island is under cane cultivation, which has made it comparatively one of the richest colonies of the British Empire. In 1889 the total revenue was as great as that of England under Queen Elizabeth. In 1859 the export of sugar was 229,321,468 lbs. In 1867 „ „ „ 260,000,000 lbs. Then, through competition with beetroot*-sugar in Europe, it remained at that level until 1893, when with improvement in the millage, and through the lioble efforts oJf the capitalists, it ascended to 560,000,000 lbs. in 1912, pro- ducing a revenue of R. 32,000,000 (about £2,500,000), and it will rise higher still if the cyclones, heavy rains, or the * Sugar from sugar cane is sweeter, more nourishing and wholesome than that derived from other sources. It is a food necessary for the- welfare of the human economy. GENERAL DESCRIPTION OF THE ISLAND. 17 * borer ' and severe drougiht do not destroy or hinder the crops. ' It is well known that winds over forty miles an hour damage the cane, either by uprooting or breaking it, or tearing or stripping off the leaves, or bending tlie tender stems. At less than forty miles, tlie wind will break the late season's cane. Though these cyclones are very rare, yet in January and February, 1803, the damage to the crop was estimated at 13*8 per cent. ; in March, 18C8, 32-5 per cent. ; March, 1874, 19 per cent. ; February and March, 1879, 29 per cent. ; February and April, 1892, 48 per cent. ; February, 1902, 18 per cent. ; and March, 1911, 10 per •cent. Apart from the severe cyclone of 1892, it has been calcu- lated that in fifty-six years only two have caused damage of about 30 per cent., and three of 20 per cent. Mr. Walter, the Observer- Royal of Mauritius, says that the loss beais a very close relation to the wind-velocity, and a simple formula has been derived for ■the conversion of wind velocity into loss of cane. * Severe droughts occasionally occur and also cause great loss to the planters : the severest loss was 75 per cent, on the crops of Pamplemousses and Riviere du Rerapart in 1897, and yet there is more than enough water in the Island in its rivers and marshes.' * o Mr. Walter's article in MacMillan's book on the Sugar Estates and the River Systems of Mauritius is so valuable, that with Mr. MacMillan's permission I give a rhume of it here : He divides the Island into thirteen sections of river systems. The first area (vida Crook's map) includes Pamplemousses and Riviere du Rempart, with an area of 5G,000 arpents (excluding mountain and river reserves). 30,000 arpents are under cane cultivation, giving an average yield of twelve to twenty-four tons of cane per arpent. The other 26,000 arpents are unsuitable for cane cultivation on account of their gravelly nature, but are good for aloes {Fourcroya gigantea), fuel and fodder. The second area includes a large portion of Flacq, about 46,000 arpents, of which 17,000 arpents are under cane, giving an average yield of eleven to twenty-four and a half tons per arpent ; 7500 arpents along the coast consist of sand and rock ; 5000 are kept for fodder and fuel. The third area, still in Flacq, between Montagues Fayence and Blanche, includes only 9000 arpents, of which 3500 are under cane cultivation ; but the yield is rich, giving twenty to twenty- four tons of cane per arpent ; 1500 arpents are still capable of cultivation, but the rest is shallow and rocky. * 3£acMillan's Maurttms Illustrated. c 18 THE EPIDEMICS OF MAURITIUS. The fourth area inchides nearly the half of Moka and the- lowest portion of Flacq lying between Montagfne Blanche and the Bainbon Eange. It inckides 40,000 arpents with 15,000' under cane, giving the high average of twenty-three tons of cane per arpent; 8000 more arpents still uncultivated are good for cane ; but the rest, about a quarter of the whole area, belonging to the crown is damp and cold, or consists of ' black soil ' and lies uncultivated. The fifth and sixth areas comprise the whole of Grand Port and a large portion of Savanne. They include 106,000 arpents. with 45,000 under cane, producing twenty-three tons per arpent, and 10,000 capable of cane cultivation. That portion to the north of Grand Port Bay known as Vieux Grand Port is useless for cane, as it also consists of ' black soil,' whilst the upper portion of both- sections has a very heavy rainfall. The seventh, eighth, ninth, and tenth areas, enclosed within the arms of the Black River Range, are for the most part moun- tainous and rugged ; the ninth is either covered by a forest or has a black clayey soil : the tenth is reserved as a grazing ground with; a ' shifting crop' of maize ; and the rest of those areas are portioned out to peasant proprietors for cane cultivation. The eleventh area comprises 32,000 arpents, with only 3000 under cane cultivation, yielding twenty-two tons per arpent ; but 10,000 more could, under irrigation, be brought under cane ; 7000 arpents lying in the district of Plaines Wilhems are permanent forest land, and the rest consists of soil unsuitable for cane. The twelfth area has 50,000 arpents, and includes portions of Moka and Plaines Wilhems ; 17,000 arpents in the highlands are highly cultivated, but the rest requires copious irrigation. The thirteenth area mclndes the district of Port Louis and the- lower portion of Pamplemonsses. The latter is cultivated by peasant proprietors, and suffers from a state of chronic drought. There are to-day sixty-two sugar factories. In 1854 there were 227 ; but the lesser number means co-operation among the planters, and the ownership of land by Indian peasants, who most of them possess no factories but send their canes to the nearest mill. The total area under cane at the end of 1911, according to* a return by the Agricultural Statistics Bureau, is 144,479 arpents, whilst the total area of the nine districts is 439,451 arpents. The percentage of plantations owned by Indians is 00'90. The Indians own 40,000 arpents of land bought under the ' Metayer ' system, which has developed into the ' Morcellement,' according to which the land is purchased on a deferied payment scheme, with the produce as a guarantee. Under the Metayer system the proprietor advanced the necessary material and bought the produce- at V. reduced rate. Under the Morcellement, the freehold is pur- GENERAL DESCRIPTION OF THE ISLAND. la (?h,ased.', the capital being paid. in annual insta,lrxients together with interest, usually at 9 per cent, per annum, extending over a number of years. . , .,. Cultivating without capital, without foresight, without in- siruction, the yields are not infrequently excessively low both in cane and sugar ; yet even this low yield appears to bring a return adequate to the simple requirements of the Indian planter, to- whom the cost of production is almost neghgible, and who, it, should be stated, has usually many other resources : hawking,, niilk-selling, cattle and poultry rearing, &c., all on a small scale — with which to supplement the revenue derived from the land. In a normal year, with the methods of cultivation which the Indian owner generally adopts, the virgin crop will leave a profit, of about Rs. 100 to 150 per arpent, and subsequent ratoon crops,, from Rs. 50 to 75, according to the age of ratoon, the nature o^ the season, and the care devoted to the plantations. . The system outlined in the previous paragraph, advantageous' as it is for the individual, both buyer and seller, is becoming a. serious menace to the industry as a whole. The methods of the Indian planter are deplorable. Not only is the lan^l cultivated to exhaustion without the addition of any fertiliser, natural or chemical, but the cane-trash, either from ignorance or laziness, or both combined, is systematically burnt, and the yield both of cane and sugar is often ridiculously low. But as a competition exists among the mill-owners for the Indian planter's canes, even if the latter could be brought to see the necessity for improved culture for the sake of the land, he is not likely to be seriously concerned while he can find a ready sale for his goods as they are.. The mill-owner buys the cane at an average of Rs. 98 1 per ton, or gives 70 to 75 lbs. of sngarto the planter for eveiy 1000 lbs. of cane, without respect to their richness in saccharine matter. The average yield of cane per arpent on the large estates for all ages of cane is 21 '6 tons; that of the Indian planters is eight to nine tons ! * The yield both for the large estates and for the Indian planter depends on irrigation ; the golden rule is to irrigate copiously and often during the three months after planting — i.e., May, June, and July in the lowlands — and immediately after cutting. The critical temperature for the cane appears to be 70*^ F.,. below which there is a distinct retardation of growth. The virgin canes in the lowlands come to maturity in about thn-teen to fifteen months, while in the highlands nineteen to twenty-four months are required. When to these favourable conditions is added a copious and regular rainfall, the growth of the cane is phenomenal. * The Government should put a stop to this suicidal 'nonchalance.'" — D. E. A. 20 THE EPIDEMICS OF MAURITIUS. The rainfall in the centre of the island is frequently too heavy to permit the cane to develop normally, the higher portions of the south-eastern districts receiving an average yearly rainfall of 175 inches. If this amount were evenly distributed at the rate •of about half an inch per day, this effect would be most beneficial, but a large proportion is derived from cyclonic rains, which at times. yield twenty or thirty inches, and have been known to exceed fifty inches in one day. The cane suffers to a considerable extent on account of these heavy rains. On the other hand, shortasre of water for weeks at a time, as sometimes occurs in the lowlands, also causes much damage, when the crop might fall as low as 75 per cent, below the normal. But these conditions of excess or want of water are unusual, and on the whole the climate of Mauritius is highly favourable for the cultivation of sugar cane. True, a vigilant watch must constantly be kept against the cane pests, certain caterpillars, borers, bugs, beetles, and scale insects, which will destroy whole fields of sugar cane if not killed in time.' It .will be seen how important it is for Mauritius that droughts should be prevented or remedied if possible. The excessive deforestation of forty years ago has been wisely stopped ; and, as said before, reforestation of the mountain sides, of the ' pas geometrique,' the river reserves along the river banks, is a saving measure ; but, alas ! it will be another half-century before the new forests can take the place of those venerable giant trees, hoary with age, which have been cut down. The widespread destruction of forests has caused an increase of 1*26 F., during the summer months, in the mean daily temperature of the air. CHAPTER ir. Sugar Cane in the West Indies : its Cultivation, Diseases, and Remedies. Whilst in the West Indies in 1913, I visited several sugar estates and their mills, and for the Mauritian planters' benefit I publish by permission the following notes on the above subjects, from the Reports of the Tropical Exploitation Syndicate, and Ballou's Insect Pests of the Antilles : The Sugar Cane {Saccharunfi officinarum) is a gigantic species of grass similar, in some respects in formation, to the common bamboo. The sweetening principle is contained in the pith, with Avhich the sections of the stem are nearly filled. The height is from eight to twelve feet. The plant is perennial, and grows in a cluster, throwing up additional stems from the buds, or from its lower nodes below the surface of the ground. The plant is propagated from the eyes or buds, which grow on the stems. The 'stoles,' or portions in the ground, continue to throw up fresh canes or 'ratoons' for a succession of seasons. It is usual to replant fresh canes after two to four years in rows three feet apart, with intervals of two to six feet between each plant. Soil and Fertilisers. — Clays, loams, marls, and calcareous soils are all suitable for cane cultivation, and it thrives best in a warm, moist climate with prevalent sea breezes and moderate intervals of hot, dry weather. It will grow well on sandy soil if the moisture conditions are satisfactory ; but such soils soon become exhausted, and require heavy applications of fertilisers. The presence of much saline ingredient is undesirable. It will also not succeed on the hills. (The cultivated soil in Mauritius is either alluvial or laterite (red soil), and the uncultivated gravelly, good for aloe plantation.) W. C. Stubbs, an expert, says, ' The best soil for sugar cane should be capable of holding 25 per cent, of its weight in moisture . . . and soils for sugar cane should be fertile and well supplied with vegetable matter.' 22 THE EPIDEMICS OF MAURITIUS. Commercial fertilisers should contain 340 pounds of soda nitrate, or large amounts of cotton-seed meal, dried blood or tankage, in order to produce 48 pounds of nitrogen per acre, and 3G pounds of phosphoric acid contained in 250 pounds of acid phosphate, and a little potash. Part of this fertiliser is applied before the planting of the cane, and part soon after the growth begins. If nitrogenous fertiliser is applied too late, it delays the ripening of the cane, and hence reduces the yield of sugar, or injures the f[uality of the syrup. Phosphates tend to hasten the ripening of the cane, as also other plants. The demands for a large amount of nitrogen are met on some estates by ploughing under (every third or fourth year) a luxuriant growth of cow peas (Am- brevade). Specimen formula : Where land is preceded by a Where velvet beans had soil-improving crop. been ploughed under. 600 lbs. high-grade acid phosphate . . 1100 lbs. 100 ,, cotton-seed meal ... „ 300 „ nitrate of soda . . . . 100 „ 100 „ sulphate of potash . . . 100 „ 1100 lbs. per acre. 1300 lbs. Half to be applied before planting, half later on. The use of much stable manure, while not unsound, is apt to give the syrup a dark and inferior flavour. On soil not previously enriched, sugar cane requires a fertiliser rich in nitrogen. Potash is needed in sandy lands, but apparently not on rich alluvial jsoils. Burning the dried tops and leaves destioys cane-borers,, causes the land to dry up more rapidly than if litter is left on it, and disposes of the useless vegetable matter. One ton of cane leaves and tops will take out of the soil 2*81 lbs. nitrogen, 10*53 lbs. phosphoric acid, 2'43 lbs. potash. Tw^enty-five tons per acre of stripped cane will take 01 lbs. nitrogen, '2Q lbs. phosphoric acid, 30 lbs. potash. In from eight to fourteen, and even eighteen months after planting, in April or May in the lowlands, and in November or December in the higher and cooler districts (according to climate, soil, manures, rain, cane. &c.), the shoot becomes heavy and is ripe for harvesting, the skin has become dry, smooth, and brittle, the pith approaching to brown, and the juice sweet and glutinous. The canes are cut to the ground with cutlasses or bill-hooks, and brought into the factory to be crushed between rollers. (In Mauritius the average virgin yield is 28 tons per arpent ; the average ratoon about 20.) In British Guiana 30 tons per acre are regarded as a good crop, and yield 25 tons of juice, which SUGAR CANE IN THE WEST INDIES. 23 •evaporates to about 36 cwt. of sugar. But the amount of juice Taries, the large and powerful mills will exti-act from 75 to 80 per cent, of the weight of the cane as juice, and a ton of stripped 'Canc! will yield between 150 and 180 lbs. of sugar — or 22 gallons of syrup. The crushing of the cane is sometimes preceded by immersion in water. The diffusion, method is sometimes adopted, and that consists in cutting the canes into short lengths and soaking them in an equal weight of water, passing the resultant liqoor from one vessel to another, in the course of which it becomes more and more concentrated. The sugar juice is treated wil.h sulphur dioxide, and neutralised with milk of lime to prevent fermentation. It is then heated to 80" C. (170° F.), skimmed and evaporated in vacuum pans or by steam pipes, which alternately dip into the juice and out again. The uncrystallisable syrup which may remain is removed by draining or by centrifugal machines, or it may be sold for export just as it is. After evaporation the juice is run through cotton bags, charcoal, or capillary filters, the ' clean ' having the effect of decolourising it. The purified resultant is then boiled down in steam-heated vacaum pans at a temperature of 82° C. (179° F.), more syrup being added as crystallisation sets in. When sufficient crystals have been formed, the crystals and syrup, or ' masse cuite,' is carried off into a centrifugal machine which separates the syrup from the crystals, which are washed by a water spray, spread out to dry, and packed. The process is repeated with the drained-off syrup, and the final residue converted into Golden Syru^j. If the ' inasse cuite ' is run into moulds and the syrup be washed out with pure sugaj-liqnor and dried. Cube Sugar is formed. Molasses or treacle is obtained in the refining of sugar, and consists usually of 20 per cent, of water, 36 per cent, of crystallisable sugar, 36 per cent, inverted sugar, 5 per cent, organic acids and extractive, and 3 per cent, mineral matter. Cane sugar (C^o ^\i O^i) dissolves in one-third part of cold water. Its crystals have a specific gravity of 1"6. It melts at 160° C, then solidifying into Barley Sugar, and at a higher temperature is converted into a dark brown substance known as €aramel. 24 THE EPIDEMICS OF MAURITIUS. Diseases of the Sugar Cane* The sugar-cane industry has constantly been threatened by the attacks of reiiain fungi and of insects which eat up eitlier the leaves or shoots of the sugar cane. Amongst these insects are the moth l)orer, the weevil horer, the root lorer, the shot borer, the cane Jig, the pinic mealy hug, the sugar-cane Aspidiotus, the grey sugar-cane mealy-hug, the grasshopper, and the white ants. The fungi can be destroyed by certain mixtures like the Bordeaux Mixture (copper sulphate, quicklime, and water), and the insects by other parasitic and predaceous insects and by lizards, toads, and birds. These are called the natural enemies of the insects. The parasite insects belong principally to the Diptera and the Hymenoptera, and they either lay their eggs inside the body of their host, when they are said to be parasitic proper, or they devour it bodily, and are said to be 'predaceous'; these latter belong to nearly all orders. But besides these animal enemies of the sugar-cane depredators, there are vegetable ones also, viz., the ' parasitic fungi,' many species of which live on scale insects, and white fly, plant lice, mealy-bug, and borers, which at some period of their life-cycle have but little freedom of move- ment, and also on flies, cotton stainers, moths, and grasshoppers. As before said, several soecies of birds, the black bird [Quiscalus fortirostris), the tick bird or old witch (Crotophaga ani), the loggerhead, hawk, and many other smaller bii-ds and domestic fowls, are insect-feeders. Toads or crapauds {Bufo agua), colloquially called ' the mountain pigeon ' by the West Indian, feed on live insects, especially at night. Lizards (the brown and the green) are also very useful in the sugar-cane held. But since the intro- duction of the mongoose in the West Indies for the destruction of rats, the toads and lizards are being eaten up, and the insects are increasing in number. We have already seen that flshes, especially the small fish ' Million,' attack water-insects and mosquito larvae,, but none of the insects that attack the sugar cane pass any period, of their life-cycle in water. * 2''he Moth Borm' (Diatrcea saccharalis, Fabr.), a Lepidopteron,. is perhaps the worst enemy of the sugar cane. It is a whitish straw-coloured moth with dark spots on the wings, which when spread measure about Ij inches. Its larva, a whitish caterpillar measuring IJ inches long, with scattered dark spots in each of which there is a black hair or bristle, tunnels into the stem and pupates there into a dark brown pupa two-thirds of an inch long. * Ballou's Insect Pests of the Lesser Antilles. SUGAR CANE IN THE WEST INDIES. 25 with short stiff bristles on the abdominal segments. The eggs are flat and scale-like, and are deposited on the leaves of the sngar cane in clusters of twenty or thirty, and after hatching, the larva travels down the leaf to its base, which in young canes is near the growing point, where it bores its way into the stem. The whole life-cycle is about fifty days. The parts around the tunnel become nard and red, and have a fermentive taste. Control. — If not too far gone, the shoots before planting are treated with Bordeaux Mixture ; the dead ones are cut out and burnt before the base of the shoot has begun to decay and the borer has escaped and tunnelled into another stem. The eggs on the leaves can easily be detected and collected. Fortunately these eggs are attacked by small parasitic insects, which destroy them. One of these (the Trirhogramma preUosa) inserts her eggs into the moth's Q^g, and when her minute grubs are hatched, they destroy the developing larva inside each borer egg. The attacked eggs are a little darker than the others and should therefore not be destroyed but left in the field, to enable the hatched and winged parasite to fly and attack other borer eggs. The caterpillar, plant lice, and meal v -bug are also attacked by the parasitic fungus Cordyreps Barheri, which grows into their bodies and thus kills them. 'J'hese fungi thrive best in damp localities and in moist seasons.' ^The larger Moth Borer {Gastnia Ucus, Drury), a Lepidopteron. The eggs of the larger moth borer are elongate and pointed at both ends. The surface is marked with five or six longitudinal ridges. They are laid inside the leaf-base near the ground, or on the ground among the canes. The larvae, on hatching, tunnel into the stems and work upwards for a distance of some 2 feet, when they turn and go down through the same tunnel into the underground portion of the same stool. The larva reaches a size of 2j inches in length and J inch in diameter. The tunnel is consequently large, and the injury to the cane very severe. The pupal stage is passed in the cane or in the soil near the underground i:)ortions. The time occupied in the life-cycle ranges from twelve to fifteen weeks. The adult insect is a large day-flying moth, which in general appearance is similar to the larger butterflies. Control. — This larger moth-borer, being a day moth, is largely kept under control by the birds, lizards, toads, and other natural enemies, but it is also easily caught by means of butterfly-nets.. Only well-examined cane tops should be exported from cane fields where the moth exists, and all trash should be burnt.' * The Weevil Borer {Sphenophorus sericeiiSy Oliv.), a Coleopteron, although vulgarly called in the West Indies ladybird, is not a 26 THE EPIDEMICS OF MAURITIUS. ladybird, which is generally beneficial in her habit, whereas the weevil is not. It commits great depredations in the sugar-cane fields, as it eats up the wliole of the inside of the cane as well as the ratoons or stumps. It has a slender curved proboscis or beak, and is about f inch in length, dark brown in colour, and has black markings on its wing-shields and thorax. For some time afcer the mating season it continues to deposit its eggs — which are clear, single, and oval, about yV inch long — •either in broken or cut canes, or ^ inch under the rind, in the soft part above the hard joints, one in each segment of the stem. The i^larva — J to h inch long — is a footless small white grub, and is hatched in four days ; it progresses by means of a hump on its abdomen. It is voracious, and tunnels extensively, and forms rafter fifty days a cocoon out of the fibre of the cane, and pupates during ten days, the whole life-cycle being sixty days or more. The Sphenophoriis sordidus, which attacks the coffee plant, is very similar to this species. Control— No parasites of this borer are known in the West Indies, but the birds, toads, and lizards capture the moth and also the caterpillar when the infected stumps are dug out and broken up. All rotten and infected canes should be burnt as soon as possible, and stumps intended for latooning should be covered with mould so as to prevent the access of the weevils for the purpose of egg-laying.' ' The Root Bore?' (Diaprepes abbreviatus, L.), a Coleopteron, also wrongly called a ladybird, has found its way into the sugar- <3ane fields and is becoming a serious pest. It is a large weevil, about f inch long, pale green, with dark bronze stripes running longitudinally on the wing covers. It lays its eggs en masse on the leaves of a variety of plants, and after ten days, hatching takes place, and the young larvae fall to the ground and immediately feed on roots, especially on cane roots ; finally they tunnel into the underground portion of the stems, passing f]*om one stool of ■€anes to another, travelling sometimes several inches below the .ground. The larval life lasts 300 days, and the pupal fifteen, and the adult about twenty, thus filling a life-C}cle, from the laying of the G^g to death, of nearly a year. Control has hitherto not been satisfactory, although birds, lizards, and toads prey on the adult, and these natural enemies and the ants on the grub whenever it is exposed by digging out and breaking up the stumps. But it has been found possible to -exterminate great masses of the adults by planting Indian corn, pigeon pea, sweet potato, and haricot bean immediately after the harvesting of the cane. The weevils were found hiding among the leaves (though rarely among the canes) and could be easily •collected and destroyed.' -^ "S SUGAR CANE IX THE WEST IXDIES. 27 ' The Shot Borer {Xf/leborus per/orafis.WoW.). — A Coleopteron, a small brownish beetle about yV '"^li Ions:, whose larva tunnels the cane like the weevil borer does, and causes o:reat destruction, not only m this way, but probably also by affording access to •disease-producing fungi. CoiiiroJ. — Prompt destruction of all infected and rotten canes immediately after the crop is reaped.' 'The Cane Fly (Delphax Safrharivora,'WesteY.). — A Hemipteron — not a veiy great pest. In this case it is the fly itself, or the adult, that does the harm, by sucking through its proboscis the juices of the leaves and of the cane at a tender part near the growing part of the stem. She deposits her eggs in slots made by a saw-like ovipositor within the tissue of the leaf. A black fungus usually grows on canes attacked* by this fly, which is still called by some the bknk hlight. It may cause the loss of half the year's crop. Control. — The cane fly has for natural enemies the ladybird and the green lace-wing fly.' ' The Pink Mealy-lug (Fseuilorocrus ralceolarim, Mask.), cannot be classed among the serious pests of the sugar cane. But in Louisiana, where it is fostered and protected by the Argentine ant ■{2'rpiomyrmexhumilis)y it does great havoc. It occurs under the leaf sheath, where it sucks the sap from the cane by means of its slender mouth parts. Control. — Xo cuttings infected by this mealy-bug should be used for planting ; and sugar-cane ratoons suffering from root •diseases, being also badly attacked by this bug, should be dug out and burnt. Its natural enemies are probably parasitic Hymenoptera.' ' Ths Sugar- cane Aspidlotus {Asjndwtus sacrhari, CklL), a Hemipteron, is a rounded scale-insect of light-straw colour which occurs on sugar cane under the sheathing bases of the old leaves, and sometimes underground. It is rarely abundant and probably •does little harm. Control. — Infested canes should be destroyed.' * The Grey Sugar-cane Mealy-lug {Pseudococcus saccJuiri, Ckll.). — A Hemipteron, moderately large, covered with mealy wax and not easily distinguished from the pink mealy-bug, but it has longer legs and a less rounded body. Control is the same as for the other. It is not a very serious pest.' * The Grasshopper (Schistorarea pollens, Thunb.). — An Orthop- teron, will sometimes, especially in St. Kitts, eat the sugar-cane leaves. 28 THE EPIDEMICS OP MAURITIUS. Control. — Either by hand or by poison — \ barrel of fresh horse- droppings, 1 lb. salt, and 1 lb. Paris green, thoroughly mixed together ; the Criddle mixture, or 1 lb. bran (pollard) mixed to a stiff mash with water and molasses and Paris green, 25 lbs.. Domestic fowls and birds also like them.' ' Termites or White Ants (Platyptera) have been known tO' eat out the interior of the ripe cane. The control was to plant the field with cotton for two years, and the cane fields were never again attacked. * Finally, the Gummimj disease, " Maladie de Gomme," causes- a diminution of nearly 30 per cent, on the crop.' Varieties of Sugar Cane. There are a great many varieties of sugar cane. Some thrive for several years in the same soil, and tben for some reason or other they lose their richness in saccharine matter, or tbey are destroyed by borers or other insects, and it is found necessary after clearing the soil — burning the leaves and tops and old ratoons, and remanuring — to plant other varieties. In Mauritius some sixty- one varieties have been tried, and whilst the Bellouquet Setters, Tamarin, Penang Blanche, Home, Bambou Rose de Batavia, Diard, d'Otaiti, and Mignonne were at one time extensively cultivated, they have been given up on account of cane diseases and the following have taken their place : Big Tanna, Fotiogo, Port MacKay, Locambines, Lousiers, Petite Senneville. The Sugar Factory. — A sugar mill at work is a busy sight. Very early in the morning, before sunrise, the camp bell has woke up the coolies, who congregate in front of the mill. The roll is called; the sirdars, with, their companies of men, are detailed off to their respective allotments, where they work until midday; they then have an hour's leisure for their midday meal and rest. Again the bell sends them back to the fields or the mill until six, when for a third time the bell dismisses them, and finally a *couvre-feu' bell at eight has caused every cocoa- nut-oil lamp throughout the camp to be extinguished,. SUGAR CANE IN THE WEST INDIES. 29 and the labourer, having ceased beating his tomtom with his hand and singing a weird song to its accompaniment, falls asleep on his mat or on his string-bed. If it be the mosquito season, he puts a bunch of green leaves on the embers of his mud-stove to benumb these insects with smoke, and he sleeps till five the next morning, his dreams being occasionally disturbed by the hollowing of the watchmen, who with their dogs patrol the camp, the mill, and the fields against possible marauders. It is during the * Coupe,' or harvest, in August or Sep- tember (in Mauritius), that a sugar estate should be visited. Hundreds of coolies are cutting down the canes, whilst hundreds of others pile it on carts or Decauville-rail trucks, or in mid-air wire baskets, to be taken to the mill. As a rule, the canes are thrown into a clear-water pond first, and thence made to flow down-stream to the mill, where men and women push them up a moving plane which abuts against the rollers, where they are caught and crushed; the * bagasse,' or nearly dry pith, once more falls into clean water, to be pushed back upon the moving table ; finally the pith is either used for fodder or as combustible material for the mill. Inside the mill is a world of noise and motion. The engineers and their assistants are all at their posts, boiling, cooking, medicating, filtering the syrup, and reboiling, dry- ing and packing the sugar. The tall chimneys all the while are emitting a quantity of smoke, whilst the machinery is creaking, hissing, or hooting. A peculiar sweetish, agree- able smell pervades the atmosphere and stirs up a wholesome appetite, which is amply satisfied at the manager's hospitable dejeuner, to which he and his good wife always generously invite the visitors. These managers' families form a peculiarly attractive feature of Colonial life. Wherever I have been, Mauritius, Natal, the West Indian Islands, British Guiana, South and Central America, I have always been right royally entertained by them. The manager himself, as a rule, is either a good Scotsman from Glasgow, or a polite Frenchman, a descendant of the old colonists of Louis the XIYth's or XYth's time, or a Franco-Spaniard. They 30 THE EPIDEMICS OF MAURITIUS. are always glad to have the routine of the daily work broken into by the arrival of some one from the old countrj^. Their charming wives, rendered all the more charming by their stay or their birth under the tropical sun ; their pretty daughters with hair adorned with flowers from their aromatic gardens, their fine boys all attentive to hear the latest news from the Colleges in Europe ; they all are unique in their setting, in their sweet-scented country homes, and the picture evoked in my memory will ever be a grateful one. The Bum Industry. — Rum being derived from molasses^ is an industry existing wherever sugar is made. In Mauritius prior to 1895 a distillery was attached to almost every sugar estate, and over 100,000 litres were produced per month,, bringing into the Government Revenue, in 1883, over Rs. 1,772,355 ; but after the conquest of Madagascar by the French in 1895, who all but stopped the import of the fiery liquid into the country, and after prohibition of the exportation to the East Coast of Africa, where, as in every heathen land, it does great and rapid harm, and the diminu- tion of the demand from London, the revenue from the sale of rum has fallen to less than Rs. 1,330,000, and most of the distilleries have closed their doors. Sobriety has in consequence made great strides, not only in Mauritius, but also in Madagascar and East Africa. The rum distillers, however, are doing their best to have^ the heavy excise dues reduced, and with improvement in the machinery, fermentation and distillation, and better means of exportation, they hope to revive their trade. * * Rum is produced from sugar by rapid fermentation^ extending from thirty-six to forty-eight hours, by setting up a mash of scummings from the sugar- pans, 'scummings and molasses mixed, or of molasses diluted with water, till the " sett " or mash is of the strength of about 12 % of sugar. The quality of the rum produced is in the order of materials named, scummings producing the finest. The mash set up is> ■^ By permission this paragraph is extracted from the publications- issued by the Tropical Exploitations' Syndicate, Ltd. SLTGAR CANE IN THE WEST INDIES. 3t' slightly acid, and sometimes sulphate of ammonia in small quantities is added to provide readily- available nitrogenous food for the yeast. Every ten gallons yield one (or rather more) gallon of rum. The flavour of rum depends mostly on soil and climate, and is not good when the canes grow rankly. Its strength, as imported, is usually about 20/^, which is reduced before passing into the hands of the con- sumer. Artificial flavours, pineapple or guava, are some- times added to give it a flavour.* The Aloe Imhistri/. — The aloe {Fourcroya (jigantea) growS' luxuriantly in Mauritius, and needs but very little attention as it sprouts amongst the rocks in every glen, wherever it can find a patch of soil for its rootlets. Strange that until forty- four years ago, no one attempted to cultivate it or to derive- profit from it. But since 1873 or 1874 it has developed into a paying industry, for after five years' growth the leaves can- be cut and the fibres turned into cordage, matting, &c. ; the same roots produce several harvests in the year, 100 acres giving an annual income of E-s. 5000. The Vanilla Industry. — The vanilla also grows well in Mauritius, but so far, apart from local sale, it has but a limited trade with the exterior. The Cotton Industry. — During the French occupation of the Island, the sea-island cotton was cultivated on a pretty large scale, but the sugar cane' supplanted it, and the moUuscal pests (the Aehatina panthera and the Pupex]^ the cotton-stainer-bug (Dysderius), and the caterpillar (Elarias Insukma) discouraged its cultivation ; but now that a large extent of the northern districts has become very dry, and sugar cane is becoming less luxuriant there, the cotton plant might come back into its own, and might succeed if sown in December or January, and care be taken to protect it against the above-named pests. The Tobacco Industry. — Under the intelligent and pro- gressive government of Sir Henry Esketh Bell, the much- esteemed Administrator of the Island, this industry is being encouraged, and a great future seems to lie before it, as botL the climate and the soil are favourable to the tobacco plant. 82 THE EPIDEMICS OF MAURITIUS. Tea and Coffee. — Tea will grow in the cooler parts of the Island, but whether it will ever become an industry is ■doubtful. So also with regard to coffee, which grows luxuriantly in certain dry soil, and produces enough to supply the stimulating beverage all the year round to those families in whose gardens it grows. Fruit. — Bananas, pine-apples, mangoes, guavas, papaws, letchis, and cocoanuts could be cultivated to a large extent and exported if a market lay near, say at a week or two's steam distance. Reunion, Madagascar, Ceylon, and Natal, are the nearest ports where they could be sold, but they grow in those countries. Nevertheless, ' confitures,' or pre- serves, would find a ready market in Europe. The generality of Englishmen have not yet learnt to appreciate the delicious taste of the ' Banane and Papaye tappees,' the guava jelly, and the mango chutnee, as prepared by the Creole women of Mauritius. Manioc (Manihot ntilissima), sweet potatoes {Ipomea batatas)^ tapioca or arrowroot [Maranta arundinacea), and earth-nuts, grow well in Mauritius, and could find a market in India, Australia, and New Zealand, if not in Europe, where the trade is already in the hands of the West Indians. As for Fish, there is an abundance of eatable fish all along the coast, but, as with the fruit, there are no markets near that want them. There are many medicinal plants in the Island : the 8oIanacece, Euphorhiacece, Ricinus communis, and Croton tiglium preponderate. The Cinchonce have been planted in the cooler altitude of Curepipe, the Strychnos mix vomica in the dryer soil of Pamplemousses' gardens, whilst the Simaruha grows wild in the forests ; but no chemist with sufficient enterprise has yet tapped these medicinal sources of wealth. Cattle and goats imported from Madagascar are nulnerous enough ; but pasture land is too limited to make the rearing of these animals a paying concern. Deer are plentiful in the Kanaka Forest, but they are protected by law for the pleasures of the * Chasse.' , 77-3^ . 67-5°. . 12-3°. . 12-7°. . 32 ins. . 124-4 „ . ^1%. • 87%. SUGAR CANE IN THE WEST mCIES. 33 The Clitnate is cool at Curepipe and its neighbourhood, nearly 2000 feet above the sea, but warm, along the coast, •especially from December to April. The mean temperature in Port Louis is „ ,, Curepipe ,, daily range in Port Louis . Curepipe Rainfall in Port Louis .... „ Curepipe .... Degree of humidity (sat. 100) in Port Louis Curepipe During the hot months, hurricanes and cyclones, which sometimes are very violent, visit the Island. The most disastrous one came on April 29th, 1892, and caused an •enormous destruction of buildings and crops, and the loss of many lives. In a few hours 1200 people were killed, 4000 wounded, 150,000 rendered homeless. This catastrophe was followed the next year by a great fire on July 23rd, which burnt the commercial part- of the town and the *Chausee,' the street containing the principal shops.* One has to live through a cyclone to understand what it really is. I was in Mauritius during that of 1868, which, though not as furious as that of 1892, nevertheless moved at eighty-three miles an hour, and lifted half of the heavy Grand River railway bridge off its pillars, and cast it down into the river below. The storm lasted thirty-six hours, beginning at 4 p.m., blowing violently, and raining con- tinually until the early hours of the second day. The wind, which at the early part of the year is from the north- east, began to increase in velocity, and to veer to the south- east; the barometer fell several degrees, and the clouds travelled at a rapid rate across the skies ; the birds, seagulls and martins, which at the first indication of the storm, had sought the protection of the mountains, could now scarcely fly against the gusts of wind, and had to drop into the * By strange coincidence a severe cyclone in 1818 was preceded by a • disastrous fire in 1816, when one-fourth of Port Louis was destroyed. 34 THE EPIDEMICS OF MAURITIUS. shelter of the glens, and, alas ! of the forests too. These last were their death-trap, for the slashing of twigs and branches and the torrential rains whipped them to death. Before midnight the wind dropped, the barometer rose, and the people hoped the worst was over ; but the lull was only temporary, . for at two or three in the morning the storm began anew, and the wind veered to the south, and threatened to blow our house down. In fact, all those who were with me at ' Glenside ' expected to be crushed to death at any moment, (^r to be blown down the Glen. We spent the day in great anxiety, but at midnight the wind changed to the south-west, soon its fury began to abate, and the tempest to soften down. The next morning the sun shone in a clear sky, and the cyclone was rushing north-eastward back to the Equatorial regions, whence it had started ; but woe to the ships that would be caught in her path I What a sight met our eyes, huge tamarinds, flamboyants, and fruit trees lying on the ground, the tall eucalyptus and graceful palms snapped in half, and every tree stripped, scores of birds dead and stiff; rivers in the o^lens swollen to treble their width and ten times their heij^ht, dashing with fury down to the sea ; sugar canes leafless and bare, broken and scattered all over the fields ; the Indian camps unroofed and flattened to the ground, houses de- molished, and the tin roofs of verandas rolled like a sheet of paper and carried a mile awaj. Fortunately, the Indians at the camps had sought refuge inside the sugar mills ; but even there they had run the risk of being crushed by the fall of the tall chimneys. From Port Louis and towns and villages all over the island came similar news of devastation and ruin. But on the whole there were few casualties ; many persons had been bruised and cut, but few were killed. The damage done to the crop that year was until then, the highest on record, the loss being 32 per cent. ; but this was surpassed in 1902, when the total loss by the two cyclones of February 12th and April 29th amounted to 48"3 per cent. This last one, though of shorter duration, was more violent, moving at the rate of SUGAR CANE IN THE WEST INDIES. 3& 103 miles an hour ; it did great harm to shipping, as it was accompanied by a roz-de-niaree or tidal wave. Some ships broke from their anchors, and were lifted right over the chaussee or causeway uniting Fort George to the main- land, and thrown on their beam ends into the shallow muddy marsh called the * Mer Rouge/ and boats and lighters were landed dry in the ' Place d'Armes ' in front of Grovernment House. Thus the approach of every Eastertide brings with it the dieaded anticipation of a cyclone ; but when once April is over the inhabitants breathe freely until the next February. In fact, apart from the cyclone which may or may not come, and droughts which are rare, also the unfortunate malaria, and occasional plague scare, life in Mauritius glides softly and quietly along far from the din of European or Asiatic commotions, the echoes of which only reach the island twenty-four hours after. But its distance from the rest of the world, and its diminutive size, do not prevent it from pulsating in harmony with the other dominions of the British Empire. The love for King and mother-country lies deep in the heart of every Mauritian. There are very few places in the world where Europeans,. Creoles of half-European ancestry, Asiatics, and descend- ants of Africans, live so peaceably together as in Mauritius. They have all been forced by their isolation in mid-Indian Ocean to depend upon one another. The catastrophes that have overtaken them, the hurricanes, the financial crises and the epidemics, have knit them together in a common bond of sympathy ; the Government schools and the E-oyal College, where Europeans, Creoles, Asiatics and blacks, all work and play together, and vie with one another in ' getting on,' and finally in winning, after a serious examination, the valuable scholarships of £1000 awarded every year by the Colony to the two best students or ' Laureates ' ; last, but not least, religion — Protestant and Catholic ; all these factors have moulded into a separate and distinctly lovable, polite, and amiable- race those born and brought up in Mauritius. 36 THE EPIDEMICS OF MAURITIUS. True, tlie traveller finds admirable characteristics in the inhabitants of every colony he visits ; but in warmth of hospitality, in charm and grace of the ladies, the Mauritians cannot be surpassed. In writing thus I do not mean to make invidious dis- tinctions, or to place in second rank the families who so hospitably entertained me wherever I have been. They were all most charming. I only wish to add my meed of praise to that given by Sir Charles Bruce in the next chapter to the * grandes dames ' of Mauritius — English, French, and Creole. The atavism produced by mixture of races is beautifully exemplified in the inhabitants of that Island. Most of what was best in the ancestors has reverted to the children. Jacques Nordeau would find there ample material for another edition of his work on heredity and reversion. ' Floreat Mauritia ! * CHAPTER III. The Evolution of the Crown Colony of Mauritius.* By Sir Charles Bruce, G.C.M.G. Some years ago Sir Hubert Jerningham, my predecessor in the Government of Mauritius, wrote of the colony in these words : — ' Among the dependencies of the British Crown there is one which, inconsiderable in extent and almost shut out of notice by its distance from great commercial centres, and the absence Avithin its territory of those mineral attractions which at once give prominence to a country, yet asserts its claim to attention in a manner peculiarly its own, and defies the history of the world to forget its existence in the development of race, in the stubbornness of man struggling against adverse odds, and in the remarkably recuperative powers with which it is endowed.' I propose to show how centuries of struggle have de- veloped in Mauritius a population appropriate to its environ- ment, as evidenced by the recuperative powers it has dis- played, and have given such considerable importance to an area of territory rather smaller than the county of Surrey. The Portuguese in Cerne. — The island now called Mauritius was discovered and named Cerne by the Portuguese pilot, Diego Fernandez Pereira, on February 7th, 1507, so that the task I have undertaken may be considered appro- priate to the close of the fourth centenary year of the discovery. There is no record of any Portuguese settlement * An Address delivered before the Scottish Geographical Society ia Edinburgh on January 16th, 1908. 38 THE EPIDEMICS OF MAURITIUS. in the island. It served as a refuge in stress of weatlier> and as a point of call for fresh water and such original supplies as it afforded, supplemented by the natural but untended increase of introduced plants and animals, such as deer, goats, and pigs. From the first ships landed no doubt the first rats. These rodents have proved to be the only really formidable enemies of the human race in the fauna of the Island. They have devoured every green herb intro- duced for the service of man ; the attempt to displace them has cost sum3 that must have aggregated hundreds of thou- sands of pounds ; and they have been the chief carrying agents in the propagation of bubonic plague. Beyond serving as a point of call, Cerne played no part in the enterprises which for a period raised Portugal to the first rank among maritime powers, and gave her a practical monopoly of sea-borne Indian commerce. It was the struggle of the nations of Europe for the key of the Indian Ocean when the power of Portugal had failed, that was to determine its strategic and economic value. The Dutch in Mauritius. — When on the 18th of Sep- tember, 1598, the Dutch Admiral Wy brand van Warwyck found a convenient harbour on the south-east coast of the Island known to him as Cerne, he entered it with caution, believing the Portuguese to be in possession. But landing and boating parties discovered no trace of human habitation, and after a few days he annexed the Island to Holland, giving it the name of Mauritius, after the then Stadtholder, €ount Maurice of Nassau. To the harbour he gave his own name. In Fort Hendrik. — For forty years the Dutch continued to make use of Mauritius only, as Cerne had been used by the Portuguese, as a point of call for repair and supply, adding to its economic lesources by the introduction of useful plants and fruit-trees and live stock. It was not till the year 1638 that they decided to support the validity of their title by settlement. On May 7th they again took formal possession, 'by planting an car in the ground/ and com- EVOLUTION OF THE CROWN COLONY HO Tiiencecl the construction of a fort, subsequently called Fort Hendrik. It was equipped with an armament of four 3-pounder guns, and the little community of twenty-five persons left within it contained the rudiments of a political system, under the central administration of the Dutch East India Company ; military and civil Government were repre^ sented by the commander, three officers, and nine soldiers ; religion by the pastor ; in the general population of eleven working-men, science was represented by the barber, * pro- vided with everything in the way of medicines and instru- ments.' Later in the year the communit}^ was strengthened bj^ a reinforcement of thirty men landed from a man-of-war, but the Governor decided that it was never to exceed ■eighty residents. The duties assigned to it were to prevent any concurrent settlement b}^ a foreign power, and to develop the resources of the Island with a view, in the first place, to making it self-supporting, and then to enlarge the area of commerce, at the time limited to the export of ebony and a little ambergris. The difficulty of maintaining a monopoly of occupation soon made itself felt. The Dutch settlement had anticipated by only a few months English and French expeditions sent out with the same object, and these, while admitting the priority of the Dutch, easily accommodated themselves to it by the discovery of other landing-places, and in particular of a harbour much sujjerior for their purposes on the north-west coast. Struggle for Existence, — The correspondence published in Prince Roland Bonaparte's interesting monograph proves how scon the Dutch realised the inadequacy of their resources to defend the monopoly they claimed, and learned that the tenure of Mauritius is inseparable from the tenure of maritime supremacy in the Indian Ocean. "Within six years they abandoned the enterprise, but resumed possession in 1650, only again to abandon it in four years. In 1659, convinced that Mauritius commanded the sea route of commerce between Europe and Asia, they once more under- took the work of colonisation, with a tenacity characteristic of their race and a scientific knowledge of agricultural 40 THE EPIDEMICS OF MAURITIUS. metliods at least equal to that of any other European power of the day. The Labour Question. — But a new factor — the Labour Question — had now to be taken into account in their enter- prise. At the outset of their occupation the}^ had undertaken to provide a labouring population by the importation of natives of Madagascar under the system of slavery, then, universally recognised as the only appropriate agency of tropical labour. This agency was now supplemented by the introduction of convicts from Batavia, and thus an un- inhabited island was artificially provided with a population perhaps more hostile to the colonising power than any. native population that has resisted European colonisation in any area of America or Asia. It was not long before the facility of escape, from the isolated stations where the Dutch had commenced a system of cultivation, into im- penetrable forests, rendered even this labour supply precarious. In time the rapid multiplication of progenjr and the licence of a community unfettered even by the restraint of tribal customs, made the population of so-called Maroons not only useless for the purpose of agricultural en- terprise, but a source of danger and terror. In these circum- stances, it was impossible to realise from the development of the resources of the colony a revenue sufficient to yield a return on the capital of a trading company, and to provide for the exigencies of a naval station menaced by the struggle of European powers for the control of the sea-route to India. In 1710 the Dutch once mor6, and this time finally^ abandoned Mauritius, transferring troops and colonists to the Cape of Good Hope. It has been constantly averred that the Dutch were driven out of Mauritius by the rats. It was not the rats, but the labour question that proved too much for them. Two Centuries of Occupation. — Thus closed the record of two centuries of European occupation with results that may briefly be summed up. In an island found uninhabited,, there had been established a race of mixed, but mainly African origin, uncontrolled by any kind of political EVOLUTION OF THE CROWN COLONY. 41 system, but united in violence of hostility to European civilisation. Economically the resources of the Island had been developed by the addition of useful trees and plants ta its flora, and of live stock, especially cattle, to its fauna. On the other hand, the rats were left to increase and multiply exceedingly on the introduced flora. The French in Isle of France. — In 1715 the white flag of Louis XY., King of France and Navarre, was hoisted in Mauritius, and the Island annexed to his dominions under the name of Isle of France. In 1719 it was granted by charter to the French East India Company, and in 1723 it was provided with a political system. A Provincial Council, composed of six of the principal inhabitants, was created, and invested with legislative, judicial, and executive powers. The records of this period are meagre and conflict- ing, but what has been said of the period of Dutch occupa- tion and the causes which terminated it may suffice to indicate generally the difficulties which before long threatened the settlement. From a commercial point of view, the Company found the enterprise a heavy burden on their hands. The new colonists recruited from France and other areas of French activity had to be financed by the Company. They had no capital, and neither scientific knowledge nor experience of the requirements of tropical agriculture. To the difficulties that had discouraged the Dutch, there was thus added the experience of a financial crisis, an economic disturbance that has proved of frequent recurrence, and as formidable as the recurrent atmospheric disturbance known as a hurricane. It would certainly have wrecked the French occupation within twenty years but for the extraordinary genius of the man who was sent out to deal with it. Mahe de La Bourdon}} ais. — It is difficult, within the compass of my address, to do justice to the administration of Mahe de La Bourdonnais. I must confine myself to a summary of his labours in developing the resources of the colony, and in securing it against internal disorder and 42 THE EPIDEMICS OF MAURITIUS. external aggression. To make the colony self-supporting, lie appreciated the necessity of a cheap and abundant food- supply, secure alike from destruction by hurricane, and from the risk of capture in transit inseparable from im- ported food-stuffs. Such a staple he found in manioc or cassava, which he introduced from Brazil. The expansion of agriculture he promoted by the introduction of products from every known region of the tropical world, and especially encouraged the cultivation of sugar. To facilitate transport, he taught the inhabitants to break in the wild cattle and substitute animal draught for carriage by slaves ; he pro- vided adequate roads to connect the harbours and districts of the Island. Turning his attention to the question of an adequate suppl}^ of labour — then, as now, the question of questions in climates where the manual labours of agriculture cannot be undertaken by European colonists — he engaged, at his own cost, in the introduction of natives from Africa under condi- tions repugnant to our modern sense, but at the time universally accepted by the civilised world. Against the internal danger of the Maroon population he was thus able to organize a force of kindred origin, illustrating the principle that the disorders of a turbulent community are best remedied by the educated and disciplined intelligence of its own race. In undertaking the defence of the colony. La Bourdonnais, •convinced of the supeiior advantages of the North- West Harbour, transferred to that quarter, to which he gave the name of Port Louis, the seat of civil and military govern- ment. With an enterprise and energy which admitted nothing to be impossible, he converted an encampment con- sisting mainly of straw huts, into a town equipped with 23ublic buildings and private residences, stores and shops, with barracks, fortifications, and arsenals. The exigencies of health were not overlooked. He constructed an aqueduct to supply fresh water, and a hospital for the service of the town and shipping. But it was to the harbour he devoted his chief efforts. His imperial mind had already appreciated EVOLUTION OF THE CROWX COLONY. 43 the momentous bearing" of sea power on the history of the world, and he was perhaps the first to realise that, however formidable may be the strength of a nation in battleships, its commerce may be annihilated by the speedy cruisers and privateers of a rival power without a single battleship. He therefore determined to make Port Louis a station from which foreign trade could be crippled, as well as a strategic base for the operations of France in India. He equipped it for the reception of a fleet, and provided it with wet and dry docks. He not only undertook the work of shipbuilding with success, but in 1746 he made Port Louis the base of an operation seldom, if ever, paralleled in colonial history. ' Without ships,' says Colonel Malleson, ' without sailors, without an army, the Indian Ocean covered by hostile cruisers, with no resources but those he had made in the colony, he was asked to embark an army, to traverse the Indian Ocean, to avoid or encounter the trained fleet of the enemy, and to relieve the beleaguered capital of French India.' The result of this expedition and the tragic fate of the heroic adventurer belong to another chapter of history. His memory is held in equal honour by the representa- tives of England and of France in the colony, where in 1899 the bi- centenary of his birth was celebrated with appropriate ceremonies. Arrangements had been made for the fleets of England and France to take part in the celebration, but they were unfortunately prevented by a visitation of plague. The Chartered Compaiif/ and the French JVation. — La Bourdonnais finally left the Isle of France in 1746, and there followed a period of conflict between the comm-ercial interests of a trading company and the imperial interests of France in the only harbour of the Indian Ocean in which ■ships could ride with safety. It had been the aim of La Bourdonnais to reconcile these interests, but his schemes had involved a formidable expenditure, and the Company found itself in a position analogous to that of the Dutch East India when it abandoned the colony. The conflict was terminated in 1764 by the bankruptcy of the Company and the transfer of the administration to the Crown. It has been estimated 44 THE EPIDEMICS OF MAURITIUS. that the transfer cost France 375 millions of livres, but whatever may have been the cost, we must accept the transfer as a declaration of the national faith that if the Isle of France were abandoned, the English would drive all other nations out of the Indian Ocean, and possess themselves of the wealth of Asia. Isle of France a Crown Colony. — In 1766 the Isle of France received its first charter as a Crown Colony. The charter sought to reconcile the conflict of military and civil interests by the appointment of two administrators jointly responsible to the Crown. To the Governor was assigned the naval and military command, to the Intendant were assigned the judicial administration, finance, and the control of agricul- ture and commerce. The difficulties of this system of divided responsibility were not long in making themselves felt, but the selection of the first Intendant was almost as fortunate as had been the appointment of Lci Bourdonnais,. and under M. Poivre the development of agriculture Avas pursued with energy and method. He reported at once to- the Government of France that ' coffee, cotton, indigo, sugar, pepper, cinnamon, tea, mulberries, cocoa and annatto had each had their turn, but that the knowledge and attention necessary to establish an experiment had always been want- ing.' To remedy this want of knowledge and method, he established in 1769 the Botanic Gardens attached to the Governor's country residence at Pamplemousses. They soon gained a world-wide fame, and have been, as they still are, a stay of the colony's fortunes and an ornament of which all Mauritians are justly proud. Seat of Govemmcnt-in- Chief. — In the meantime, the Crown Colony of the Isle of France rapidly grew in import- ance as a base of naval and commercial operations,* until in 1789 the seat of the government-in- chief of all the French establishments east of the Cape was transferred from Pon- * In 1785 the French East India Company was reconstructed as a trading concern under a Charter which gave the Isle of France con- current privileges in a monopoly of trade between France, India and China, and exclusive privileges as an entrepot for goods from Eastern ports carried b}^ all French vessels. EVOLUTION OF THE CROWN COLONY. 45 dichery to Port Louis. But the time was now approaching when the Crown Colony, under the influence of the French Revolution, was to be raised to the status of a self-governing colony in the fullest acceptation of the modern term. Characteristics of Old France. — When the Prince of Wales {now King Greorge Y.) returned from his Colonial tour, he -declared with perfect felicity of phrase that Mauritius had preserved many charming characteristics of Old France. It was the period of the Revolution that fixed them, and at the same time dissociated them from* other less charming charac- teristics of the old regime. The following figures may serve as a guide to the population of the Isle of France during this period : YEAR. WHITES. FREE COLOURED. SLAVES. 1787 4372 2235 40,439 1797 6237 3703 59,020 Elements of Order. — The white population contained three powerful elements of order in the landed interest, in com- merce, and in the Church. The land was mainly in the hands of retired servants of the Crown, of military and maritime experience, drawn largely from the old nohhsse^ but enjoying no feudal privileges. Commerce was dominated by a body of merchant venturers, who, to the profits of a great centre of trade in peace, added in war-time the recognised and lucrative enterprise of privateering. The Church, unembarrassed by temporal privileges, exercised its spiritual influence in alliance with these forces. Elements of Disorder. — At the same time there were three elements of disorder in the civil community, in the military, and in the Government of France. In the civil community elements of unrest were found in the generous enthusiasm of youth for liberty, equalit}^, and fraternity; in a spirit of independence and intolerance of restraint inseparable from colonial enterprise ; and in the meaner motives which in periods of national agitation prompt the idle, the dissipated, and the vicious, to turbulence. Among these elements of unrest the substitution of the tricolor for the white flag was 46 THE EPIDEMICS OF MAURITIUS. followed by imitation of tlie revolutionary mettods of France^ in the formation of Jacobin Clubs : La Chaumiere, Rafrai- cbisseurs, Chevaliers d'Industrie, Sans-culottes — and even in the erection of a guillotine, fortunately satisfied by the vicarious sacrifice of a sheep. To these elements of disorder was added a spirit of mutiny amon^ the garrison, which, not unnaturally, associated itself with the revolutionary spirit of the army in France; and the garrison was responsible for the only act of bloodshed committed, the murder of Count Macnamara, commandant of the French Marine in the Indian Ocean. But these elements of unrest proved less formidable than the action of the National Convention in France, which en February 4th, 1794, decreed the immediate abolition of slavery without indemnity, and declared every man domiciled in the colonies without distinction of colour to be a citizen of France, with equal civil and political rights. Such were the influences that determined the evolution of the Isle of France into a self-governing colony. Self-fjoveriimeuf. — By a decree of Louis XYI. of April 9th, 1790, the colony was empowered to frame a Constitution for itself, and on April 21st, 1791, a Constitution drafted, dis- cussed, and adopted by the Colonial Assembly and ratified by the Government of France, came into force. By a resolution of the Assembly, it was subsequently decreed that no laws emanating from France should have force in the colony ; and in 1798 the Assembly decreed a revision of its Constitution. By the Constitution of 1791 the supreme executive power was placed provisionally in the hands of the Governor. The exercise of this power presented grave difficulties, but thc}^ were overcome by the genius of the Governor, Count Malartic, who with admirable foresight placed himself in the position which the experience of subsequent generations has assigned to the Governor of a self-governing British colony. The Colonial Assernhlij and Slarer//. — As it was the policy of the colony in respect of slavery that determined the issue of the conflict between the forces of order and disorder, it is important to understand it. It was clearly defined in its. EVOLUTION OF THE CROWN COLONY. 47 aims and metliods. Its end was the abolition of slavery,, and its methods were the immediate abolition of the slave trade ; * the amendment of the Code Noir, the organic slave law of France, by the abolition of all punishments of ex- ceptional severity ; f and the admission of free people of colour to equal rights with the white population. J But to the immediate abolition of slavery as decreed by the National Convention the colony resolutely refused its assent. Isle of France and Hayti. — The American philosopher Emerson declared that history reveals nothing more re- markable than the ease with which a benefactor may become a malefactor only by the continuation of his activity into an area where it is not due. And the truth of the aphorism has never been asserted with more tremendous energy than in the history of the abolition of slavery. It has afforded a lesson to all time in the contrast between the influence of the principles of the French Revolution in Hayti and in the Isle of France. In Hayti the racial antipathies of colour, generated by slavery, broke out into the most vindictive conflict on record — a conflict which exterminated the European community, destroyed capital in every shape,, paralysed labour, and arrested the evolution of the forces which in the Isle of France, struggling now slowly, now rapidh^ but on the whole continuously, have worked out the- conditions necessary to political sobriety, equality of civil rights, and economic prosperity. The interval of two years between the passing of ^ the decree of February 4th, 1794, and the attempt to enforce it, gave the cohesion of an united purpose to the forces of order in the colony and allied with them the sacred cause of wives,, mothers and daughters, to whom the fate of their sisters in Hayti had revealed terrors worse than death. The Crown of Self-government. — On June 18th, 1796,. a naval detachment brought to the colony the Commissaries * Laws of the Colonial AsseraWv, February 26tli, March 5th, Sep- tember 20th, 1794. t Laws of December 4th, 1790, February 6th, 1794. I Laws of August 22nd, 1792, January 18th, 1793, March 18th, 1794.. 48 THE EPIDEMICS OF MAURITIUS. of the French Republic, sent to proclaim the immediate •emancipation of the slaves, and to terminate the political independence of the Isle of France as a self-governing colony. But the popular will had determined that the colony had no use for the agents of the Directory, and on June 22nd, after four days of a determined but bloodless conflict, they were forced tore-embark. In 1798 the colony rid itself of the turbulent element in the garrison, and before long the last elements of disorder were expelled. 1^0 1 withstanding the desperate struggle for existence in which the self-governing colony was engaged, it found time to develop its internal resources, while its maritime activity was such that the prizes taken into Port Louis were num- bered by thousands, and their value estimated at millions of pounds sterling. ' The defence of the Island and the proceedings adopted in the teeth of the revolutionary events that* threatened its destruction at this time belong,' says the historian Pridham, * rather to the age of romance, were not romance set aside by realitj^. Seldom, perhap?, has history furnished an example on a parallel with this instance, an instance in which a single and inconsiderable island, denuded of nearly the whole of its military force, by the natural strength of its position and the braver)^ and patriotism of its in- habitants, singly and for a long time, resisted the hostilities of the mightiest of nations. . . .' End of Self-fjovernment. — In May 1802 the political in- dependence of the Isle of France was terminated by its submission to a decree of Bonaparte as First Consul of the Pepublic, suspending the Constitution, re-establishing the slave trade, and restoring the legal status of slavery under the Code Noir. A provisional government was nOw set up with absolute power vested in a Captain- General, a Colonial Prefect, and a Commissary of Justice. General Decaen. — It is only just to recognise the eminent services in the civil administration of the colony of the illustrious ofiicer, General Decaen, appointed Captain- General. The Code Decaen may be said to have been to EVOLUTION OF THE CROWN COLONY. 49 the Isle of France what the Code Napoleon was to France, rand in the Lijcee Colonial he laid the foundation of an insti- tution which, m the Royal College, has done more to remove prejudice ariaing from the accident of origin and convictions of consciences than all other influences put together. A Unit of Empire. — But the Isle of France had now l3ecome a unit in a vast military sj'stem organized to estab- lish, under the dictatorship of Napoleon, a universal Empire of which Europe was to be the head, America and Asia the arms, Africa the shoulders and trunk, the Atlantic and Indian Oceans the legs and feet. And it was the im- portance of the unit in this imperial enterprise that deter- mined its destiny. The Sea-route to Asia. — We have seen in the transfer of the Isle of France to the Crown an expression of the national belief that if the colony were abandoned, England would make herself mistress of the wealth of Asia. In England, statesmen, generals, and admirals — in India', governors and councils — had been unanimous in declaring that possession of the Isle of France was essential to our commerce, to our reputation and national character, and to the maintenance of our province, India. It fell to Lord Minto, Governor- General of India, great-grandfather of the late Viceroy, to determine the question of possession by the ultima ratio of a force, the most powerful in strength and equipment that had ever been afloat in the Indian Ocean. Naval Achievements. — The operations of war which trans- ferred the Isle of France to British rule are outside the scope of my address. The Prince of Wales on his visit referred in generous terms to the just pride of the colony in its great traditions and ' in its association with naval achievements that shed equal glory on England and France.' Among the most famous of these achievements was the action of the He de la Passe on August 23rd, 1810. The -French under Commodore Duperre were victorious, but ^ liaval historian has declared that the noble behaviour •of Captain Willoughby and the officers and crew of the 50 THE EPIDEMICS OF MAURITIUS. Nerekle * threw such a halo of glory round the defeat, that the loss of four frigates was considered scarcely a misfortune/ An obelisk has been erected in honour of all who fell on that memorable day ; and the He de la Passe occupies in the- annals of Mauritius much the same place as the Plains of Abraham in the annals of Canada. Capitulation and Treatij. — On December 10th the Isle of France surrendered to the overwhelming force sent against it, the terms of capitulation securing to the in- habitants their religion, laws and customs, and property. By the Peace of Paris, 1814, the Isle of France was ceded to Great Britain in full sovereignty, and under the restored name of Mauritius remains the star and key of the Indian Ocean. The Record of Fieneh Occupation. — Lest it be thought that I am exalting above measure the place of Mauritius- in history, I will close this brief record of French occupa- tion in Colonel Malleson's eloquent words : ' Thus did the French lose, after an occupation of nearly a hundred years, the beautiful island upon which had been bestowed the name of their own bright land, and which in climate, in refinement of luxury, in the love of adventure of its children, had been, in very deed, the France of the East. In the long struggle with England which had fol- lowed the Revolution, the Isle of France had inflicted upon the English trade a ''damage which might be computed by millions," whilst she herself had remained uninjured, — for eighteen years indeed unthreatened. She had proved herself to be that which the Emperor had declared that Cherbourg should become, — " an eye to see and an arm to strike." Protected for long, partly by the storms of the ocean, partly by the daring S23irit of her children, partly by the timid counsels of the British Government, she had been, for the privateers who preyed upon the commercial marine of the East India Company, at once a harbour of refuge and a secure base of operation. She had been the terror of British merchants, the spectre which haunted the counting-house, the one black spot in the clear blue of the EVOLUTION OF THE CROWN COLONY. 51 Indian Ocean. The relief which was felt by the merchants of Calcutta was expressed in an address presented by them to Lord Minto, in which they offered their " sincere con- gratulations on the capture of the only remaining French colony in the East, which has for so many years past been the source of devastation to the commerce of India, to a magnitude almost exceeding belief." ' The British in Mauritius. — Although Mauritius^ under British rule, has ceased to be associated with the romance of great naval achievements, the policy of govern- ment has of necessity continued to exercise itself in two areas of activity : the administration of a base of maritime operations, and the development of the resources of a tropical territory. In the term ' maritime operations ' I include the functions of the Royal Navy and the Merchant Service. The importance of Mauritius as a unit in any system in imperial defence constituted on the principle that the maintenance of peace depends on an adequate prepara- tion for war, has never failed to be recognised. And the colony, dependent for its existence on its sea-borne commerce, has even in the darkest days of its fortunes cheerfully borne its share of the burden of defence at home and protection in transit, as a premium of insurance. This practical wisdom^ associated with the sentiment of old traditiqns, has always secured for the British Navy as cordial and enthusiastic a welcome a>< it receives in any seaport or city of Scotland. Nor has the period of . British dominion been without services rendered to the Empire in war-time, of which the colony is proud: by the prompt dispatch of troops to India in 1857 during the Mutiny ; to South Africa in 1879 during the Zulu War; and to South Africa again in 1900, at a critical stage of the last war. In 1857 grave anxiety was. entertained as to the internal security of ihe colony while denuded of a portion of its large garrison. It was the period of an entente eordiale following the Crimean War, and it is of interest to recall that the French .Governor o£ 52 THE EPIDEMICS OF MAURITIUS, Reunion wrote to tlie Governor of Mauritius offeriog him in case of need the support of the French troops in his command. In 1879 a detachment was sent with very little fear of internal difficulties. In 1899 the services of every white poldier in the garrison were placed at the disposal of the War Office without any apprehension at all. And it may be added that on this occasion the troops arrived at Durban within six days of the hour of their receiving notice to hold themselves in readiness. Great Trade- roide to Asia. — We have seen that the pro- tection of the British merchant service on the trade-route from Europe to Asia was a main determining cause of the transfer of Mauritius to British dominion. With the growth of eastern commerce and the introduction of steamers, Mauritius rapidly became a victualling, docking, and coaling station of unrivalled value in the Indian Ocean. T/ie OhHerratory. — At the same' time, the constantly re- current cyclones on the track of navigation between the •Cape and Asia enforced the importance of the colony as a station for the study of the law of storms. In 1851 a Meteorological Society was formed, and in 1870 the founda- tion-stone of the Royal Alfred Observatory was laid by the Duke of Edinburgh. Since 1893 the telegraph has made it one of the most important units of the imperial system of meteorological, magnetic, and seismometric observations. Eor nearly half a century our countryman, Dr. Charles Meldrum, was the inspiring genius of the work. On his storm atlas, his synoptic charts, his theory of the law of storms, and his rules for avoiding the track of cyclones are based the sailing instructions issued to mariners for the navigation of the Indian Ocean. The observations he con- ducted have now determined all the factors, of the climate, and are available for international use. From May to Sep- tember the weather conditions at Mauritius are cabled every week to India for use in connection with the monsoon fore- casts. Similar cablegrams go to Egypt in connection with the Nile flood forecasts. It only remains for an international EVOLUTION OF THE CROWN COLONY. 5S system of wireless telegraphy to be established, to complete the value of the Mauritius Observatory for the uses o*P navi^ gation. In its latest service to commerce, the observatory has entered on an unexpected area of activity in furnishing the means by which insurance on sugar crops and mills can be effected on a satisfactory basis. The observatory records have determined the relative effects of cyclones, rainfall, and temperature on the sugar crop, and have given a numerical value to each. It appears that popular opinion has consider- ably over-rated the first and under-rated the last factor. The figures now established furnish the only proper basis of calculation on which insurance companies can determine their premiums within very narrow limits. The Suez Canal and Dependence on internal Resourcea. — The opening of the Suez Canal in 1869, which beggared the colony of St. Helena, dealt a serious blow to the local interests connected with shipping in Mauritius, but it has placed in striking relief the wisdom of the policy which has made it a chief aim of the administration to find an adequate and permanent source of prosperity in the development of the resources of the colony. In this area of activity the Botanfc Gardens at Pamplemousses continued to be the centre of enterprise, and such was the success of the sugar industry that the export of sugar rose from 467 tons in 1812 to 131,000 tons in 1860. It was calculated that the small Island was at. that time producing about a tenth of the exported sugar of the whole world. I must not discuss the struggle for existence of the cane-sugar industry against its rival, the beetroot, but I may say that to meet this formid- able competition in Mauritius all the secrets that science has wrested from Nature have been applied to practical uses, alike in the field and in the factory.* Nor has the en~ * My experience leads me to believe that the consumer of cane sugar in this country has a very inadequate conception of the capital required to provide and keep up to date the equipment of a modern factory. I regret that the exigencies of time and space preclude me from giving a description of such a factory. ( Vide former chapter and MacMillan's. Mauritius Illustrated.) 54 THE EPIDEMICS OF MAURITIUS. ^ •, \ Creoles, 2o women J 109 men 1 t j- _ y Indians, D women I 1 Mozambique man, 3 Malagasy men, 4 Chinamen, 2 others. 209 * These 209 comprised : 174 men, 26 women, 4 boys, and 5 girls. ' Total mortality in the Hospice for 1886 = 42. 'Average mortality for the last five years = 40. This higher rate being due to malaria, which was very severe in 1886. * Commission of Inquiry. — A Leprosy Commission of 1887 showed that there were in St. Lazare : 209 lepers Outsiders . . . . 500 „ jog „ Amongst the outsiders : Men, 247 ,, „ „ Women, 211 „ * Among the outside Creole lepers the two sexes were nearly equal ; among the Indians the men were more numerous. LEPROSY. * Among the ou tsiders the ages were : 1 to 10 years 6 11 „ 20 >j 49 21 „ 30 >f • 120 41 „ 50 )> 99 51 „ 60 >> 46 And above 60 . 22 101 showing that after the age of forty they began to die off rapidly. Unfortunately the census for 1886 does not give the mortality for the whole Island. * The Commission also brought out the fact that ninety- four patients belonged to leprous families — i.e., that one or more of the relatives were lepers. In other words, that Leprosy is to a considerable extent a family disease, pro- bably (1) through hereditary transmissions, (2) through the conditions and mode of life existing in a leprous family,, sufficing to determine the disease in any member of that family, and (3) by contagion (through constant and close intercourse) from the sick to the sound. ' The Commission reported on the mode then in existence of dealing with Leprosy in the Colony, and on the measures most likely to check the spread of the disease. The report shows : '1. Thnt only one hospital existed in the Island for lepers, and that it was badly situated, right in the very centre of an extensive breeding-nest of anopheles (the situation could not have been worse) ; ' 2. That the public hospitals did not admit them, and the prisons and lunatic asylum retained them only as long as was absolutely necessary ; ' 3. That compulsory segregation was the most effective means of checking the spread of the "disease ; ' 4. They suggested that no Government relief should be given to those outside the Hospice of St. Lazare ; * 5. That a law should be passed compelling lepers to enter that institution ; ' 6. That intermarriage of lepers be forbidden, so as to prevent the hereditary taint ; 102 THE EPIDEMICS OF MAURITIUS. * 7. That no leper immigrant or alien be allowed to land in the Colony ; ' 8. The necessity of the introduction of the Contagious Diseases Act ; ' 9. T/iat a new Lazaret in a healthier locality, supported ■entirely by Government and staffed hy Gorcrnmtnt officials^ be at once constructed. ' Of all these resolutions passed in 1887, the only one that has been put into effect is the prohibition of Govern- ment relief to those outside the Hospice St. Lazare. None of the other resolutions have, until this date (twenty-eight years after), been put into execution. This is cruel negli- gence on the part of the authorities, for as loflg as the Hospice is in its present situation it will be impossible not only to cure the leper, on account of the malaria transmitter, the anopheles from the neighbouring dirty streams, but aLso to stop the tran^mission of the disease from patient to patient and to attendants through the same carrier. For in all probability the mosquitoes, as well as bugs and flies, do carry the bacilli. ' Dr. Poupinel's last report unfortunately is more than twenty-four years old, but it nevertheless is interesting, as Leprosy of the present day is exactly what it was in those days. He reports that at the end of 1882 there were at St. Lazare Hospice : 113 males with tuberculous Leprosy 22 females ,, ,. ,, 32 males „ ulcerous Leprosy 10 females „ „ „ 31 males „ maimed extremities 5 females „ „ ,, 10 males „ paralysis Leprosy female ,, „ ,, 1 male ,, the anaesthetic or macular Leprosy female „ „ „ „ * To-day all the above, except the anaesthetic, are classed under one category in Mauritius. * The Indian lepers are more numerous than the Creole, LEPROSY. 103 but not proportionately so, as there are a great many more Indians in the Island than Creoles. * The districts whence the lepers came were : Port Louis . . . . .49 Flacq .... 1t7 . 26 Pamplemousses . 17 Savanne .... . 17 Grand Port . 16 Plaines Wilhems . 13 But in other years lepers from the other three districts have been inmates at the Hospice. As before said, there are almost ns many outside lepers who never seek relief at the Hospice. The greatest number live in Port Louis, the capital, and the fewest were to be found in Plaines Wilhems and Moka, where the rich people live, and whence they are driven away by the police. Dr. Poupinel considers the anassthetic kind to be much more serious than the tuberculous, for, according to him, the nervous centres in the anaesthetic being first affected, distal effects with profound alteration of nutrition and innervation ensue, causing loss of sensation, necrosis, ulcers, and fall of extremities. He found that the tempera- ture rose slightly at the period of ulceration, and that the cold weather drove the leprosy inside, to the mucous membrane of the respiratory and digestive tracts, causing milliary tuberculosis ^ haemoptysis, and haematemesis ; and that the anaesthetic leper was more liable in winter to rheumatism, arthritis, articular ulcerations, and tetanus : that the wintry months of June and July produced the highest mortality — 38 on an average out of 209 inmates at the Hospice. But this kind of Leprosy is not as common as the tuberculous in the Tropics ; anyhow, that was the case in Mauritius. ' Contagiousness of the Disease. — Dr. Poupinel believed Leprosy to be contagious, especially during the ulcerative stage, and he gives numerous examples of the transmission of the disease from one person to another, especially be- tween husband and wife, or amongst other members of a family, and between friend and friend, or in copulation of a 104 THE EPIDEMICS OF MAURITIUS. healthy man with a leprous woman. It is a fact that until 1838 there was not a single case of Leprosy in Seychelles^ but after that date constant communication took place between Sej^chelles and the He Curieuse, to which all the lepers from Mauritius had been exiled, and the disease began to spread throughout the whole Archipelago. Dr. Poupinel believed suckling from a contaminated wet nurse,, or vaccination from a member of a leprous family might transmit it ; also that syphilis might light up heredity to Leprosy, nor does it modify one way or another the course of the latter ; but one cannot produce the other, for the Mahommedans, who from the most remote times have had lepers amongst them, maintain that they never had syphilis until after the French invasion of Egypt by Napoleon — - here, then, is the grafting of a disease on another. la doubt as to one's diagnosis, mercury will heal the one and often aggravate the other. * Heredity. — Dr. Poupinel has never seen all the children. in a leprous family affected at the same time ; in some families, one member and not the others, in others it skipped two or three generations. (He does not say whether these had lived under the same conditions as their ancestors.) , ^Concurrence of other diseases is common, and often, causes the death of the patient. During the malarial months — November to April — the patients invariably in- creased in number. They were either relapses who had left relieved and had become worse again whilst suffering from malaria, or strangers who, through repeated attacks of malaria, found their Leprosy had become so bad as to- compel them to seek relief at the asylums. * Treatment. — He tried: ' (1) Pulv. hurae crepitantis (Euphorbiacae), said to have- been very efficacious in the West Indies, but it purged and weakened the patients too much, and he had to give- it up. * (2) Sodium-arseniate and its derivatives. * (3) Carbolic acid (inside and out). LEPROSY. 105 * (4) Beauperthuy's hydrargyri bicUor. gr. one-fifteenth taken internally ; Acajou oil (ol. cassuvii pommiferi) to be applied on the tubercles (it causes ulcerations and cicatrisa- tion) ; and the application of argenti et cupri nit rati s sol. to the anaesthetic spots to recall their sensibility. ' (5) Gurgeon oil. * (6) Kochi tuberculin, 1 c.c. ; and acid carbol. sol., 1/200,. 9 c.c. ' Mix, and label " Solution A to 1/10." 'Of the above dilution to 1/10, 1 part; carbolised water, 100 parts. ' Mix, and label " Solution B," 20 drops containing 1 mg. * But this Solution B being too voluminous. Solution C was used, consisting of Solution A, 1 part; carbolised water, 25 parts ; and as much as one centigram was often used at the twenty-second and twent3^-third injection during a two or three months' treatment. Fifteen patients were sub- mitted to this treatment with marked amelioration. 'But Dr. Poupinel prefers to all the other treatments that of chaulmoogra oil continued for four or five years,, and used internally and externally, but with the greatest prudence. * As he has had some success with this treatment (though most of his patients after a period of great amelioration relapsed into a state almost as bad as at the commence- ment), I have thought it useful to give the method he adopted. ' He gave pearls of chaulmoogra oil containing 5 drops at first, and as soon as tolerance had set in, he gradually in- creased the dose to 150 drops. He also rubbed the oil on the affected parts ; but as a painful herpetic eruption ensued,, patients often refused the external treatment. 'Taken internally, it often brings out a pustular san- guineous eruption on the posterior aspect of the forearms and tibiae, and vomiting, and occasionally haematemesis. A few days' rest is allowed, and during that time extractum thebaici and mag. carbonat. are given to bring about a tolerance. The pustules and consequent ulcers are dressed 106 THE EPJPEMICS OF MAURITIUS. witli light carbolic lotions one day, and the next with a solution containing iodide of pot. and iodine lincture. If it be necessary to suspend the chaulmoogra treatment for several days, small doses of Fowler's solution are given morning and night. Chaulmoogra oil, either in pearls or in milk, when given in the morning should be followed at night by a solution of iodide of pot. in iodine tinct. Never should these two medicines be given together. This treat- ment must be suspended when vomiting and diarrhoea •ensue. ' He advises that the chaulmoogra treatment should be combined the same day, or on alternate days, with the tuberculin. As beforesaid, whenever he suspected syphilis he gave mercury first, and some months after, the chaul- moogra treatment. Nastin had not been discovered in his time. * It is unfortunate for Mauritius, aye, for the whole world, that this talented physician died about twelve years ago. He expressed no opinion as to the origin of the Leprosy bacilli, whether they come from fish or pork or any other kind of food. With a report on tuberculin he gives a series of photographs before and after treatment. He says all the patients gained in weight and improved somewhat. ' Conclimou. — In this account of Leprosy in Mauritius, I have endjeavoured to trace its introduction into the Island, its endemicit}^ its attack of all classes of society, its con- tagiousness under certain conditions (as from an open wound to an open wound), its heredity, its high mortality (1 per 2000 of the inhabitants) ; the infrequency of the anaesthetic or macular kind ; the incurability, so far, of the disease by mercurials, iodides, gurgeon oil, and chaulmoogra. Most of these, except the iodides, are at first markedly beneficial, but ,as a rule the efPect ceases after some time. It would seem best to keep ringing the change on all of them. I have also drawn attention to the deplorable fact that the Leper Asylum is still the old one situated in the very midst of breeding nests of anopheles and culices. Since Dr. Poupinel's •death no specialist in Leprosy has been appointed to replace LEPROSY. 107 liim. In such a wide field a clever pathologist would find ample scope for research.' There are many persons in Mauritius affected with Pinta, a leucodermic (or white skio) disease due to a fungus. They are generally Indians or Africans, and their affection is mistaken for Anaesthetic Leprosy. The white patches spread pretty rapidly, and may cover the whole hody from head to foot. I saw two well-marked cases in a Madrasee and in a dark Creole in Mauritius, but the most wonderful case I ever saw was that of an Indian woman in British Guiana, an inmate of the lunatic asylum. The only black patch on her body was a letter V on her forehead, even the hairs on her body were quite white ; but she was about sixty when I saw her. Bibliography; Dr. Poupinel's Government Reports; The Commis- sioners' Reports, 1879 ; my own observation when in Mauritius. CHAPTER VII. Cholera. Before describing the epidemics of Cholera which devastated, at different times the Island of Mauritius, I shall briefly state what we now know of this fell disease, and then we shall be better able to understand the difficulties that lay in the path of government authorities and doctors in their endeavour to combat it. Cholera is a most infectious disease due to a toxin or poison derived from a vibrio (discovered by the late Professor Koch in 1884 in India), which is swallowed and which grows in the intestines. This vibrio, or comma bacillus, is ingested with contaminated water, milk, or solid food, and carried by means of clothes, flies, and desiccated contaminated- excreta blown about by the wind. These vibrios, isolated in a pure culture, will produce in. a culture of peptone water, nitrites and indol which give an indigo-red coloration on the addition of strong sulphuric acid. Pure cultures of other vibrios will not give this reaction. The incubation period of the disease is from a few hours to three days. Symptoms. — These are premonitory malaise and diarrhoea,, or the sudden onset of uncontrollable and continuous evacua- tion of loose stools, at first bile-stained, but gradually thin,, colourless, and inodorous, and having the appearance of rice-water. Next vomiting occurs, at first bilious, then rice- watery. Both the stools and vomit contain millions of Koch's comma bacilli. Then severe cramps of the muscles of the abdomen and limbs set in, followed by the cold or CHOLERA. 109 algide stage, when the temperature in the axilla falls to 95° or even to 92°, whilst that in the rectum rises to 101° and 102°. Collapse sets in, the eyes and cheeks become sunken, the skin blue and clammy, the tongue small and greyish, the respirations shallow and quick, the breath cold, voice inaudible, the pulse thready and gradually lost at the wrist, suppression of bile and urine, but not of milk. Duncan says that * although apparently moribund, yet the patient can get up and walk across the room if he is not unconscious.' These symptoms last from three to twelve hours and then end fatally, or bile and urine are again secreted, and the patient regains consciousness, the skin becomes warm, the pulse and respiration improve, diarrhoea lessens or stops, and either convalescence quickly sets in, or the patient may pass into the reaction stage. During the reaction or secondary fever stage, the case resembles one of typhoid ; the temperature remains high, the face is flushed, the tongue dry, dirty, and brown, lips and teeth sometimes covered with sordes; there is low muttering delirium, scanty high-coloured albuminous urine, feculent motion, and often an exanthematous rash. The patient is fortunate if he passes safely through this stage ; but even then complications may ensue ; real enteritis, chronic diarrhoea, nephritis, mental disturbance, and anaemia; and abortion in pregnant women. Varieties. — There are many varieties of Cholera, some are wanting in one' or two of the above-named stages, others like the * Cholera sicca ' or dry cholera pass without vomiting or purging into the collapsed condition, and are quickly fatal. Diagnosis. — S^joradic or non- Asiatic Cholera, acute diar- rhoea from ptomaine poisoning, or from arsenic, without the rice-water stools, or even bacillary paracolon infection, with those stools and the algide stage, may obscure the diagnosis ; but all these ailments do not reveal under the microscope the true cholera vibrio, or if vibrios are present, they do not give the indigo-red reaction. no THE EPIDEMICS OF MAURITIUS. The Prognosis is bad, 50 per cent, die, but Sir Leonard Rogers of Calcutta has discovered a treatment by means of which he saves over 90 per cent. But we shall read of this, and other treatment further on. Post-mortem examination, according to Daniels, reveals the following : The blood is thick and dark, the tissues dry, the serous cavities sticky, — the right side of the heart is full of this black blood. The stomach and intestines are empty, but the latter contain greyish white slime full of vibrios. The mucous membranes and liver are congested ; the gall- bladder is full, and the bile ducts contain bile. There is cloudy swelling of the renal cells, and in later cases some blocking of the renal tubules with detached epithelial cells. gOMMA BACII^H AND SPIRILLA IN CHOLERA, CHOLERA. Ill CHOLERA IN MAURITIUS. *FiVE or even six epidemics of Cholera have visited Mauritius in the years 1775, 1819, 1854, 1856, 1859, and 1862. * Each time they lasted only a few months, but long enough to cause a mortality of 8400 in a population of about 360,000 ; or, if we consider the population of Port Louis, where the disease did most mischief, as averaging 48,000, the ratio was 6000 in 48,000, or 1 in 8. * The epidemics of 1854 and 1856 were particularly severe, though short, 8000 dying within three months, March to May (1856). It is interesting, now that we know the cause of Cholera is Koch's comma bacillus, to read the reports of the Medical Commissions as given below, trying to explain the incidence of the disease, and invari- ably blaming either the barometric or the thermometric, or hygrometric, or electric variations of the atmosphere, and yet suspecting that drink and food had something to do with it ; coming very near the truth and yet not finding it. But no wonder when we remember that microscopy was in its earliest infancy at that time, and that bacteriology is but three or four decades old. * When we read of the disastrous consequences in the seventies to the troops in India, due to the chief medical officer's ignorance of the real cause of Cholera, and how his obstinacy in sticking to the atmospheric -miasma theory, when water and food had been proved to be the carrier of the disease, sent thousands of soldiers to an early grave, we do not wonder at the doctors in Mauritius in 1819 floundering in a hopeless maze of theories. We read of good old Dr. Montgomery throwing up the sponge in 1856, 112 THE EPIDEMICS OF MAURITIUS. whilst trying to explain the contagiousness of the disease in some cases, and its evident non-contagiousness amongst the nurses and officials at the large civil hospital ; its deadly march through certain localities during the epidemic of 1854, and its harmless passage through those very localities in 1856, and vice-versa^ and ending his report with these words : " The disease is of so mysterious a nature as to be beyond the search of human investigation, that rests with the Divinity alone I " *The doctors of Mauritius not only in 1819, but also in 1854 to 1865 were fully persuaded, as the reports show, that the atmospheric changes or some poison in the air, were the cause of the Cholera epidemics, the inciters if not the actual cause. Dr. Burke (the chief medical officer of the island, 1819), says: "Both classes (English and French) of the medical profession seem to be unanimous in not supposing the disease to be contagious or of foreign in- troduction (their confreres, of 1855-1862 differed from them in this). From the disease pervading classes who have nothing in common but the air they breathe, it may be believed that the cause may exist in the atmosphere. It has been remarked that the great vicissitudes in the temperature of the atmosphere such as have lately been observed here prog- nosticate the approach of an epidemic. A similar disease prevailed in this island in 1775, after a long dry season — the symptoms, suddenness of onset, fatality, and duration of the disease, would seem to have been exactly the same as now ; a hurricane put a stop to its ravages, which continued for probably two months, and caused a great mortality among the blacks and coloured people.'' * We shall see further on that, although the doctors in 1854, 1856, and 1862, distinctly traced the epidemics of those years to the arrival of infected coolie ships from India, they were at a loss to explain its contagiousness and its fatal march, and thought the poison, whatever it was, was blown about by the prevailing winds. ' Each epidemic came at the commencement (September, 1819) or during (March, 1854; January, 1856; January, CHOLERA. 113 1862) the hot season, at the very time when Cholera becomes intensified in India. The coolie ships with disease on board used to be put into quarantine at the mouth of the Grand River North -West, not far from the entrance into the harbour of Port Louis, and if the prevailing south-east winds veered round to the north-west, the poison from the quarantined ships was supposed to be blown ashore (a mile oif), and thus to infect the inhabitants. In 1854, after four days' stay at the Grand River mouth, an infected ship was ordered (but not before the harm had been done) to Flat Island, vidi' map, where the immigrants, sick and whole, were landed, and the ship returned to her former anchorage for twenty days. In 1856 and 1862 the same thing took place and, as will be read later on, the inhabitants in 1862 protested against this state of things and petitioned that the island of Rodrigues should be turned into a quarantine station ; but of this anon. ' Of course it was not the winds that scattered the poison ; but infringement of the quarantine laws daily took place whilst the ship was at the quarantine anchorage, and thus the Cholera germs were taken ashore and spread, as a rule, first amongst the Indians or other coloured persons whose friends had had communication with those on board. Since 1862 these quarantine laws are stringently kept, and therefore Cholera has not returned (1918). * Besides the atmospheric poison or vicissitudes, other causes were supposed to predispose the people, especiall}^ the "blacks" and the other coloured races, to the disease; insufficient clothing and food, working in the sun or in damp places, sleeping in the open air " or on damp ground," bad or rotten meat and fish, green and other indigestible or over- ripe fruit, and spirituous liquors ; "the police were to exclude from the Bazaar the traders of such unwholesome provisions which they so artfully and injuriously disguise." Worms also were said to predispose to it. 114 THE EPIDEMICS OF MAURITIUS. 'CEOLERA EPIDEMIC OF 1819. *The epidemic of 1819 d-eclared itself in November in Port Louis, after H.M.S. Topazes visit, with Cholera on board. As there had been a suspicious case in September in Port Louis, that ship was said not to have been the prime introducer of the poison, though in all probability she v»^as. The disease spread rapidly to all the quarters of the Capital, and thence north to the flat Riviere du Rempart district,, south-west to the mountainous Black River district, and afterwards to the higher central district of Moka. It did sad havoc amongst the slaves principally, and after killing about 7000 of the inhabitants it gradually disappeared in two months, although no measures of isolation had been adopted, for the medical profession did not believe in the contagious- ness of Cholera. * They modestly admit that being uncertain of the actual cause of the disease, they could merely combat the symptoms. ' It is very remarkable that the treatment of those early days (1819) does not very much differ from that in vogue still at the present time. Or, to be severe with ourselves, it is shameful that with the great advance of therapeutics, toxinology, sero-, and opotherapy, and in spite of powerful microscopes, bacteriological cultures, stains, and the various laboratory methods at our disposal, we have not yet found an infallible cure for Cholera, and that we are still obliged more or less to keep to the old remedies of our ancestors. * In several of these reports, even as far back as that of 1819, purgatives were used, as one of these doctors (Burke) puts it : *' to drive out the vitiated contents of the bowels in ivhich teas the Cholera poison "; and in addition to purgatives he recommends " the liberal aibninisfration of emetics and fluids to assist Nature in getting rid of the poison, which had the appearance of cocoa nut oil " ; evidently the rice-water CHOLERA. 115 stool; lie was not far wrong. He further says, •*' the stomach being relieved, the bowels sympathise, and Nature endeavours to restore the healthy balance of the circulation by establishing a reaction " ; and in order to excite this cir- culation and soothe the cramp pains, and check the excessive evacuations, he gives opium three to five grains per mouth, or one drachm of laudanum in mucilage per rectum — a method which is still adopted in some countries at the present day. But Dr. Burke used to begin with opium, and follow the next day with mild purgatives, " taking care," says he, "not to give these too early, so as to prevent any irritation (of the bowels) which may cause a relapse." ' The purgatives he recommended were : Neutral salts, jalap, cream of tartar, rhubarb, magnesia, castor oil, or calomel mixed with opium. He occasionally gave a warm alcoholic and stimulating aromatic bath, "watching the heart lest asphyxia should supervene, and applying ammonia to the nostrils whilst the patient is in the bath." In the intervals between the baths, he employed fomentations and frictions with hot spirits or oils ; and when baths could not be taken, he gave by the mouth wine and spirits diluted with warm water, with or without aromatics. But if severe pyrosis ensued he gave camphor or ol. month, pip. As most of the patients who came to the civil hospital were past the first stage of the disease he began right off with anti- spasmodics, and rubbed the body with hot spirits, mustard, garlic, capsicum, and other rubefacients, and wrapped the patient in warm blankets dusted with ginger and pepper. As a final resort, he employed galvanism and electricity. ' As prophylaxis he recommended " removal to the high, dry, airy, and sparsely-populated plateaux or mountain- side, as the disease prevailed in towns and villages lying in low situations and surrounded by mountains." .116 THE EPIDEMICS OF MAURITIUS. CHOLERA EPIDEMIC OF 1854. 'Since the last scourge of 1819 the island had been remarkably free from serious outbreaks of diseases. There had been very short epidemics of measles and of diphtheria ; remittent and intermittent fevers imported from Madagascar and India ; diarrhoea and dysentery had added their quota of mortality to that of the above, but on the whole the island was considered to be very salubrious. The slaves had been emancipated, and they worked as domestic servants, labourers, and apprentices, and received an education ; and immigrants from India tilled the sugar-cane fields ; com- merce and industry had more than quadrupled the revenues of the island ; the governors Gomm, Anderson, and Higginson, during the forties and early fifties, had ruled wisely, and had developed the resources of the colony, when suddenly, on April 10th, 1854, Cholera, which seemed to have first shown itself in the colony in January, in Port Louis, and had already sporadically carried off several persons, burst forth as an epidemic in the capital. ' On March 23rd an immigrant ship, the Sultany from Calcutta, arrived and anchored off the harbour with 375 immigrants on board. Thirteen daj^s after leaving the Sand Heads, Cholera made its appearance on board, and during her passage of thirty-four days she lost thirty passengers from that disease. She was refused pratique, and ordered to remain in strict quarantine at the mouth of the Grand Biver North- West, a mile from land (vide map), all com- munication with shore being prohibited. She remained there until the 30th, when she was ordered to land her immigrants at Flat Island, where they were to remain for thirty days — the other quarantine station at the Isle des Benitiers, S.W. {vide map) being occupied by a few cases of small-pox, — and to return to anchorage for another ten days' quaran- tine. But owing to the Flat Island station not being ready CHOLERA. 117 for the immigrants' reception, the Sultani/ only left the Grand River fifteen days after her arrival, five more pas- sengers having in the meantime died from Cholera and Dysentery. On April 19th the Sultany was permitted pratique ; and as during their stay at Flat Island the coolies' health underwent a rapid improvement, and two boys onl}^ had died from Dysentery (?), quarantine was raised on May 4th, and the coolies were distributed amongst various estates throughout the colony. During the epidemic the total mortality on those sugar estates was reported to be fifty-six ; how many of these were the newly-arrived immi- grants is not stated. But as will be seen in the annexed tables, a great many estates suffered from Cholera. * The question, however, arose whether the epidemic was or was not due to these immigrants on board the Sultan ij^ as it was only soon after her quarantine in the roadstead that the disease broke out (April 10th) in Port Louis. More than half a dozen immigrant ships with Cholera on board had arrived in Mauritius during the half-dozen previous years, and had been put in quarantine, and no epidemic had occurred. The French inhabitants of the Island main- tained that the rules of .quarantine had this time been infiinged, and that there had been constant communication between the shore and the ship (in all probability there was), whereas the Government Commission of Inquiry reported that there was no evidence of any communication having taken place either at Grand River or at Flat Island. But in view of the nntrustworthiness of evidence from the Lascar, Indian, and Creole witnesses, there is no doubt that letters, drink, food, and even clothes (if no other contact did take place between those on board and visitors from the shore^, found their way to and from the ship, and thus scat- tered the germs of the disease throughout the Island. • As was said before, up till April 10th there had only been seven or eight cases of Sporadic Cholera in the Island that year ; most of them had occurred in the Pamplemousses district, the rivers there being polluted by the sugar mills and Indian camps near by. But on April 10th. a Creole 118 THE EPIDEMICS OF MAURITIUS. child died from Cholera in town ; on the loth a woman had it, but recovered; on the 16th two carpenters in the same shop caught it, one died and the other recovered. All these were in town, and were not attended by any physician. * On May 6th a child died of it at Grand River, and her aunt two days after ; on the 12th, another victim at Grand Biver. 'On the 12th a servant died in Port Louis, and on the 14th a prisoner died in the civil prison. Thenceforward it spread like wildfire through the gaol ; by the 23rd there had been fifty-two cases with twenty fatalities ; but no wonder, for the sanitary conditions of this prison were most primitive. An open sewer passed through the centre of the courtyard, and emptied its contents into a cesspool, whence it was discharged some forty feet below into an open stream, Ruisseau des Tonniers, which, as will be seen on the Port Louis map, crosses the main central portion of the town to empty itself into the harbour at the Caudan. It is only within the last five or six years that this sewage has been deviated, by hydraulic machinery, from the harbour into the open sea at Cassis {cide map). The prisoners, 420 in number, were transferred to two hulks in the harbour, and 230 more to Flat Island. Thirty-one died there from Cholera and other causes, and the rest returned on August 6th to the civil prison, which by this time had been disinfected, and the sewer and cesspool covered up. Of the total 420 who had been sent to the two hulks during June and July, 150 died from Cholera and other causes. * The worst place to send the prisoners to was the harbour, for the ships got their water from a putrid fountain at the landing-stage {vide my monograph on '* Dangers to Health on Board of Passenger Steamers " : Journol of Tropical Diseases ^ 1903), and this fountain was fed from the Grand River, where the first cases of Cholera had broken out. Moreover, from what I have just said, the harbour was the cesspool of the town, for no less than five dirty streams (open sewers) emptied their contents into it. As we will now see, not only the water they drank, but the CHOLERA. 119 air they breathed was the cause of the high mortality amongst the soldiers during this epidemic. * MortaUffj cujiong-st the Garrison. — The garrison of Mauritius on May 25th consisted of 1704 men of all ranks, part of whom were quartered in the Port Louis Barracks in the centre of the town (the Pouce stream, an open sewer, crossed the drill-grounds in those days), and in the adjacent Artillery Barracks ; part in the citadel, on a hill at the rear of Port Louis ; and part on a low, marshy creek, the Caudan, to the south part of the harbour, and in various places near T^y ; detachments being stationed likewise at different towns and villages in the country districts. ^ Fifty-six soldiers were admitted to hospital with Oholera (between May 25th, when the Cholera was in full swing, and August 31st), of whom thirty-four, or nearly 70 per cent., died. But the proportion of fatal Cholera cases to the strength of the garrison was hardly 2 per cent., less than half of the proportion in the civil population of the colony, and two-thirds less than that amongst the police. * This partial exemption from disease is ascribed to •energetic preventive measures having been taken from the very first, the barracks being thinned as soon as a case broke out, some of the men being sent to the country and others put under canvas, all intercourse with the town cut off, a Cholera belt issued to every man, bedding aired in the sun every day, the windows left constantly open night and day, and the very first symptoms of illness being at once reported. The men stationed at Flacq suffered most in proportion to the others, but many of the civilians of that district too, fell victims to the disease. The married soldiers in town and their families suffered much, probably owing to the fact that their quarters were situated immediately to the leeward of the yard where the hearses and *' dead-carts " were kept at night. Some of these men were also hard drinkers, and some had been helping the police outside. The last case in the garrison occurred on June 16th, and terminated in death. The mortality amongst the soldiers* wives (133) and 120 THE EPIDEMICS OF MAURITIUS. children (234) was 6 amongst the former and 2 amongst the latter. ' Prevalence of the Cholera amongst the Civilians. — Port Louis. — We now return to the state of things amongst the civilians during the latter half of May. We saw how the disease spread rapidly in the civil prison, thence it got amongst the population outside, and during the latter half of May the mortality continued- to increase in town, and by the end of the month 6-39 declarations had been made, 377 between May 25th and 31st being exclusively Cholera casualties ; universal panic ensued, and 10,000 persons abandoned the town for the country, carrying contagion with them. The streets leading to the town cemetery pre- sented a long, lugubrious line of funeral processions, and in the desolated city the most heart-rending scenes of misery and despair were daily visible, in spite of the unremitting efforts made by the Government and the Municipality to arrest the progress of the fatal malady. ' The epidemic raged with increasing violence till June 11th, when it reached its apogee, that day's mortality being 243 in Port Louis. It then began to decrease in virulence, the next four days presenting respectively 138,. 168, 111, and 92 fatal cases; on the 15th the mortality again rose to 213; on the 17th there were 92 deaths;, on the 18th, 129; on the 30th only 7. In July there were 64 deaths, the cases being confined to the outskirts of the town. The last case in Port Louis was on August 1st. 'The estimated population of Port Louis on May 31st: was about 49,000. ' The declared mortality from Cholera between May 25th and August 1st was 3492, or an average of 50 per diem, whereas the usual average of deaths from all causes was. 7 per diem. ' Of these Cholera cases the Males = 1623 ~| n^p^igg Females = 1326 / Males = 463 1 T .. Females = go P"^""^- , ' Appearance of the Epidemic in the Country Districts. — The CHOLERA. 121 epidemic spread rapidly to all the other eight country districts of the island from May 25th up to August 31st, though attack- ing each at different times and with different violence ; and, strange to sa}', as these districts became more and more invaded in June, July, and August, Port Louis, the Capital, became healthier, and had scarcely a single death from Cholera during those last two months. That was probably owing to the sanitary measures and precautions that were thoroughly carried out, and to early treatment being given to the cases who were sent to the hospital, and also to the great emigration from town. ' Pcunplemousses. — The first district to be affected was Pamplemousses, at Roche Bois, on the northern limit of Port Louis, on May 2oth ; from that date onward to August 15th scarcely a day passed without a fresh estate, village, or camp being attacked (those situated along rivers and canals suffered most). Only eight estates came off scot free, owing to better precautions being taken against the invasion of the disease. As will be seen on Table 6 at the end, the percentage of mortality was 13*4 out of a population of 32,102. ' P/aines Wilhems. — The next district to suffer most was Plaines Wilhems. The epidemic began only on May 28th on two estates, and on the 30th and 31st on three others, but by the end of June all the other estates except six had been attacked ; in July only one more, and in August two suc- cumbed to the invasion. ]\Iost of the camps and villages had been visited, and three only out of thirteen escaped, and the percentage of mortality was 1 3*2 out of a population of 13,984 {vide Table 4). The epidemic reached its height about June 19th, and then generally decreased in intensity. ' The Commissioners were unable to account for the virulence and great mortality in this district, which, with the adjoining one of Moka, had always been regarded as the liealthiest in the Island, being situated on a high plateau {ride map), and at the very springs of the watershed. With perplexed minds they report : 122 THE EPIDEMICS OF MAURITIUS. "The most startling phenomena of the epidemic in iJiis quarter are the contradictions, by ascertained facts, of the rules generally accepted with regard to a predisposition to Cholera brought on by neglect of cleanliness tiud exposnre to a tainted -atmosphere, and the presence of stagnant water. At Palma, Ebene, and Bonne Terre, there was but little sickness and little mortality, although the emanations from the distilleries established in these three places are very sensibly felt in the neighbourhood. At Stanley, the Indian Camp is built on a locky foundation, the ventilation is perfect, and the whole p)laceis a model of cleanliness ■and good oi-der ; whilst at the Couvois Estate and the Plaines St. Pierre, the labourers' huts are closely crowded together in a hollow at the foot of a hillock, near four ponds of stagnant water, the filtration from which goes through the camp, and adds its miasma to that produced by large heaps of manure and a great many swine. In the qualities of cleanliness, ventilation, and apparent salubiity no two places could be more opposite ; and yet the first had 05 cases of Cholera, of which 45 proved iatal, out of 398 labourers ; whilst the loss of the latter did not exceed 3 men ill a population of more than 250 At Claremont Villa, a charm- ing model house, inhabited by a most respectable family, who studied conxeuience, comfort, and cleanliiiess in their very minutest details, the fatal disease broke in, and in spite of every precaution, and every medical assistance and unremitting care, «ixi,een of the inmates j erished." ' Now that we know Koch's bacillus, we ean understand ^hy Plaines Wilhems was so severely visited. Being tbe sanatorium district of the Island, it attracted all the families from the lowlands already contaminated by the disease, and as the dry season was on, the surplus population very quickly drained and polluted the rivers, and concentrated the contagion in that district. ' Flacq. — After Plaines Wilhems comes Flacq with a percentage mortality of 9*5 due to Cholera out of a popula- tion of 24,263. This district was invaded on May 29th, the contagion having been brought from Port Louis by a child who got Cholera on the night of her arrival, but recovered. Two days after, her sister contracted the disease and died on the third day ; from that day Cholera spread in the family who had received these children, and nearly every second •day some one died. In all, between May 31st and June 21st, there were sixteen cases in this one house (a small one), CHOLERA. 123 of which eleven were fatal. From June 5th the epidemic spread, and villages and estates, one after the other, became affected until August 16th; and whilst in some instances, in spite of the same treatment by the same doctor, most of the patients died, in others most recovered. Again, those camps and estates situated along the main road (where constant inter-communication took place) paid the heaviest penalty, whilst those around which sanitary cordons had been strictly placed, or which derived their water from wells and not from the polluted rivers, came off scot-free. Fifteen estates were totally exempt from disease during the epidemic. ' Riviere dii Rempart. — After Flacq comes Riviere du Rempart district, with a population of 16,147 and a per- centage mortality of 8*1 due to Cholera, which was brought to it from Port Louis on May 28th. It did much harm to the Creole population, who were mostly poor fishermen or improvident labourers in the villages and on the estates. It decimated those estates situated on polluted rivers^ or those homes fed from cisterns. It went on spreading until July 80th, and then ceased altogether. ' One of the estates, Bon Espoir, was the greatest sufferer in the district. There were no cases in May, July, or August ; but in June there were 107 cases of Cholera, including sixty-six deaths in a population of '^bb. I have no means of ascertaining the cause of this ; but as Bon Espoir lies between two main roads and on a verj^ dry area, one may suspect the constant intercommunication with wayfarers, and the want of a good supply of fresh water, to be the probable cause, as was the case at Flacq in the following October. After the fatal month of June, the owner of the estate no doubt took severe measures of disinfection and isolation with good results, for there was no mortality after June. * Moka. — We next pass on to Moka, the district in the centre of the Island, situated like Plaines Wilhems on an elevated plateau ; it fared better than its adjoining neigh- bours (mortality was 7*9), probably because it had the smallest population (5726), the fewest estates (twenty-five 124 THE EPIDEMICS OF MAURITIUS. only), and a larger number of well-to-do European residents. Here are Reduit, the Governor's residence, and those of the- Commander-in-Chief of the Army, the Chief Judge, the Procuror- General, the Bishop, and of many other heads of Government Departments. The police no doubt saw to it that the rivers and Indian camps were kept in good order. The district moreover was not easy of access ; two main roads only, with many steep ascents along them, led to it, and it was hoped that it would suffer but very little from the Cholera. Nevertheless, only five or six estates escaped ; but the mortalitj^ on the others was not great, there being only about fifty deaths among the men and ten. among the women. Most of the fatal cases occurred among the Creoles and the white residents, the Indians escaping. The first case was that of a young man who; arrived on May 27th from Port Louis with Cholera, and died the same night. , From that day the disease spread, reaching its apogee a month after, and diminishing at the end of the month, when it was all but extinct, only twenty-; one cases occurring in July and August. ' Moka is a well-watered district ; by referring to the map, it will be seen that most of the rivers feedin»g- Port Louis, Plaines Wilhems, and Flacq take their origin in it ; and, moreover, the stream is swift, with many cascades along its course, some of them over 150 feet high. ' This abundance of water dashing over high boulders and down great heights, in its swift course to the sea, exposing all parasites, bacilli, and other germs not only to a hammering death, but also to the action of light, had, no doubt, a great deal to do with the mild invasion of this favoured district. * Black River. — The next one with a lower mortality still is Black River (population 13,984 ; mortality due to Cholera 7'2 per cent.). In February and March two sporadic cases of Cholera had occurred on a sugar estate, but it was not before May 2 8th that the disease began to assume an epidemic character, and it continued to rage, with alterna- tions of increased and decreased violence, until the end of CHOLERA. 125 July ; only nine fatal cases occurred in August. Of thirty- seven estates, sixteen escaped. * The fatal power of the epidemic does not seem to have l)een affected by any difference of class, constitution, or tem- perament, but those persons who lived on the Montague Chamarel {ride map), over 1000 ft. above the level of the •sea, at the very source of the rivers, and had no communica- tion with Port Louis or the rest of the district, escaped the malady. ' As will be observed, Black River, with a population almost double that of Moka, had nevertheless a smaller mortality than the latter. This is to be accounted for by three principal facts: (1) This mountainous district is diffi- cult of access ; all the Chamarel quarter lies on a high plateau, with sharp, almost perpendicular declivities, facing north, i.e., the route of communication with the outside world. (2) Fully a third of the population lived on this sequestered spot. (3) The early treatment of all his cases by Mr. Fyers (an intelligent estate-manager) by emetics and castor oil. ^ He invariably began with thirty grains of ipecac, and two grains of tartar emetic in a wine-glassful of cold water, followed by copious draughts (eight or ten quarts) of hot water, and after an hour he gave a large dose of castor oil. If within an hour or two the vomiting and diarrhoea per- sisted, he administered two to four wineglassfuls of dilute sulphuric acid mixture (thirty drops in each wineglassful of water). He saved 149 persons out of 150, and to this solitary fatal case he had not given any emetic, but sul- phuric acid mixture and laudanum enemata. He and several others record that laudanum uncombined with other re- medies seldom produced good effects, much more frequently the reverse. ' Grand Port. — Grand Port district, with a population of 19,947, has the small recorded mortality of 6*8 per cent.; but as several estates did not send a report of the deaths on them, and some were known to have lost many men, it is suppo'sed that this district suffered quite as much as Flacq, 126 THE EPIDEMICS OF MAURITIUS. where the mortality was 9*5 per cent. The disease was^^ imported from Port Louis on May 26th by a coachman, who died thirty-six hours after his arrival ; the second case also came from Port Louis on the 27th ; then it spread rapidly all over the district, and lasted without intermission till August 20th. The estates and villages situated on the marshy Mare d' Albert, Plaine Magnien, or on banks of rivers — Riviere La Chaux, Riviere du Poste, Riviere Cham- pagne — suffered most, whilst those which derived their water principally from wells and springs escaped altogether, making Dr. Pierrot say that " he was convinced that Cholera is a 'comm.unicable' disease, like typhus, rubeoli, and variola, and not like syphilis, and that it was the emanations from a Choleraic patient transferred somehow by food, water, or air into another predisposed person that gave the disease to the latter." Here is a doctor who in 1854 hit on the truth. He was greatly in advance of most of his confreres of that time, some of whom maintained that the disease was not con- tagious or *' communicable," and that it was the *' Digitus Dei visiting them for their sins." ' Savanne. — Savanne (population 9875) comes last with a mortality of 6*7 per cent. This is a sparsely inhabited district ; the estates are large, and there are but a few populous villages where the inhabitants are concentrated together. Moreover, the distance from Port Louis is great, although the disease was imported into the district by a girl who had fled from the capital the day before. The disease then spread, and on one estate, St. Felix, during the four months' duration of the epidemic, 148 persons were attacked out of 288, and 61 died. Six estates were attacked in July, and only one in August, but there was one sporadic case in September and two in October, these last three being cholerine rather than Cholera. But although twenty- seven estates suffered, eleven others escaped the disease altogether. Nevertheless, in its progress through this dis- trict, the pestilence displayed the same capricious character which it had manifested elsewhere, both in regard to its course and in the selection of its victims. Whilst raging CHOLERA. 127 close to Souillac Village, at Surinam and Camp Michel Estates, the village itself comparatively escaped. Long Champ was losing four and five men every day, whilst the adjoining property, Bel-Ombre, none at all. The district medical officer. Dr. Bolton (senior), one of those intelligent doctors far in advance of their time, working on the con- viction that Cholera was contagious, did his utmost to isolate the cases, and he treated them early with large doses of calomel, ten to twenty grains repeated some- times every three or four hours (he found salivation was induced only in a very few instances), or with " purgative Leroy." It is probably due to the efficacious treatment adopted by Dr. Bolton, and to the sparsity and isolation of the inhabitants, that the Cholera did not do much havoc in this district. ' Reappearance of Cholera. — The last declared case of Cholera in the Colony was on August 30th ; perhaps there were a few in the early days of September, but the epidemic was supposed to have stopped by September 1st, when on October 16th it broke out afresh at Trois Hots, in the Flacq district {vide map), where a man died of it ; on the 18th a second fatal case occurred, and on the 20th two more, and by the 28th five more fatal cases at Espoir. All these in Flacq alone. On November 11th it attacked the sugar estate, ''Mon Heve" (Flacq), which had not lost a single case during June or previous epidemic, and eleven cases died within twelve hours of the onset of the symptoms. ' On November 5th, on a third sugar estate, " Queen Victoria," Flacq, four fatal cases occurred, three in one family. ' On November IcJth, it broke out in a singular manner on a neighbouring estate, the Clementine, which during the previous epidemic, out of a population of 727 persons, had only three cases. A woman on the above date pulled open the window of a house that had been closed since the death from Cholera of its tenants in June, and thrust her head in, and, remarking on the disagreeable smell that existed inside, closed the shutters again, and went away. The same night she fell ill, and died four davs after, when 128 THE EPIDEMICS OF MAURITIUS. Tier child and another neighbour's child also caught the disease and died within twenty-four hours ; thence it spread to the Indian Camp near, and seventy-eight cases occurred with seventeen deaths. ' So that during the months of October and November 125 decided cases of Cholera were verified in Flacq (and fortunate^ it did not extend to the rest of the Colony), of which fifty-one proved fatal. In all probability that figure oould be doubled, as many uncertified deaths had occurred during these two months. 'No satisfactory reason could be given by the Commis- sioners why this fresh outbreak took place at Flacq amongst the Creoles, as they lived in detached houses surrounded by small garden plots, and they and their "houses were cleaner than the Indians and their huts, who lived in the other dis- tricts, which were not attacked. * The drainage was good, but the water in the rivers was low just at the time of the outbreak. Of course, with our present knowledge of the spread of Cholera, ice are able to give an explanation which the medical men of those days were unable to do. There is no doubt that, as this district had been the one (next to Port Louis and Pamplemousses) to suffer most ( Hde Table) during the previous epidemic, when its mortality was 718 (Port Louis 3492, Pamplemousses 1385), the disease had not completely extinguished itself on August 31st before it broke out again with virulence in October, and, owning to the scarcity and pollution of water, it {i.e., the Cholera comma bacillus) spread rapidly through the polluted rivers to those villages, camps, and estates situated on their banks {vide maps) ; and as these rivers flowed direct down the east coast to the sea, and did not pass through the other districts, these remained unaffected. 'A singular fact, which remains unexplained even with our present advance in knowledge, is the illness, wdth all the symptoms of Cholera, of a soldier in barracks at Flacq (the infected district), six months after the cessation of the epidemic there. The Commissioners say it was a well- marked case. He recovered. CHOLERA. 129 * Before reading the account of the various treatments the doctors adopted (most of them were men of great experience and of sound knowledge), it will be well to peruse the account given in the Annexure of three fatal cases in Port Louis in the Ackroyd family, during the month of October, showing that the fresh outbreak was in no wise different from the pestilence that raged three months before. For- tunately, as before said, these were the only three cases that occurred outside Flacq. * The Commissioners sent to Flacq at the end of October, 1854, to investigate the nature of the fresh epidemic preva- lent in that district, reported : ' (1) that the epidemic was identical with the Cholera lately prevalent throug-hout the Colony ; * (2) that the two epidemics appeal* to have been continuous, notwithstanding that no deaths from Cholera were reported from September 21st to October 16th ; ' (3) that the character of the disease was as severe as ever ; ' (4) that the four estates that had suffered or were still suffering on this occasion, had almost entirely escaped in the first epidemic ; '(5) that the people in the affected localities received their water supply from canals which were in had order from scarcity of wafer ; ' (6) that there was evidence that the affected persons had drunh of the water from these canals ; ' (7) that various interesting facts as to the manner in which the disease was transmitted from one locality to another, tend to support the opinion that the disease can be propagated by human intercourse. * Treatment. — Different kinds of treatment were adopted by the medical men practising in the Island at that time, most of them being M.D.'sof a British or French University. The treatment of each seems to have depended on the opinions he held with regard to the cause of the disease and its con- tagiousness. Some believing it to be due to a " carbonization of the blood, a want of oxygen in the blood, as in suspended animation, collapse, and asphyxia," recommended the cold- water douche, and obtained a certain amount of success. ** These douches, producing shock, caused deep inspirations, K IBO THE EPIDEMICS OF MAURITIUS. whicli stimulated the heart and reanimated the patient." Others simply dashed water on the patient's face, and said that it was as good as the douche, and condemned the latter as causing more rapid collapse. ' A second class of physicians paid special attention to the vomiting and diarrhoea, and tried to arrest these by dilute sulphuric acid and calomel combined with opium, whilst they anticipated the cramps by frictions with strong rubefacients, and the collapse by diffusible stimulants. A third, evidently nearer the truth, believing in the infection having got into the system through the mouth, gave emetics and purgatives, in spite of the antecedent or actual vomiting and purging, and thus tried to drive out the poison ; after- wards rubbing the patient and keeping him warm. * A fourth filled their patients' stomach with " tisanes," the Ayapanah infusion being considered the best. ' Each claiming, notwithstanding numerous failures, that his treatment was the best.' As we have before seen, Drs. Bolton and Pierrot and Mr. Fyers, with their emeto-cathartic remedies, met with the most success. ^ Some of these physicians believed in the contagiousness of the disease, and others, like Dr. Montgomery, did not ; and, like their predecessors of the 1819 epidemic, attributed the epidemic to a meteorological effect, a current of ozone, or want of it, blowing in certain directions and affecting towns and ships at great distances from one another, but in the track of the current. ^In support of his scepticism as to the contagiousness of Cholera, amongst many others. Dr. Montgomery quotes Mrs. A 's case. He attended on her when she died from Cholera on May 27th after nine hours' illness. He says : " How can the disease be contagious ? If it were, after having attended hundreds of cases, I ought to have caught it. I sat by Mrs. A 's side for two hours, and her husband, eight children, and sisters were all in the room, and she would give the breast to her baby, two months old, until we took him from her ; and yet not one of that family CHOLERA. 131 contracted the disease." There is no doubt from the history, that Mrs. A caught Cholera from her husband, who during the previous days had been doing duty as chaplain to the hospital. ' The Commission of Inquiry, after consulting with all these medical men as to the most effectual remedies employed by them, reported that : " At present, no antidote nor specific medicine is known that can neurralise the poison of Cholera, and arrest with any certainty the progress of the disease ; but in the period of invasion — i.e., dni-ino- the premonitory diarrhoea — the raovbid effec^ts of the Cholera poi.son may be snccessfiiilv combated, whereas in the stage of complete collapse, from the altered composition of the blood, the dein-essed condition of the nerves, and above all from the impossibility of absorption by the alimentary surface, medicines of any kind given internally must be almost inert, and external applications in like manner of little etticacy." * In reading this, one would think he had before him a medical report of the present day. In the treatment of the premonitory stage considerable uniformity prevailed, one of the three modes of treatment being generally adopted. Of these the first was the employment of dilute sulphuric acid in doses of thirty drops, frequently repeated ; the second was the giving of infusion of Ayapanah generally combined with ginger and brandy ; the third was the exhibition of opium, either in pills or draughts in combination with aromatics and stimulants, or more commonly in the form of enema. ^The treatment of collapse was most various, and resembles those in use to-day. Stimulants of every kind, both external and internal, were employed, either alone, or in combination with other means. ' Some condemned the undue use of opium. The douche or cold water aspersion at all stages was extensively employed by the Army surgeons, but others limited it to the period of collapse, whilst it was condemned by others. ' Finally, most state that here, as in other countries, medicine has very little power over this disease, except in its early stages — that is, before collapse is fully established. ' In closing this report of the epidemic of 1854, I must 132 THE EPIDEMICS OF MAURITIUS. add tliat the Chinese population of the Island suffered leasts for they never drank any liquid except tea, of course infused in hot water. That fact by itself ought to have opened the eyes of the doctors that the poison (I use the word poison as in those days the comma bacillus was not known) was in unboiled water ; but, apart from a few rare exceptions, they were so thoroughly imbued with the atmo- spheric or electric theory, that they attributed the Chinese immunity to peculiarity of racial resistance to that disease. The fact that the Chinese coolie is an unclean man, rarely using soap, and living amidst filth, made the theory of the origin of Cholera through filth untenable, and strengthened the doctors' scepticism as to its contagiousness. * As I said before, as long as the bacillary origin was^ unknown, our ancestors groped hopelessly in an inextricable maze of theories.' But with improved machinery, i.e. with better know- ledge of bacteriology and parasitology (which were quite unknown in 1854), hrT^matology, chemistry, and microscopy, pathology has made rapid progress during these last sixty years, and has enabled Sir Leonard Rogers to discover a treatment which, in his hands, has saved over 90 per cent, of patients in the Calcutta Cholera Hospital. Believing that the comma bacilli or a toxin from them concentrated the blood in the body by a rapid exosmosis of fluid from the blood, with the consequent increase of red and white corpuscles (leucocytes) and the specific gravity, he prepared a hypertonic solution, which when injected warm (three drachms per minute) intravenously, subcutaneously, or per rectum, stopped the loss of fluid, and the consequent vomiting, diarrhoea, and collapse. His preparation is : Sodium Chloride — grs. 120 (8 grammes). Calcium „ — „ 4 (0*25 grammes). Potassium ,, — „ 6 (0*4 „ ). Water — 1 pint. One-third less strong for rectal administration. CHOLERA. laS By carefully watching the blood pressure so that it shall not ascend over 100 mm., and the sp. gr. of the blood so as to lower it to 1050, the dangerous and sometimes fatal hyperpyrexic reaction can be avoided. Three to four pints of this solution are given, three to females, and two to children under fifteen. If severe headache or oppression in the chest with quickened breathing is produced, the rate of flow into the veins should be slowed. 8ir Leonard also found the administration of one to six grains of permanganate of calcium to a pint of water given three ounces at a time, or better still potassium permanga- nate pills (two grains) given every quarter of an hour for two hours, then one pill every half-hour until the stools become green and It^ss copious, to be useful adjuvants. Barley water is given in the intervals. He advises that opium should be given only in the premonitory stage of cholera, and never when the colourless evacuations or collapse have set in, nor in the reactionary «tage. He checks the hyperpyrexia in this stage by copious iced- water rectal saline injections, or by cold sponging if surface temperature is 103° "5 F., or the rectal one over 104° F., and by ice to the head. He does not check diarrhoea in the after stage of reaction, and condemns opium then and acetate of lead, as they actively predispose to fatal ursemia. To combat ursemia and ensure free action of the kidneys after Cholera, rectal isotonic saline injections* should be regularly continued every two to four hours after collapse is past until at least two pints of urine are excreted in the twenty-four hours. The patient is also given as much water as he can drink. Carbonate of ammonia, sal volatile and 6 minims of nux vomica (and 5 minims of tinct. digitalis if the blood pressure is deficient), serve as stimu- lants and diuretics. He also gives pituitary extract to raise the blood * Eighty grains of common salt to the pint. 134 THE EPIDEMICS OF MAURITIUS. pressure, and advises dr}^ cupping on both loins (three cups at a time) twice daily until the kidnej^s act freely. As for alcohol, he condemns it in the collapse stage, but in the later stages he gives it in small quantities and diluted. As for did, only barley-water is given during the acute stages and during the reaction. Farinaceous food, thin arrowroot or cornflower, and whey follow ; and after the diarrhoea has stopped for two days or more, custards and other light food are commenced, soups being given only after the kidneys have acted freely. As prophylaxis or prevention. Professor Haffkine has introduced an anti-choleraic vaccine with which he inoculates persons exposed, or likely to be exposed, to Cholera. This preventive, which has been proved to be very eflicacious and safe, is carried out in two stages, with a few days' interval between. The malaise and discomfort which ensue last for twenty -four hours, but the immunity gained is for two or three years. This vaccine is prepared from Cholera vibrios grown at a temperature of 39° C. in a current of air on agar, and then rendered virulent by passage through a series of guinea-pigs. * 'The organism is then cultivated on an agar slope and washed off with sterile broth, which is made up to 8 c.c, and then 1 c.c. is injected in the subclavicular region or anywhere else in the tissues. Haffkine claims that the vibrios thus introduced into the blood or tissues are rapidly killed, that a certain amount of immunity to the invasion of the intestines and of the superficial layers of the mucosa is conferred. Killed instead of living cultures are also of considerable value. Immunity is not established till five days after the injection ; on the contrary, it is probable that the susceptibility is increased.' ' For vaccina- tion it is essential that the disease has not commenced, it is then useless and even dangerous, for the injections wdll increase the susceptibility and diminit^h the resistance.' * Treatment by antisera is on a different principle; it is found that the blood of an animal (man) injected with * Daniels' Tropical Medicine. CHOLERA. 135 several doses of culture or toxin of a pathogenic organism becomes immune to this, and his blood then contains ' antibodies.' This antiserum acts as a prophylactic, or the animal's blood acquires the power of destroying the toxins formed by the pathogenic organisms, so that they are com- paratively harmless if introduced.' Besides these new methods of treataient against Cholera many remedies have been in vogue, especially in India. Most authorities are against giving opiates, as the principal aim is to cause the escape of the cholera toxin and not to retain it. However, at the very first premonitory symptoms it may be of use if given in the form of pulv. aromat. cum opio, 5 grs., combined with 10 of carb. bismuthi after a good dose of castor oil has acted five or six times. If the oil cannot be taken pulv. rhei co. is given. Ten minims of oil of eucalyptus every quarter of an hour at first, then hourly in a teaspoonful of milk (for children 1 to 3 minims) were found efficacious by some. When Cholera breaks out, all the wells whence water is drawn should at once be treated with permanganate of potash. Tw^o ounces in the solid state should be hung in a thin bag inside the well, and this bag constantly moved imtil the permanganate has been dissolved. If,, after half an hour, the water is still red, enough of i he crystals has been added ; if there be no red colour, some more must be added. A faint red colour should remain for twenty- four hours. If the well be very foul eiglit ounces will be required. All vessels should be washed in this faint red solution of Coudy. The late Professor Major Duncan used to recommend the following rules in times of cholera prevalence : ' 1. Keep cheerful and have your time occupied in some work. ' 2. Wear your commerbund (or large flannel belt). '3. Be attentive as regards the food you eat ; let there be nothing indigestible. '4. Avoid all spirituous drinks. If any stimulant is necessary, take red wines. 136 THE EPIDEMICS OF MAURITIUS. * 5. Aerated waters, oranges, and lemons are all excellent (but not other kinds of fruit). ' 6. Always filter your water with the Pasteur or the Berkefield filter, or else boil it and add a few drops of Condy's fluid to it. * 7. Take a daily ration of hydrochloric, sulphuric, or acetic acid, or drink sulphuric acid lemonade. ' 8. Never eat food in the patient's room. * 9. Be inoculated.' Bibliography: Government Commissioner's Report, 1854; Govern- ment Sessional Papers, 1854 and 185o ; Sir Leonard Rogers's Cholera and its Treatment', Major Duncan's Nursing in the Tropics; Daniels' Tropical Medicine. ' Memoranda on Medical Diseases in the Mediter- ranean ' has very useful hints on treatment. 'TABLE III. Summary of Mortality from Cholera in Mauritius from 2bth May to 'dlst August, 1854. DISTRICT. May. June. July. August. Total. Port Louis . 377 3049 64 2 3492 Pamplemousses 9 1245 126 5 1885 Eivi^re du Eempart 2 246 107 1 356 Flacq . . . 12 851 290 65 718 Grand Port . 2 182 209 89 482 Savanna — 185 64 48 247 Black Elver . 1 200 44 9 254 Plaines Wilhems . 9 491 65 86 601 Moka .... 7 186 21 1 165 Total 419 6035 990 206 7650 'TABLE lY. Summary as regards Classes. General Population. Blacks. Indians. Total. 1538 8832 2280 7650 CHOLERA, 137 * TABLE Y. Table showing the Centesimal Proportion of Deaths to Population. Port Louis. Pample- mousses. Riviere dv. Rempart. Flacq. Grand Port. Savanne. Black River. Plaines Wilhems. Moka. 26-8 13-4 8-1 9-5 6-8 (?) 6-7 7-2 13 7-9 * TABLE VL Table shotving the Centesimal Proportion of Deaths to Population in each Sex. Port Louis. Patn pie- mousses. Rivi6redu Rempart. Flacq. Grand Port. Savanne. Black Plaines River. Wilhems. Moka. Males . Females . 7-2 6-7 4-5 3-9 2-2 2-0 3-1 2-4 2-3 1-8 2-7 1-9 2-6 2-1 4-4 3-8 3-2 2-2 138 THE EPIDEMICS OF MAURITIUS. CHOLERA EPIDEMIC OF 185G. ' Two vessels arrived almost simultaneously, having had a great number of cases of sickness during their voyage, having lost upwards of twenty persons, and still having very numerous cases of sickness on board. Those two vessels were the Hyderee and the FuUay Mombarrack, which arrived from Calcutta in the month of January 1856, at an interval of a few days, namely, the 5th and the 8th. They had on. board, the one 272, the other 380 coolies. ' After a great deal of hesitation, after having kept both of these ships in temporary quarantine, the one for a week, the other for five days, and after having very nearly admitted one of the ships to pratique, the General Board of Health decides upon putting them both into regular quarantine. ^ The two ships are dispatched to the Quarantine Station at Gabriel Island, to the North of Mauritius, without any special instructions, and are admitted to pratique, the one two days and the other six days after disembarking the coolies and their return to the roadstead of Port Louis. The admission to pratique takes place without the participa- tion of the Board of Health, evidently through a misunder- standing. ^ In the interval of the two admissions to pratique, a report is received- stating that Cholera had hrol-en oid at Gabriel Inland* This circumstance, which would have pre- vented the admission of the first vessel had it been known in time, retards but by a few days that of the second, a second mistake ; and it is only eight days after Cholera has broken out at Gabriel Island that the Board of Health meets. ' Then, and then only, is the Quarantine Station declared to be in quarantine by a proclamation, with precise in- structions. * To the north of Mauritius. CHOLERA. 13^ ^ The men sent to Gabriel Island in those two ships numbered 652, and there was accommodation only for 500 — the rest had to li:\"e in tents and shanties hurriedly put up, and they fared very badly, for not only did cholera decimate them, but the elements fought against -them during the cyclone months of March and April, and the n^ortality was heavy. ' Some weeks afterwards, while the authorities are still doubting. Cholera breaks out in Port Louis on March '3rd, 1856. ^History of the Lnrision and Criticism thereon. — So that we see how Cholera had been contracted by the immigrants before leaving India in January, and although the Indian unqualified doctor* on board, and the captains, for obvious purposes, declared the malady to be anything else than Cholera, there is no doubt that it was this fatal contagious disease ; for very soon after the coolies had been landed at Gabriel Island the epidemic broke out, and from January 24th to May 4th (ninety-four days) there were 271 deaths : 83 from Cholera, 90 from dysentery, 58 from fever, and 32 from other diseases. ' All this time, no strict measures having been adopted to prevent the disease from being carried to Port Louis by the Government steamer, which was in constant communication with the infected Island, or to the mainland near to the Quarantine Station, by visitors and fishermen, it eventually reached the Capital as we have just seen. Cholera begins to spread in Port Louis, and from March 3rd to June 1st the Island of Mauritius once more is ravaged by that fell disease, which kills comparatively quite as many as it did two years before, ride table further on. 'History of the Outbreak in Port Louis and the Country Districts. — C)n the last day of February, a Lascar on board the Government steamer plying between Gabriel Island and Port Louis contracts Cholera, and dies in the harbour of Port Louis the next da}^, and two days after two soldiers in the barracks are attacked, but do not die. The next day three civilians at some distance from one another die from 140 THE EPIDEMICS OF MAURITIUS. it, and by March 6th the disease was not only spreading rapidly in the Capital, reaching its climax (127) on March 27th, but it started also in Pamplemousses and Savanne. The eastern and western suburbs of Port Louis, two very poor and insalubrious quarters, and Grand River and Hoche Bois, were the largest foci of the disease. ' Pamplemousses. — In Pamplemousses the disease broke out on March 3rd, on the same day as in Port Louis. The disease became violent and remained a long time in the district, and, as in the former epidemic of 1852, those estates and villages situated along the canals suffered most. The village of Grande Baie to the north of the Island, inhabited by fishermen who used to communicate with the quarantine islands before strict surveillance had been enforced, also had a heavy mortality. ' Savanne.—SsLYSiniie, too, from the very first was invaded, owing to a patient from Port Louis having imported the disease there ; but by April 20th the epidemic became extinct in that district, with 85 deaths on record. ' Plaines WUhem.s and Riviere du Bempcirt, however, were the two districts which suffered most, with a record of 240 and 203 deaths. ' Fiacq and Blaek River followed, with 157 and 131 deaths. * Mol'a and Grand Port. — Moka, as in the last epidemic, suffered least, probably for the same reason as before, losing only 97 cases ; whilst Grand Port nearly escaped the epidemic altogether, having only 8 casualties. *The following comparative table shows how the nine districts of the Island were severally affected during these two epidemics; but the table for the epidemic of 1856 does not give the mortality up to May 31st, when the disease stopped, whereas that of 1854 carries it to the end. But it is on record that after May 10th the epidemic of 1856 gradually became extinct all over the Island. CHOLERA. 141 * Summanj of Mortality from Cholera in Mauritius during the two Epidemics of 1854 and 1856. From May 25 31st, til to August 1854. From March 2nd to May lOth, 1856. DISTRICTS. Totals. Order according to mortality. Totals. Order according to mortality. Port Louis. . 3492 1 1 1484 1 Pamplemousses 1385 2 845 2 Kivi^re du Rempart 356 6 203 4 Flacq .... 718 3 157 5 Grand Port . 432 5 8 9 Savanne 247 8 85 8 Black River . 254 7 131 6 Plaines Wilhems . 601 4 240 3 Moka .... 165 9 97 7 * On comparing the two epidemics, the first point o£ difference that strikes one is the diminished mortality of 1856, as if the population had become somewhat immuned to the disease. The Army's total loss in the first epidemic w^as twenty-eight, whereas that of 1856 was thirty-seven ; but a few companies from England had recently reinforced the garrison, and they furnished two-thirds of the victims. New arrivals anywhere always take less care of themselves, and are less acclimatised than the older residents. ' The next point of difference is that in 1854 the disease in a week had spread all over the Island — to every point of the compass, so to speak — owing to the panic-stricken inhabitants of Port Louis having sought refuge amongst friends in the country. It was the first time in the memory of most of those alive that Cholera had visited the Island ; their grandfathers had told them of the epidemic of 1819, and they had read of the severe visitations in Europe and in India since 1852, hence their dread and alarm, which neurotic element no doubt predisposed many to looseness of the bowels, a good nidus for Koch's bacilli. But in this 142 THE EPIDEMICS OF MAURITIUS. epidemic of 1856 tlie inhabitants suffered less because they were now less alarmed, for they Had even become almost persuaded of the non-contagiousness of the disease. They had moreover during these last twenty or twenty-four months accomplished much in the way of improving the sanitary conditions of Port Louis and Mahebourg (the two cities of the Island), the estate camps, and villages. A large number of Indian and Creole camps had been burnt, and new ones rebuilt and located on better ground. The epidemic accordingly spread more slowly on the whole, and excepting Savanne, and Pamplemousses where in one day 100 men died on one estate, it did not invade the other districts seriously until after May 14th, when the quarantine at Gabriel Island had been raised and the surAdvingrimmis^rants had scattered all over the Island to their different estates. There is no doubt that thorough disinfection had not been carried out before these coolies left, and some of them were carrying Koch's bacilli with them in their bowels, utensils, and clothes ^although new clothes had been given to them the morning before they left quarantine and the old ones burnt). ' Nevertheless, in comparison with the former epidemic, the mortality, except in Savanne and Pamplemousses as before said, was not very great (refer to table already given), and in Grand Port it was almost nil; probably few of the estates had any of the new immigrants, and the villages had been more than decimated by the former epidemic, and were therefore less crowded. * Another point of difference between the two epidemics was the fact that in the latter, few of the public establish- ments were affected ; the prisons, having better drains, this time escaped altogether. But, a singular fact^ whereas the harbour and places connected with it suffered very little in 1854. only a few cases of Cholera occurring among the numerous crews of the shipping, and the large establishment of the Dock Company with its hundreds of labourers in like manner escaping, as did also the neighbouring military barracks on the Caudan Creek to the north of the harbour. CHOLERA. 143 in 1856 all was reversed ; many fatal cases occurred among the crews of the ships and amongst the Dock Company labourers, and the Caudan Barracks were so severely visited as to render their total evacuation necessary. ' One of the most remarkable facts in the history of both epidemics, and more especially in that of 1856, was the escape of the attendants in the Civil Hospital, and of the ordinary patients in that institution under treatment for other diseases. Only one attendant died from Cholera. , ' Another fact recorded is the miraculous escape of the night-soil men, those men who went all over the town and collected and emptied the sanitary buckets at night. * Treatment. — The different treatments of 1854 were still in vogue in 1856 — the emeto-cathartic being the favourite one — but they had now begun to believe in purging the patients first of all. Unfortunately, there is no record of the number of successes or of failures of any given treat- ment. We read that Dr. Montgomery, of the Civil Hospital, still believed in the non-contagiousness of the disease, attributing the invasion as before to certain atmospheric poison blown from " no one knows where " ; whilst the chief Medical Officer kept, with sad consequences, to the belief in electrical disturbances of the atmosphere, and that the Colonial Secretary protested against expendituie on quarantine and drainage, seeing that the disease could not, on account of its capricious visits and preferences, be con- tagious — " that God sent it and He only could remove it." Hence the Government's dilatoriness in checking the disease from the very first.' Bibliography ; Commissioners' Eeport of Epidemic of Cholera in 1856 ; Sessional Government Report, 1855-57. 144 THE EPIDEMICS OF MAURITIUS THE CHOLERA EPIDEMICS OF 1859 AND 1862. * Preface. — We shall find in this account that Sir Wm^ Stevenson, who had had vast experience in the West Indies and Honduras before he succeeded Sir James Higginson as Grovernor of Mauritius, never exposed himself to being caught napping ; he, from the very first, attended to the quarantine laws and stations, made himself acquainted with every Government department and every public institution,, turned Flat Island into a model quarantine station, insisted on European doctors accompanying the coolies to and from India, and tried to purify the town by a system of drainage (which unfortunately is only now, sixty years after, being carried out), and he brought a fresh and abundant supply of water into Port Louis, and established railways, lit the town with gas, and subsidised steam connection with Europe. Never since the time of the French Governor Mahe de Labourdonnais, the founder of Mauritius, had the Island seen such a Governor. But in 1863, after six years' administration, he died of dysentery, brought on by weary- ing and excessive application to duty, without adequate relaxation and repose. His remains were buried at Moka,. not far from Reduit, his residence. ' After the epidemic of 1856, the Government authorities took stringent measures to prevent a recurrence of this fatal disease in the Island. Flat Island, at great expense, was- turned into a most suitable quarantine station. A good hospital and commodious and well-protected quarters for the immigrants were built, a solid jetty for the landing of passengers and stores in all weathers constructed, and intelligent British medical men appointed to live on the Island whenever necessary. Moreover, the Board of Health acquired greater powers, and was made responsible for the strictest observance of the quarantine laws. No wonder then that, in spite of Cholera and Small-pox patients arriving^ CHOLERA. 145 •almost every month from India in the coolie ships, these diseases scarcely gained access to the inhabitants on land. ' Cholera of 1859. — True, in 1859, during a violent epi- demic of both raging in India, and with the consequent arrival of twelve ships w4th Cholera and eight with Small- pox, in spite of these quarantine laws, sporadic cases of both declared themselves in town amongst all classes, and quickly spread to the country. But the mortality was not great, and although many fair ladies were pitted and disfigured for life, it could not be really said that there was an epidemic of Cholera or of Small-pox in 1859. Even in 1856, whilst the Cholera was raging over the Island, several families, especially in town and in the south of the Island, had small-pox. ' Cholera of 1862.— But in November, 1861, Cholera broke out again with such virulence, and killed so many persons both in the capital and in the country, and did not abate till the first days of March, that it was called the Epidemic of 1862. ' The non-contagionists again maintained that the disease had become endemic, had been capriciously fanned up, and that no one was to blame for its recurrence ; but from the meagre reports to hand, one can distinctly trace the link between the coolie ship Mount Stuart EIphinHto}ie, which arrived on November 22nd, 1861, and the first victim in towm, who died on December 1st. Both the doctor and the captain having sworn (no registers were kept) that for twenty-one days there had been no cases of Cholera amongst the crew and passengers, the Medical Health Officer, after having placed the ship in quarantine for tw^enty-four hourf, during which she was cleaned and disinfected and the coolies exchanged their old " capras " for new^ clothes given them by the Government, she was given pratique, and the coolies were landed and scattered all over the island. As I said before, all through December the Cholera ra'ged in Mauritius. ' But not only does' this connecting link prove the pro- bability of the coolies being the importers of the disease into L 146 THE EPIDEMICS OF MAURITIUS. the Island, but on a second return of the Mount Stuart Elphlnstone from India to Mauritius, in September, 1862, both the captain and the doctor admitted that there had been two suspicious cases of diarrhea on board, a few day& before their arrival in November 1861. They had evidently, through interestedness, declared these cases as diarrhoea, whereas they were Cholera — and the consequence was another epidemic. 'By January 1st, 1862, the disease had begun to abate, the people had learned wisdom since the last two epidemics, and had, as soon as this epidemic broke out, taken care to boil the water they drank, and to disinfect the privies, and in a word to keep themselves and the servants and coolies under them in as good a condition of health as possible. But on January 4th H.M.S. Urgent arrived with troops from Hong Kong, and on her way she had touched at Trincomalee. As there had been no deaths on board during the voyage, she was allowed pratique, and landed her soldiers — and two days after Cholera revived in town, and once more it spread to the country and did sad havoc until the end of February. A third and a fourth ship had arrived between December 8th and January 12th with Cholera-stricken coolies on board, but they had been speedily sent to Flat Island and, after having been fumigated and cleaned, they had cast anchor for twenty- one days at the quarantine station at the mouth of Grand River. 'Finally, a French ship, Parmentier from Martinique, arrived with Cholera- stricken emigrants for India. She put in for water and stores, and, after she had, under the strictest surveillance, been supplied with these, she con- tinued on her voyage. 'H.M.S. Orestes^ from the Cape, arrived in Mauritius during the epidemic and contracted Cholera, and went away on January 30th, and when she returned on the 20th of the next month she was denied pratique, although she had only some suspicious cases of dysentery on board. The captain reported the Governor to the Admiralty at home, but the inhabitants praised his determination to compel great ^md CHOLERA. 147 small to observe tlie Quarantine Laws, and henceforth to save the Island from this terrible scourge. They went even further, and begged His Excellency to transfer the quaran- tine isolating station from Flat Island to Rodrigues. But he refused, seeing that this last-mentioned island was too far away, and that moreover at a heavy expenditure the former island had been turned into a most suitable quarantine station. It is probably owing to this Governor having laid the foundation, during his administration, of wise and stringent laws against the introduction of disease into Mauritius, that the Island has never since 1862 been re- visited by Cholera. * Treatment. — I cannot find a single word on the subject in any of the reports to hand, but no doubt it was the same as before.' Bibliography ; As before stated. 148 THE EPIDEMICS OF MAURITIUS. ANNEXURE ON CHOLERA. (1) Extracts from the Reports of the Medical Commission (1819). * It is observed that the black and coloured persons who are not well clothed or fed, or whose occupations expose them to the in- clemency of the weather, and especially those working in the open air. the sun and in moist places, are more liable to be affected than others. Fatigue and exposure to the weather ought conse- quently to be avoided, and the clothing of the slaves should be attended to, and the use of crude indigestible food carefully prevented. ' Opium will allay irritation, soothe pain, remove spasms, check excessive evacuations, and rather increase and excite the circulation of the blood ; this would seem to be what we want. The cure cannot, I think, be expected without it. The dose may be from one to three and five grains, or from twenty to sixty and hundred drops of laudanum : if vomited, it should be repeated without delay, mixing the opium with a little syrup and sucking it in by degrees. ' Enemas of opium in larger quantities (grs. 10) or equal quantity of tinct. opii in four ounces of cangee and mucilage; the remedies to be repeated according to the effects, and the violence of the symptoms without regard to the quantity. The use of opium to be followed by a mild laxative to remove any torpor from it, but care to be taken not to give the laxative too early, so as to prevent any irritation that can cause a relapse. The parga- tive may be neutral salts, jalap, cream of tartar, rhubarb, magnesia, castor oil, or calomel may be joined with the opium. ' The Committee would strongly urge the most early adoption of whatever means are to be pursued. Those which they would particularly recommend, as being within the reach of almost all, are frictions of the body with hot arrack, and as soon as possible the employment of the hot bath; the exhibition of hot brandy and water, adding, when at hand, a tea-spoonful of laudanum, and the same quantity of spirits of hartshorn, &c.; the use of lavements containing laudanum to the amount of two tea-spoonfals. These means, with the exception of the hot bath, they would advise to be most assiduously and rigorously employed until symptoms of the patient's revival become manifest, or till professional aid can be obtained. 'With regard to the blacks, it is in the interests of their CHOLERA. 149 masters to clothe them properly, and to pay particular attention to the preservation of their clothing ; to see that on quitting their work in a state of perspiration they should forthwith cover themselves, and on no consideration to admit of their sleeping in the open air, either on the damp ground or on that warmed by the scorching rajs of the sun. It is, moreover, of the greatest importance that they should be made to refrain from spirituous liquors. And under existing circumstances it would be advisable they should abstain from them altogether. The food should like- wise be strictly examined, whether it consists of rice, meat or fish, as they frequently purchase bad articles of the above description. And to prevent which the police should use every exertion and inquiry in order that retail traders of such unwholesome pro- visions, which they artfully and injuriously disguise, should be excluded from the Bazaar. ' By order, ' (Signed) G. A. Baery. * Chief Secretary to Government.'* ' Chief Secretary's Office, *Port Louis, 27th Nov., 1819. (2) Cholera in Mr. Ackroyd's Family m 1854. ' In October three fatal cases of Cholera took place in the family of Mr. Assistant Commissary-General Ackroyd. This gentleman died after a few hours' illness on the 13th, and two of his children died on the 17th and 23rd respectively, one of Cholera, and one of typhoid fever, which set in on reaction. The following account of these cases is in the words of Dr. Home : — " The habits of the late Mr. Ackroyd were extremely regular and temperate, and though neither of muscular or vigorous con- stitution, he could not be said to be delicate, for he was scarcely ever ill. He was not predisposed to relaxation of the bowels, and had never to my knowledge suffered from dysentery. " On Thursday, October 12th (the day previous to his attack) he was in all respects in his usual health ; his dinner consisted of roast mutton, which he ate with an ordinary appetite, and having passed the evening, as was his habit, with his family, he retired to rest at nine o'clock. " There is no reason to believe that during the night he was otherwise than well, for he subsequently stated distinctly, in reply to my questions on the point, that no symptom of anything wrong showed itself before daylight on Friday morning. On that morning, the 13th, on getting up as was his custom soon after six 150 THE EPIDEMICS OF MAURITIUS. o'clock, he had a call to evacuate his bowels, and this was repeated many times at intervals till between eleven and twelve o'clock, after which the evacuations which were of the characteristic rice- water appearance entirely ceased, and did not again return. At nine o'clock he sat down to breakfiist with his family, and though remarked to be ill he made light of his complaint, conversing as usual but taking nothing but a cup of Yapana tea. Soon after (perhaps about ten o'clock) he vomited for the first time, and even after this symptom had recurred twice or oftener, so lightly ill did he consider himself that he actually sent to say that he would be at his office soon after twelve o'clock. " About eleven, beginning to feel weak and really unwell he decided on taking off his clothes and lying down in bed, and it was when preparing to do so, and in the act of drawing off his boots, that he had the first attack of cramps. " After this the symptoms began rapidly to increase, a copious and cold perspiration came on, the cramps returned at short intervals, and notwithstanding the use of stimulating draughts frequently repeated, of warm tea, brandy a,nd water, &c., and of continual frictions, the whole surface of the body became cold and livid, the vomiting continued to recur occasionally, but the action of the bowels, as before stated, had by this time finally and entirely ceased. " By two p.m. all the symptoms of the worst foim of malignant Cholera w^re but too distinctly marked ; the features were livid and collapsed, the eyes sunk in their orbits, the whole surface was cool and w^et with perspiration, the nails blue, the skin of the fingers shrivelled, the nose, cheeks, and lorehead cold. The patient, whose inielligence was unimpaired, replied to ques- tions in a whisper, which could only be heard by plachig the ear almost close enough to touch his mouth. Deglut-ition was per- formed with great difficulty, and notwithstanding the burning heac complained of at the pit of the stomach, it was with much difficulty either drinks or medicine could be swallowed. About four o'clock r.he pulse had ceased to be perceptible at the wrist, and both the tongue and breath were cold. By six o'clock the symptoms of collapse and debility had increased, the spasms of the Umbs were distressingly severe, and it had become ahnost impossible to swallow the medicine that up to this time had been administered every quarter of an hour. At eight the agitation and restlessness were extreme, the respiration became laboured on account of the sensation of weight and tightness experienced in the region of the heart, to which all the applications that could be thought of afforded not even the least possible relief This state of uneasiness and jactitation continued up to half-past eight o'clock, at which time he became rather suddenly quiet, and CHOLERA. 151 apparently unconscious either of pain or external impressions, and in this state he expired about quarter before nine o'clock, never having throughout his attack manifested the slightest apprehension as to the result, or given any i-eason to believe that he was aware of the true nature of his complaint. Early in the forenoon of the following day, Saturday, 14th, the six children left by Mr. Ackroyd, consisting of two grown-up sons, one young lady, two boys aged about ele\en and seven, and one child a girl of four, removed to the house of Mr. Hunt in Rempart Street, the young men returning at night to sleep in their own house as a protection to property which it contained. " All went well till Sunday afternoon, when William, the boy of eleven, was seized abouc five o'clock p.m. with frequent ■calls to evacuate the bowels. The supposed cause of this attack was his having an hour or two before been observed to chew some billimbees,* which were lying about ; but of which there is no evidence to prove he had ever swallowed any, as no trace whatever of them was found on the most careful examinacion of the stools. It was then considered that the attack was nothing- else but an ordinary derangement of the bowels, such as was not uncommon at the time. About six o'clock he took a laxative of rhubarb, which, having acted satisfactorily, was followed by an interval of quiet of four or five hours, during which he slept and appeared quite Avell. On awakening, however, about one in the morning, the purging again recurred, copious, watery and light in colour, and though astringents were then given in frequent doses no beneficial effect followed, and at three a.m. he vomited for the first time, the purging thereafter increasing in frequency, and consisting of pure rice-water stools passed without the slightest pain, and accompanied with a cold, clammy perspiration. "About half an hour before this his youngest brother Frederick, who had slept perfectly well, and had ncA'er complained up to this time, suddenly awoke, saying he was sick and wished lo go to the stool ; in this case the symptoms advanced much moi'e rapidly than in the other, the purging and vomiting went on simultaneously, the •evacuations became almost at once light in colour, and the surface became cool. Emetics were given to both, and all means used to prevent the temperature sinkmg and to keep up the strength. The following morning reaction had taken place in the eldest boy, but not at all in the youngest. The extremities of the latter con- tinued cold, his skin livid and clammy, his eyes sunk, and towards the afternoon of Monday his pulse was not to be felt ; at six a.m. €n Tuesday he died. The other went on more favourably, the vomiting having ceased entirely on Tuesday and Wednesday, the ■^ A small sour fruit. 152 THE EPIDEMICS OF MAURITIUS. evacuations having become bilious and the urinary secretions^ having been partially restored. Nourishment both on this and the following day was well taken ; but though the evacuations- did not exceed two or three in the twenty-four hours, his strength did not improve, the eyes were sunk in the orbits, there was much, thirst, great debility, and the tongue continued very foul. On Friday the secretion of the urine became again arrested, and in the night there was delirium, which prolonged itself into the fol- lowing day; and though the pulse was very moderate iu rapidity it was weak, and the tongue became dark and dry; in fact, all the symptoms of typhoid fever now set in. On Sunday alternate dehrium and somnolency manifested themselves, the urine continuing still suppressed, though the bowels acted naturally. On Monday the eyes were suffused, the pupils contracted, the tongue dry and black, and he ceased to be able to reply to questions. At eleven p.m. he died (23rd). Of the remaining four children of Mr. Ackroyd, one on the Monday forenoon (the third day after the- father's death) had a small attack of diarrhoea, which was accom- panied with nausea, but without actual vomiting ; treatment was had recourse to at the very commencement, and in four or five hours all the symptoms ceased. " Another child, aged about four, was similarly attacked on Tuesday morning, and after very frequent watery stools the skin w^as observed to become a little cool, upon which an emetic was^ immediately given ; after its operation and the use of the warm bath, and a few doses of astringent medicine in the afternoon, all symptoms of the complaint abated. But two, therefore, it will be observed of the six of Mr. Ackroyd's family have shown no symptoms whatevei* of the disease.' "Regarding the cause of the outbreak of Cholera in this family, after being three months entirely absent from Port Louis, no satisfactory evidence can be given, A careful examination of the servants and the premises, in which I had the pleasure of being assisted by Mr. Dauban, threw no light on its occurrence, nor does it aid in dealing up the difficulty the fact that very early in the epidemic the whole Ackroyd iamily had been freely exposed to the disease, by having a European servant attacked in their house, where she received every attention from Mr. Ackroyd and his family until she died. Several of the children, including William (the last who died), had at that time sharp attacks of Choleric diarrhoea; but Mr. Ackroyd himself had up to the period of his last illness entirely escaped, though he had assisted in. rubbiug the servant above mentioned, had spent, I believe, a, night in aiding the treatment of the late Mrs. Kelsey when^ suffering from Cholera, and had immediately after her death received her children for some days as residents into his iamihv CHOLERA. 15a having also on more than one occasion visited the Cholera Hospital of St. Mary, which was at no great distance, but to the leeward of his house. "Such is the history of these unfortunate cases of Cholera which so recently made their appearance in Port Louis. That they were really identical with the pestilence that occasioned such mortality in the Island admits not of the slightest doubt; nor because their origin is inexplicable, and their being confined to one single family is as surprising as providential, is any one justified in doubting that the disease was the veritable malignant Cholera. " (Signed) W. Home, M.D." ' CHAPTER VIII. Small-pox, 1856 and 1891. ' History. — Small-pox, like the other diseases already de- scribed, occasionally broke out amongst the inhabitants of the Island even as far back as 1771, when it was very fatal amongst the slaves. In 1820 it broke out in Port Louis and was supposed to have come either from Mada- gascar or India, though there was not at that time any importation of immigrants from the latter countr}^, ' Firsf severe Epidemic, 1856. — In 1856 several immigrant ships from India arrived with Small-pox on board, and as the quarantine laws were still rather lax, communication took place between the ships and persons ashore, and an epidemic of Variola occurred first in town, and as the people got scared and left for the country (a great number had already done so on account of the second great cholera epidemic which was at that time devastating the Island), they carried the disease with them. Eight coolie ships were actually in quarantine with Small-pox in 1856. The quarantine station at the He au Eenitier was so crowded out that Flat Island, to the north of Mauritius, was turned into a second quarantine station ; and finally, as we have seen before, Gabriel Island, close to the latter, was also requisitioned for the cholera patients. The epidemic, which was very severe in Port Louis at first, gradually diminished in intensity, and by the end of the j^ear it had become extinct. Baby-vaccine was the vaccine used, and there are accounts extant of blood-poisoning and transmission of diseases from family to family through that system. It is said that a Chinese Doctor Assy was very successful in his treatment, but what that was is not stated. ' Although the Variola cases were numerous, the mortality was not heavy. SMALL-POX. 155 'Second Ejndemic, 189L — As we have already seen, Sir IVilliam Stevenson became Governor of Mauritius in 1857, and it was due to his wise administration that not only was cholera stamped out for ever (after 1862) from the Island, but Small-pox also was supposed to have become a disease of the past, for a period of thirty-one years elapsed l)efore the second great Variola epidemic broke out early in 1891 ; and this would never have occurred had not the blackguard captain of the ss. Fangola from Delagoa Bay deceived the health officer by hiding a Small-pox passenger in the hold, and after having obtained pratique landing him at night ; the ship left Mauritius the next day. 'A few days after the Pangola's departure, the schooner Alerte, from Reunion, was given pratique, and a day or two after the first mate, his wife, and a sailor developed Small-pox. It would appear that the Fangola had touched at Reunion when the Alerte was in St. Denis Hnrbour, a ad had landed passengers there who subsequently developed ^mall-pox ; one of these had had frequent communications with the crew of the Alerte before he fell ill. From these two foci (the Fangola passenger and the Alerte crew) the disease made rapid progresg. Two important factors operated in furthering the spread of the disease : (1) the insufficiency of vaccine in the Island at the time of the outbreak ; and (2) jthe. jgnorance, stubbornness, and super- stition of the natives. ' With regard to the latter, the popular idea was that, like cholera. Variola was due to some atmospheric disturb- ance, and that no amount of vaccination could prevent its prt'gress, and no precaution need be taken against con- tagion ; hence the wakes, or custom of watching the dead, helped to spread the disease, some eight out of twelve persons being infected on one occasion. The Indian natives too, attributed the epidemic to the ire of the particular deity presiding over this disease, and maintained their practice of flocking, sick and whole, to their temples to offer cocoanut-milk, cucumber, sweets, water-melons, milk, and lilac flowers as a propitiation. It was with the greatest 150 THE EPIDEMICS OF MAURITIUS. difficulty they could be compelled to desist in this practice- or to submit to vaccination. ' But with regard to insufficiency of vaccine at the time of the unexpected outbreak of Small-pox, the General Board of Health claimed that they were not to blame ; for thirty-two years had elapsed since Small-pox had visited Mauritius, and only a small amount of lymph sufficient for the needs of the inhabitants used to be imported from Europe by each mail. ' True, a laboratory had been instituted, where calf lymph was prepared and distributed, but many cases of lymphangitis having been traced to its doors, it was closed, and before a larger quantity of vaccine could be obtained from the Lister Institute in London, the epidemic had time to spread. It only shows how important it is to have a Lister or Pasteur Institute in every populous centre. ' The inhabitants of Port Louis were very refractive to the measures issued by the General Board of Health, that they should remain twenty-one days under surveillance after having been discharged from the Small-pox hospital,, and that everybody living within an area of 100 metres of any Small-pox case should be vaccinated. The people left their rooms and their dwellings by day, and the vaccinator never operated upon more than fifteen to twenty per cent, of the inmates^ the consequence being the gradual and steady spread of the epidemic^ in Port Louis ; whilst those who could, migrated to the country, infecting others- there. It was suggested to the General Board of Health that compulsory vaccination should be proclaimed in the whole of Port Louis, and after having divided the town into eight parishes, the proclamation was made for one parish at a time. All doctors in town were enlisted into the work of vaccinating from house to house, and after parish No. 1 was finished, 'No. 2 was proceeded with, and so on, until the whole town had been vaccinated. The consequence was that whereas in January 1892, before this system of compulsory vaccination had been adopted, the SMALL-POX. 157 oases of Yariola in town amounted to 500 per month, in April there were but a very few cases, and by May the epidemic had been mastered. Over 10,000 persons were vaccinated in town, and if to this figure were added the number of children still under tlie protection of infant vaccination, of adults previously revaccinated, and of those who had had the Small-pox, the whole population of Port Louis, by end of May, had been protected ! This praise- worthy result must have been ver}^ gratifying to the late Sir Francis Lovell, the C.M.O., and to the Sanitary Warden, Dr. Bolton. ' As the epidemic ceased in town it very quickly stopped in the country too. * Another factor in the rapid abatement of the epidemic was the revocation of the twenty-one days' surveillance after removal from a Small-pox hospital, for before the revocation people ill with Small-pox hid themselves rather than go and spend two or even three months in the Small- pox hospital. But when they knew that they could return home as soon as the secondary fever had passed and the scabs had fallen, they did not hesitate to flock into the hospital. ' Several points of interest attract one's attention in the above account; viz.: ' (1) The absolute contagiousness of Yariola. ' (2) The importance of vaccination with pure calf lymph. ' (3) The curative and preventive efficacy of vaccination. ' (4) The difficulty of dealing with natives in times of epidemics. *(5) The absolute necessity of enforcing " vi et armis" the measures passed by Government for stopping epidemics. * Since 1901 Variola still occasionally visits the Island, but it has never spread again into an epidemic. Vaccination is compulsory.' Bib iography : Bulletin de la SociStS Mddicale de Maurice ; Dr. Bolton's Notes ; Interviews with other medical men ; Articles in the Mauritian daily papers. 158 THE EPIDEMICS OF MAURITIUS. Chart showing relation between temperature, rainfall, and number of cases and number of deaths during the Small-pox epidemic of 1891 and 1892. Ex'planation : Temperature of Air (mean) ~~il Relative Humidity °/^ •-•-•-•-• (Saturation 100). Ea,infall (inches) No. of Cases treated o o o No. of Deaths • . . . SMALL-POX. 159 Yearg Iinmuiiity Curve by agre periods Years ^ o/o ^r 5 to 10 to 10 15 15 to 20 20 to 30 to 30 40 40 to M 50 %^l Un. • knuwn o/o 30 .30 28 28 / ^v 26 ^ 26 24 t- 5 K.^ T 24 22 ) '. ni Tiunit 22 20 J C~ ^o if en e( [ 20 18 --- ^ s^-J*-- '■' / Tj bv -18 16 P sr o( of iSni lII Io 16 14 cin p. uli y vi , 2 lL ; \ ^iP iden i( 14 12 _uaJiQ n 1 i vei rO r 855 12 10 ■^fc. —-- -10 8 « J _ Perc I of V 8 6 S f voli r ;ary ^ ^ 6 4 ^^^ — ^ \ • LC.-inat >n ajes 4 2 10 ( 40 2 8 ' '1 14 3 25 8 6 8 Curve showing the percentage of liability according to age periods. Total number of Cases treated 3,517 Deaths 657 Census in 1891 .... 371,000 Ratio per 100 of Attacks 9-48 Deaths 1-17 94-9 CHAPTER IX. Malarial Fever. Briefly, this fever is due to a parasite or protozoon intro- duced into tlie blood by an Anoplieline mosquito. There are three kinds of this parasite : one produces the ' Benign Tertian ' intermittent fever every alternate day, or every forty-eighth hour after the first attack, unless the fever be checked by quinine ; the second gives the ' Quartan ' every third day, or every seventy- second hour ; and the third, the ^Malignant Subtertian,' which comes on every day, or sometimes every thirty-sixth hour. The symptoms of the three kinds of fever are very much alike, except that those of the ' Subtertian ' are severer, and the fever may end fatally, and the temperature is usually remittent, not intermittent, i.e.y does not come down below the normal line of 98° F. It also ascends and descends slower than in Tertian and Quartan fevers, and delirium is frequently present. The symptoms of all three are : malaise, fatigue, some- times muscular pains, headache, chilly sensation, blueness of nose, lips, and nails, then shivering or rigor, which, however, is sometimes absent. This stage may last from half an hour to an hour ; then the hot stage sets in, with hot sensations all over the body, severe headache, thiobbing pulse, and hurried respiration ; that stage may last from one to many hours. Finally, there is profuse perspiration (which may, in the Subtertian, alternate with dryness of skin), and sleep ensues. On waking up, the patient, apart from weakness, feels quite well, and the attack is over, to begin again, as before said, twenty-four to thirty-six hours after if the fever be Sub- tertian, in forty- eight hours if Tertian, and in seventy- two Temperature 98-2 Temp u?l y^\ T| w| T Fi s| 106*^ M E M E M E M E M E M ^ M E 105° 104° 103^ 102"" i lor A A A 100° i \ \ J ■ V \ \ 99° :/ "N J \l ▼ \/ 1 TL 1 £. , :... )L ^^ ^,^, ^ 1 ■r _^ ^ 97° r ^ 2 H L 1 J « )UB ' rERTIAN NORMAL TEMP. Temp s 1 M 1 -T w| ■T| ^F ! s ■s 1 M T w M E M E M E M E M E M E M E M E M E M E M 105" 104" 103' 102" lor \ I 100*" i I I \ \ 99° / V / \ ) ^ A, \ _^_ ^ ^ __ A ^ i -^hr ^ -Tl ^ ■X^ ^ A 4 ^ 97- ^ • 5^ r r —3 ?* — 3 r ■ -> ^ ^n 96" [ 1 ;__ L __ n Quartan Temp s M T W T F S ^ 1 106' M E M E M E M E M E M E M E M E 104' 103° 102° ^ 101° 100' , 99° ^ 1 > ilk 982 "«■ TT ^ TP -v^ "A 97^ ^ ?^ J( ^ ^ ^ 1 i. : , .. . NORMAL TEMP. Benign Tertian M 162 THE EPIDEMICS OF MAURITIUS. hours if Quartan, and so on for four or five attacks, unless quinine be taken by the mouth or be subcutaneously in- jected (or be given by the rectum in babies). In Tertian and Quartan the temperature is always inter- mittent {vide charts), but two attacks of fever might occur close on one another : in other words, say, a rigor might occur every day in Benign Tertian if the parasites have been introduced on two consecutive days, one will mature accord- ingly a day earlier than the other, and the Tertian chart will be mistaken for a mild Subteitian with intermission. For the same reason there may be a double or treble Quartan chart, or an irregular one, if all the three parasites are in the man's blood. The microscope alone could reveal their presence. Pathology. — The red corpuscles are destroyed by the parasites, and after several attacks anaemia ensues. Some authorities believe that only people whose blood has been thus deteriorated can get Blackwater Fever. There is congestion of all the internal organs, and cloudy swelling of the cells of the liver and kidneys. Parasites of llalaria are found in the red blood corpuscle?,, the capillaries and cells of the internal organs, with deposit of pigment in the connective tissue of the liver, and in the parenchyma of the spleen, the Malpighian bodies of which are enlarged. In chronic cases the spleen becomes hard and enlarged (Ague Cake) and its border becomes rounded. At post mortem, the colour of that organ is slaty if it be a chronic case, red if not. In a section of the brain the parasites are found in great quantity, sticking to the walls of the capillaries and blocking the circulation. This is especially the case in Subtertian fever, and is no doubt the cause of the delirium and coma. Quinine, if injected early intravenously or intramuscularly, destroys this adhesiveness, and thus removes the obstacle to the circulation. Chronic and constant attacks of Malarial Fever induce a * Malarial cachexia.' The patient becomes anaemic, has a MALARIAL FEVER. 163 5 L^i/A g / ArvophgCta 7 AnfiralfL"' • M-i^o. f Ctt(. 164 THE EPIDEMICS OF MAURITIUS. I dirty or bronzed skin, a tender and enlarged spleen and liver ; he is ''irritable and depressed, and suffers from, insomnia, dyspepsia, muscular weakness, neuralgia, and oedema of the legs. There are often ocular disturbances, and a predisposi- tion to tuberculosis and dysentery ; whilst latent diseases, ^ like syphilis, niay recur. : -Etio/'Ogi/.—As heiore said the fever is due to a parasite which is sucked from a Malarial Fever patient by an Anopheline mosquito and introduced into the blood of a fresh Victim. Whence it originally came no one so far knows. It was suppo.sed.to have bred in marshes, because people living near these generally got the fever, but that was due to tlie fact that these swampy, places are the habitats of the carrier, the mosquito. ISo other insects have been known io carry it, and only one su,b-famil3!^, the Anopheline, does so. Some authorities maintain that the ^dine sub -family also are carriers. The following table indicates iJte differences heticeen the Ano2)KeliH(B and the common mosquitoes, the Culicina\ 1. I 2. I'- In Anophelinoi The female palps are long ; The male palps efid in a club ; The proboscis is penetrating and is nearly in a straight line with the head, thorax and abdomen ; When at rest the Anopheline lifts its abdomen and tail away from th^^rface on which it r6sts ; . 'T.^ The larvae lie horizontally under' the surface of the water, and ^^ave compound palmate hairs ,o& each side of the abdomen ; The eggs are laid singly though close lo one another, and are boat-shaped, and have an air- float on each side ; The scutellum or tail of the thorax is round. In Culicince The female palps are short ; The male palps end in a brush ; The proboscis is not in a straight line with the long axis of the body ; When at rest the Culicine does not lift its tail up, but keeps it down ; The larvae have a syphuncle through which they breathe, opening near their tail, and they lie with their head down and with their body at an oblique angle from the surface ; The eggs are laid in clumps, or rafts, and are like ditWb-belJts, stand- ing with the handles up ; The scutellum is tri-lobed. MALARIAL FEVER. 165 It is tlie female mosquito that bites, and not the male ; she has few hairs on the antennoe, whereas the male has a bushy beard on them. Many midges resemble the mosquito; but the veins or ribs on the wings differ ; the third rib on a mosquito's wing is short, and starts half-way down to the end of the wing ; the midge's third rib (if any) is not like this. The second and fourth ribs of a mosquito's wing are bifurcated at their ends, and the third is not. The midge's are not bifurcated. Most mosquitoes, especially the Anopheline, breed in or near water, some in old broken receptacles, hollows in trunks, and between branch and stem of trees; and others in grass along the banks of streams. ■ Some species prefer clear and swiftly-flowiiig water, others stagnant pools ; some live in tanks, filters, and barrels of drinking water, others in sewers ; some again hide in dark corners, and under furniture in houses, others prefer the jungle. Mitzmain* has proved that during the winter or cold months only adult female mosquitoes hibernate, and the Anophelines are not infected during that time, but become so in the spring, when they bite human beings, who are the real carriers of the parasites all through the winter. It is, therefore, important to keep all infected persons, at least those who had Malarial Fever in the Fall, far away from the breeding-places of Anophelines as soon as spring begins ; so that before expensive measures are taken for the ex- termination or avoidance of the malarial Anophelines, iheir habits and habitats have to be studied, and it may be found to be cheaper to remove human habitations from the vicinity of their breeding-places rather than to clean, modify, or destroy these, or even to attempt to exterminate or to avoid the mosquitoes themselves. But vast and valuable territories, once the unhealthiest on earth, like Colon and Panama, on account of the Anophelines and the Culicine Stegomyia fmciata (the carrier of Yellow Fever) have become about the healthiest spots in * Fuhlic Health Bulletin, No. 84, 1816, U.S.A. 166 THE EPIDEMICS OF MAURITIUS. the world, under drainage, destruction of the jungle, the clearing of grass and sedges from the banks of rivers, streams, lakes, and marshes ; the systematic petrolization of same ; the gauze -netting of doors and windows of houses ; the curtaining of beds, and the dosing of the inhabitants with quinine, and wherever possible the isolation of the infected patients. Towns and villages in the West Indies, Egypt, and Siam are being reclaimed from the mosquitoes by the adoption of these measures, and by the canalization of rivulets and streams on to a cemented bed, or into pipes; by the almost hermetic sealing of all tanks and tubs of water with close-mesbed gauze ; by the removal of all broken pots, pans, bottles, tins, and any other water-holding receptacles from court-yards and gardens ; and the destruction of those plants which are capable of holding water for a long time between their trunks and branches and leaves ; or their transplantation to some distance from human habitations ; and finally by constantly removing all barriers (natural, or those formed after hurricanes and rain storms) to the current in the rivers. MALARIAL FEVER. 167 DESCRIPTION OF THE PARASITES CARRIED BY THE ANOPHELINES. These parasites can be recognised by the colour and size of the red corpuscles they are in ; by the fineness or coarse- ness of the pigments inside their bodies ; by their shape or appearance; and, finally, by the number of 'spores' inside them. Daniels gives the following table of differences between these parasites of Malaria : It is only on the eighth or twelfth day after one has been bitten by an infected anopheline that one feels feverish. During these eight or twelve days the parasites introduced into veins are no doubt (in a Tertian fever case) casting 108 THE EPIDEMICS OF MAURITIUS. toxin into his blood every forty-eight hours ; but the accumulation of the toxin proclmes a sensitive efl'ect only on the eighth or twelfth day. If his blood be constantly examined under the microscope for two or three days the pa^-asite's development could be easily watched. It first looks like a diminutive signet-ring just inside the red corpuscle, and it gradually becomes bigger, losing at the same time its circular form and evolving a lot of 'fitie-' brown pigmejils in its interior (probably the undigested constituents of the hiX3moglobiii) ; these are thrown inta active movement and gather in the • entre of the parasite, the corpuscle becoming pale and almost twit?e its t)riginal size; finally, about the forty-eighth liour after it has entered the corpuscle it splits into twelve or even twenty- five concentric segments, or 'spores,' or 'merozoites' around the mass of pigment**, and at the forty-eighth hour it bursts through the sac of the corpuscle and discharges its spores and the toxin. When the parasite is thus segmented it is called a *schizont,' and the process is lermed ^ ^^chizQijonii' When this happens in the blood stream the spores at once begin to attack fresh red corpuscles, and ihe toxin produces a rigor and brings the temperature up to 103° or 104° F. In fresh blood recently taken after a rigor large ' mono- nuclear' white corpuscles and 'phagocytes' are seen advancing towards the spores, and throwing out amoeboid processes, catch and absorb these spores as well as the pigments. If the ' merozoites ' or ' schizonts ' are sucked up by a mosquito they die. J3ut some of the ' merozoites ' escape the phagocytes and manage to penetrate inside the red corpuscles, to begin anew another a.sexnal cycle. This 'schizogony' is reproduced three or four times, and then ^ sjmrogony'' or the sexual gmnctociite comes int(j existence. That" is to Say, the seg- mentation of the parasite does not take place after the first four attacks of fever, but the parasite having filled the sac of the red corpuscle and having its pigments scattered all about its interior, has become a potential male or female. If it is to be a male, or microyanwtc, the FiGUHE 1. Benign Tertian Malarial Parasites. 1. Size of a normal red blood cor- puscle in comparison with those attacked. 2. A red blood corpuscle attacked by a Malarial tertian parasite. 3 & \. Stages in the development of the parasite -the corpuscles in- creasing in size at the same time. Plidse in the Jaexual stofie : o. A Gametocyte, H. A ' rosace' form of the parasite. 7. Vermicules set free. Plmne in the Sexual utape : 8. Male parasite or Microgamete. 9. Do., throwing out ' flagella ' 10. Female parasite throwing out • poles.' Fiai KK II. Quartan Malarial Parasites. 1. Size of a normal red blood cor- puscle in comparison with those attacked. 2 A red blood corpuscle attacked by a Malarial quartan parasite. 3 & 4. Stages in the development of the parasite -the corpuscles de- creasing in size at the same time. I'lidsc i)i the Aacxnal atiuje : o A Gametocyte. (5 A ' rosace ' form ot the parasite. 7. Vermicules set free. Phaae in the Sexual staoe : 8. Male parasite or Microgamete. 9. Do., throwing out * flagella. 10. Female parasite or Macrogamete. 11. Do., throwing out 'poles.' Ffgure III. .Estivo-autumnal or Malignant or Subtertian Parasites. 1. Size of a normal red blood cor- puscle in comparison with those attacked. 2. A red blood corpuscle attacked by two parasites. 3 & 4. Stages in the development of the parasite. Pha: '' f^i^y-^ 5^/; 3 \M' 'M«««i.«rf( rvL 170 THE EPIDEMICS OF MAURITIUS. pigments accumulate in the centre ; and if a female, ^macrogamete,'' in a circle. If no unophelines come along to suck the patient's blood, these gametocytes die or are absorbed b}^ the mononuclear white cells ; but if they are sucked into an anopheline's stomach, the male throws out flagella (spermatozoa), and the female two 'polar bodies ' along their circumference. The former enter the latter and the fertilised macrogamete, now called a * zygote' or 'ookinet,' makes a nest between the coats of the anopheline's stomach, and during eight or twelve days batches hundreds of vermicules or * sporozoitesJ These finally burst through the mother and nest into the mos- quito's abdominal cavity, and weeding their way through the insect's hump to its salivary gland, glide thence into the lower channel of its proboscis, ready to be spat into the next victim's blood, there to enter his red corpuscles and to start afresh the asexual cj^cle, and finall}^ the sexual. The same course of events takes place with regard to a Quartan and Subtertian parasite ; but the latter' s micro- gametes and macrogametes take a ' crescentic ' or sausage shape, inside the mosquito's stomachy or on a film if a drop of water be added. After staining, these crescents are distinctly visible, and at once indicate that the patient has the malignant Subtertian remittent fever. Treatment. — As a rule ten grains of quinine sulphate thrice daily for a week or two, and thereafter five grains for fifteen days, are sufficient to keep the iever away, probably by killing the parasites that may circulate in the blood, but it is wise to go on taking two to three grains every day as long as one is in a malarial country, and even to continue doing so for three years after one has returned to Europe. It is believed that in so doing one can protect oneself against attacks of Black water Fever, which seems to come on only in persons who have have had Malarial Fever, and who have neglected to take a daily dose of quinine, however small it may be, even after their return to a temperate climate. If quinine produces gastric disturbance, or fails to act, intramuscular injections (in the Gluteus or Deltoid muscle) MALAKIAL FEVEE. 171 of fifteen grains of bihydrochloriHe of quinine in ten c. c. of filtered and boiled water should be given in two doses ; -careful antiseptic precautions being taken. In pernicious or comatose cases, ten grains of bihydrochloride should be intravenously injected every eight hours — making thirty grains, and no more, in the twenty-four hours. INormal saline solution (0"75 per cent.'^ should also be injected, and in cerebral cases a sodium bromide solution (0*75 p. c.) as well. In bilious remittent fever, or where jaundice supervenes, glucose (two drachms in half a tumblerful of water) shoidd be given orally or by the bowel. Always cure the patient of his Malaria, if possible, before attempting any surgical operation. In chronic cases, especially where the spleen is enlarged, arsenic should be combined with quinine — a useful prescrip- tion is the following: Acidi arseniosi, gr. ^V ; hydrarg. subchlor., gr. >, ; pulv. ipec. CO., gr. 3; quin. h3'drochlorid., gr. 5. Mince, ft. pulv. in oachets or capsules, one in the morning and one at night. The heavy doses of quinine were supposed to cause Blackwater Fever, 'which sometimes proved fatal in a few hours. It was then called Haematuric Fever, as the doctors thought it was real red corpuscles that were passed with the urine. Now the microscope has revealed. the fact that it is haemoglobin that escapes from the kidneys in Blackwater. Amblyopia, Amaurosis, and night-blindness are known to have been caused by three large doses of quinine (over thirty grains at a dose, thrice daily), but I never saw a case of these sequela) in Mauritius, nor have I seen them recorded in the hospital reports. But several cases of temporary suicidal mania were said to have been traced to these heavy doses. Severe ambulating delirium due to Subtertian fever might have been mistaken for these mental attacks.. There is no doubt, however, that insomnia and peculiar hallucinations of different types follow on large doses of quinine given after sunset, and that some persons cannot take with impunity at any time even small doses ; dyspnoea, palpitation, and rest- lessness being the consequence. 172 THE EPIDEMiaS OF MAURITIUS. For those persons who cannot take quinine, Dr. Walters of India, recommends quinoidine. It is as effective as and cheaper than quinine, and causes neither cinchonism nor gastric trouble. Alter a preliminary purge he gives four to- eight grains, thrice daily, for three or four days. In Salonika, in a vast number of malarial j)atients, even very large doses of quinine (seventy grains) have no effect on the fever. The immunity of some natives and old residents of malarious countries is due to their having had the fever constantly in their younger days. Newcomers in a malarious country should avoid living amidst or near natives, or even with Europeans suffering from, or liable to attacks of,, malarial fever, lest Anopheline mosquitoes should carry the parasites from resident to newcomer. He should also be within gauze-protected doors and windows after sunset, and always sleep under mosquito curtains of small meshw^ork,. and well tucked in all round under the mattress; he must not forget that there are some species of Anopheline that bite during the day, and that some others prefer the jungles to marshes or rivers. During early convalescence from Malarial Fever he should avoid \ cool, bracing places ' and cold baths ; and in returning to a temperate climate he should live in Avarm, well-protected localities for a year ar. least.. ACCOUNT OF THE FEVER IN MAURITIUS. Before giving an account of the origin and course of this fever in the Island of Mauritius, I extract the fol- lowing lines from a paper I read before the Hygienic Congress in London in 1890, and reported in the Lancet of August 23rd : . ' During a visit wliioh I paid last summer to the Island of Mauritius, I . was enabled, through the kindness of the medical officers in charge of the hospitals of Port Louis, to MALARIAL FEVER. 178 obtain mucli interesting information concerning the peculiar type of Malarial Fever which for the last twenty years has been doing so much harm in that beautiful Island. Until the year 1866 Mauritius was considered to be one of the healthiest resorts in the Southern Hemisphere. Tt had a general population of 120,000 souls, and an Indian popula- tion of 200,000 immigrants. To-day, however, its commerce is less flourishing, and the ravages of fever have reduced the general population to less than 100,000, and although the Indian population has increased to over 218,000 this is simply due to the more extensive scale on which immigration from India has been conducted during the last few years. ' The origin of Malarial Fever in Mauritius is ev«n now a question on which there is much difference of opinion. Some epidemiologists still uphold Colin's telluric effluvial theory, and argue that for ages past the Malaria has been dormant in ' the soil ; others, with greater • show of reason, maintain that until the arrival of the immigrant ship, the SpuiiJif/, from India, with Malarial Fever on board, in 1865, this fever was not known in Mauri tiiis, and that the germ thus introduced found the Island at that time in a condition most favourable for its propagation, for the soil had been recently turnfed up for the railway and gas works, and two serious inundations in 1862 and 1865, followed by prolonged droughts, had not only filled the cellars and gardens in the lower parts of Port Louis with mud, but had also created all along the course of the rivers small stagnant pools, a condi- tion of things not improved by the cutting down of the forest trees on the watershed of the Island, which was being converted into sugar-cane fields. ' Dr. Meldrum, F.R.S. (of the Mauritius observatory), asserts in an article written a few years ago, '' that fever made its fir ^'t 'appearance in 1865 on a sugar estate at Petite Riviere, on the West Coast, whither the Indians disem- barked from the fatal ship j the Sjmnkf/y had been sent, and on which estate a large quantity of putrid black mud, dug out of a drained salt-and-fre'sh- water marsh {haraoJtms)^ had been scattered as manure. Thence the fever spread north 174 THE EPIDEMICS OF MAURITIUS. and south along the coast, round to the other side of the Island, and ascended the watercourses until it gained the high levels." The villages along the mouths of rivers, and those situated near the glens, suffered most ; whilst Port Louis, the capital, became a hotbed of fever, lying as it does in the basin of a valley, encircled aloug two- thirds of its circumference by a high range of mountains which obstruct the healthy breezes from the country. Although it faces the open sea on the west, yet on each side of the harbour, at the extremities of the mountain range, extend two or three square miles of low-lying land, with the mouth of the Grand River and the Cassis salt-pans to the south, and the Lataniers River and the Fanfaron and La Paix streams to the north emptying their muddy water into a shallow part of the harbour called the " Mer Rouge.'' Moreover, running through the town from the mountains to the harbour are three other muddy streams into which the surface and sub- soil waters drain. All these streams are practically open sewers, and their mouths for a hundred yards or more are below high- water level, so that at high tide they become large cloaca, the stench from which in summer is most offensive. The suburbs of Cassis and Roche bois, situated in the neighbourhood of the mouth of the Grand River and the Mer Rouge respectively, paid very heavy tribute to the fever, as did those of Camp Malabar and Champ de Mars, both built upon, or in the vicinity of, ancient quarries and sandpits filled in with the rubbish of the town. Indeed, every quarter of Port Louis contributed more or less heavily towards the daily mortality. Most of the villages in the country to which the fever- stricken people fled, gradually became invaded with the disease, with the exception of those situated at a high altitude. During the epidemic of 1867- 1868, one-fifth of the population of Mauritius is computed to have died ; and now, in spite of large sums of money spent by the Government in ameliorating the condition of Port Louis and in carrying out other sanitary improvements, the Malarial Fever has become endemic in Mauritius. ' I had the opportunity of examining the blood of some MALARIAL FEVER. 175 of the patients at the hospitals in Port Louis, and in several cases I discovered the ring form of Laveran's malarial parasite. I was one of the first observers in Mauritius to do so. * There is no doubt that the parasite was introduced in the Island in 1865 (if it ever was imported before it did not find a suitable nidus or focus, and died away),* and it thrived luxuriantly in the brackish mud on that sugar estate at Petite E-iviere, whence, by contiguity or by transmission, it spread and formed fresh habitats all along the coast, at the marshy mouths of rivers, and wherever salt and fresh water mingled freely and remained stagnant. From the mouths of the rivers it ascended up the glens and river-courses, sowing its spores wherever stagnant pools or marshes existed on each side o^ the river-beds. In the town of Port Louis it found, as we have seen, a too well-prepared soil wherein to form a permanent colony.' ' As stated in the preface to this book, in order to under- stand the invasion, progress, and persistence of this epidemic, many things concerning the Island must be known. In the light of the present knowledge of Malarial Fever, the first question one asks is : Are there any Anophelines in Mauritius and did they alwaj^s exist there? Yes, the P ijrotophorua costalis, well known as the carrier of malarial parasites on the West Coast of Africa, actually abounds in Mauritius, especially along the coast, but no one had studied mosquitoes in Mauritius before the year 1890, and consequently no one knows how long before then it had lived in the Island ; one can only surmise that it must have been an aboriginal Dipteron, for in the earliest chapters of Mauritian history — e.g., in Bernardin de St. Pierre's Paid and Virgifna, 1797 — fever similar to that affecting the Malagasies in the big neighbouring island 500 miles west is said to have occa- sionally attacked the French inhabitants and their slaves. The next question will be : Why did the Malarial Fever become epidemic in 1865-1866? We have just traced the * The Anopheline Mosquito had not yet been proved to be the carrier of the malarial parasite. no THE EPIDEMICS OF MAURITIUS. invasion to tlae landing of; hundreds of, coolie. .immigrants ill with Malarial Fever, along the westej9.^fi59ast, not far from Port Louis. ., .: ; ,^. , * But in those days, as already stated, Ross's mosquito- ' carrier .discovery had nojt yet astonished the \vorld, and I connected- the malarial parasites, then but recently described ^ by Laveran, with the muddy nidus around them, where in ithe dry season I thought they became desiccate^, and after- >wards got scattered by the winds to. other marshes along the coast, to the north and to the south, reviving again, *'«like the Rotifera, as soon as they got into the proper muddy ' + riidusr,' ^ascending the mouths oi rive^^^ Fish\ Wfe *^^ heart of the Island, devastating the villages and estates on either '.side of the rivers, by being drunk or inhaled, but not reach- ing €urepipe and the cooler plateau,. ^?,,\tji^ altitude ,otr low temperature was inimical to their propagation. Of course, when the Anophelines had been found to be the carriers of the parasite, it became easy to explain, thi;§;. gradual en- croachment of the disease by means of marshy lands and puddly beds of rivers, first along the coast where the mosquito abounded, and finally into the interior wherever any collection of water favoured the deposition of the eggs of V. the. Anophelines. So, after all, the, connection between the marshes and the propagation of the parasite was not wrong, but the water and the air were not the vehicle of the Plasmodium. - , ' Now we can answer our question in full. The two or thr^e hundred malarial coolies landed at marshy Petite Riviere infected the Anopheliaes, which at that time of the year and under the special circumstances that had fayoured their extensive propagation were read^, to bite the newly arrived infected immigrants, and tocarry. the ^parasite, from village to village and estate to estate:. .. ' The above remarks explain the epidemic invasion of .1865.' .. " ' J >i:* The third, question will be: Why. has, it become endemic ever since ? For the simple reason that there is scarcely another place on the globe m'(^r6; favourable to the MALARIAL FEVER. 177 MAP OF ELEVATIONS OF MAUEITIUS. Map showing the Mountains, Kivers, and Marshes, O, the three elevated Plateaus in the S.W. and Centre of the Island ; the most elevated in the S.W. being over 1800 ft., the inner central from 1200 ft. to 1800 ft., and the large external from 600 ft. to 1200 ft. The area beyond this, i.e., along the coast, is from to 600 ft. The broader the circular line the higher the elevation of the plateau within it This map also indicates the areas where Malarial Fever is endemic, which correspond with the coast area, and which the epidemics of 1866, 1867, and 1868 successively invaded. N 178 THE EPIDEMICS OF MAURITIUS. existence of the Pyrotophorus costalis than Mauritius, with its multitudinous small marshes, its grass-ridden streams, and stagnant pools which form on either side of the river- beds after the heavy rains are over. As long as immigrants from India, and commerce with that country and Mada- gascar exist, the Anophelines will find ample source of plasmodial supply, and distribute the parasite broadcast over the Island. Dr. Bolton, the late Sanitary Warden of Mauritius, writing on this subject, says (Sir E-onald Ross's report, p. 158) : ' There is not a single estate in the Island upon which on close inspection there is not something to be attempted, something done to drive away the fever-carrier. ' All the estates of the Island were started long before the memorable year 1867, when malaria showed itself in an epidemic form. Isolated cases had been met with long before ; in fact, from the beginning of Indian immigration into the Island. Mauritius then enjoyed a v/ell-deserved reputation for its salubrity. The parcelling oui of estates had not begun, and the Island was not stocked as it is now with agglomerations of Indian huts, forming hamlets, villages and camps, inhabited by Indo-Creoles and free immigrants who have served their original indenture. The streams and even rivers of the Island furnished a supply of pure water, or water nearly so. Such being the hygienic condi- tions prevailing before 18G7, all estate camps were constructed in the vicinity of streams, in view of an easy and abundant supply of water. ' Alas ! how altered the ante-18G7 local conditions. What a harrowing picture could a facile pen draw of the present most insanitary conditions to be met with all over the Island, from the Morne Brabant in the south to Caiie Malheureux in the north, from Port Louis in the west to Trou d'Eau Douce on the east. * Everywhere the same : polluted rivers, foul, boggy, mosquito- haunted jungles on each side ; filth, rank vegetation on the outskirts of villages, and dark, ill-constructed, utiventilated tene- ments ; with the ever-present Anopheline mosquito ready to inoculate the first person who happens to come within the I'ange of its peregrinations. ' Of Port Louis, in 1808, Sir Konald Ross says : " Major Fowler and I spent ten days in a close inspection of the capital (fifteen square miles). The population of the whole district of Port Louis has recently been steadily diminishing, as shown at each successive census : MALARIAL FEVER. 179 Year . . 1846 1851 1861 1871 1881 1891 1901 Population . 45,212 49,909 74,128 63,015 66,466 62,046 52,740 * The decrease commenced after the great epidemic in 1867, during which year alone one-quarter of the inhabitants died from all causes. ' It has probably been accelerated by the facilities given by the railway to the wealthier inhabitants to sleep in the cooler areas of Plaines Wilhems, and to visit the town only for business during the day-time. Jan Feb Mar Apr May Jun Jul Au| Sep Oct Nov Dec /\ /. \ / / / / ^. \ \ \ / 'A f / \ ^\ \ V Fever Admission T?ninfall -- -- r/ / _ \ \ \ \ / ***.^ ^ \ \ v^ S. > / > \ -Hy^ •..., \ --% • • .•' ••-. • .. _.•' Diagram illustrating the relation of the mean monthly Fever Admission and Death-rates to the average monthly rainfall {after Davidson). ' " The death-rate of Port Louis, which has ahvays been in excess of the whole Island, as shown by the chart in the annual reports of the Registrar-General, has been steadily rising (apparently), and averaged 56*97, or nearly 57 per mille dui'ing the seven years 1900-1906. It rose to 07*9 in 1901, and to GO--! in 1908. In 1906 it was 105*6 in the Asiatic area of the town. ' " Out of 2008 children examined by Dr. Keisler in the schools ■of Port Louis 706, or 85*4 per cent., had enlarged spleen early this year (1908). The average spleen of all the children was 2*61: times the normal. These are slightly above the mean for the whole Island, but school children generally give lower rates than €State children, of whom there are none at Port Louis. 180 THE EPIDEMICS OF MAURITIUS. ' '* Dr. Keisler, Major Fowler and I made a cai'efal search for Anopheline larvae, and found that the principal breediiig-places are the uncanalised lengths of the three little streams, the Pouce, La Paix and Trinchinopoli, which traverse the town proper." * Is there any remedy to this state of things ? As Eng- land has got rid of the Malarial Fever, as malarial and pestiferous Panama has become a health-sanatorium, so Mauritius takes courage, and hopes that under the measures recommended by Major Ross, and several of us before him, as to the drainage of the Island, the reforestation of the central plateau, the cleaning of the banks of the rivers, the removal of camps and villages from the neighbourhood of marshes and rivers, the proper sanitation of the towns in every minute detail : the mosquito- netting of every bed, and the wire-netting of every door and window ; the con- tinuous destruction of mosquitoes by lighting great bonfires of green wood (to cause much smoke) at twilight near the habitations during the mosquito season ; the petrolizing of the borders of every stream, gutter, pond, and marsh ; the destruction of every water-retaining plant ; the compulsory daily administration of quinine on every estate, in every government office, prison, asylum, school, and house, and the isolation from the healthy of all those who have enlarged spleens ; and also by good food, light work, keeping indoors after sunset : so Mauritius hopes to drive Malarial Fever from its shores. I quite agree with Sir Ronald that it will be difficult to compel the people to take quinine, and that all the above recommendations, if carried out, will for many years to come be a great burden on the tax -payers, who will either resist or elude them. But severe diseases require severe measures, and if necessary a national or colonial local debt must be incurred, to be gradually cleared off by extra taxation during prosperous years. ' I have several times at the British Medical Association meetings drawn attention to the smoking-out method employed by the natives of countries where mosquitoes- swarm. * The conical hut with an opening at the apex, andl MALARIAL FEVER. 181 a fire of green sticks and leaves on the centre of the floor, is not an absolute necessity where these diptera do not exist. But the Malagasy cooks his food and sleeps in that smoky hut (as I saw him do in 1889 in Madagascar, the Comorro Islands, and Mauritius), in order that he may not be bitten by the mosquitoes. Even though their eyes have to suffer, men, women, and children all crowd under the smoky tent as soon as the sun sets, and rarelj^ come out before dawn. I have myself whilst in the Riviera, and even in Paris, secured a few hours' sleep in the summer by lighting on either side of my bed a special preparation of charcoal, wood-dust, and gunpowder, which produced a quantity of smoke sufficient to dull the mosquitoes, and yet not dense enough to inconvenience the sleeper ; on other occasions I have used strong essence made out of aromatic herbs, with good results. Vide chapter on Dengue. ' Dr. Bolton has so well treated the question of the clearance of trees and under-brushwood along the river banks, in the letter hereto appended, that I shall not say anything more about it ; but I do not agree with those who would cut down irrespectively all trees that grow near the houses and other buildings, rendering towns and villages perfect deserts, without shade against the burning rays of the sun, and without a vestige of verdure to relieve the eyes from the glare of light ! The shady flowering trees along the streets and roads of tropical countries are not only objects of beauty and comfort, but they act as " screens " between the dust and the houses — especially now that the , monster dust-scatterer, the motor-car, has come into existence. Moreover, most of the trees, in Mauritius anyhow, do not retain any water either between their stems and branches as 4o the Traveller's palm in Madagascar, and the Banana-tree, and some species of Palm-trees ; or, within their hollow, broken, or cut stems, as do the Aloes and the Bamboo, but even in those which do, the water under the heat of a sum- mer sun very quickly dries up, and leaves no chance to any Anopheline egg to hatch. The mistake several of the champions (like the late Sir Ruber t Boyce) make, is to forget 182 THE EPIDEMICS OF MAURITIUS. that tlie above-named trees do not grow in a damp, sunless country, like Great Britain — here they would retain the rain-water — and that the street gutters, which they say, owing to the shade of trees, harbour larvae amidst their loose pavement, really only do so in the rainy season, when the rush of the next day's water would, and does, easily carry away any eggs or larvae that may have been deposited there. * As for Bilbergias, the Traveller's palm, and certain species of Pineapples growing in forests and in hedges, I quite agree that they are a source of danger, as they generally grow in places not far off marshes and running streams, and they do manage to retain moisture between their leaves ; but although these may be destroj^ed, yet the real Pineapples may still be planted singly away from marshes or streams, and in gardens, and if their roots (not their leaves) are watered, they will grow quite well and bear fruit. In our garden at Pailles we planted them in that way. * The advice that all the banana plantations should be abolished will not only cause great loss to the small planters,, but it is in my opinion based on the mistaken idea that the leaves can retain water long enough to allow the eggs to hatch. In heavy showers, as before said, these eggs would all be washed away ; and, in the cool season, the water that does not evaporate contains no eggs, for there are no> mosquitoes to lay them ! Sir Eonald Ross's work of canalising the streams and smaller rivers of the Island and the marshes that could not be properly drained, a work which he himself supervised at its origin, has already begun to bear fruit ; those estate - camps which could not be removed away from the marshes have already within the last two years, i.e., since his recommendations have been carried out, shown a much lower mortality than hereto- fore, owing to the canalisation and part drainage of these marshes. *I cannot leave this subject without emphasising the necessity of cutting down those trees along the river side,, whose roots extend into the water, and act as barriers,. MALARIAL FEVER. 183 along which harricades of leaves and all sorts of rubbish gradually accumulate, and become for weeks eflScient nests for mosquitoes. I must also say that since Typho-malarial Fever — i.e., typhoid, complicated by Malarial Fever — is very common in Mauritius, and is as a rule easily traced to drinking-water. Dr. Bolton's suggestion of cutting down all the trees and brushwood in the reserves along each side of the river should be carried out— of course the trees on the watershed being exempted. In that case, the Coolies could not soil the ground in the brushwood, and thus pollute the rivers, as they do even to the present day. ' All three kinds of Malarial Fever exist in Mauritius, the Quartan being the most prevalent; then the malignant Subtertian ; and, lastly, the Benign Tertian. But since the last fifteen years or so the Subtertian has become rare, and only the malarious cachectic persons, or those who are debilitated, and in whom malaria complicates matters, die from the fever. ' Treatment. — I pass on to the divers methods of treatment the people in Mauritius- have adopted. ' Curative. — The usual one is, after purging with two grains of calomel at night, and Epsom salts in the morning, to dissolve five to twenty grains of hydrochlorate of quinine in water and a few drops of lemon juice, or dilute sulphuric acid, and to take this two or three times a day at any time before, during, or after an attack. It is only the educated class that has learnt to take it immediately before or after the rigor. They sometimes take it in strong coffee,* or in pills, or on the tongue, and very rarely is it given per rectum or subcutaneously, as during the eighties many patients died from lockjaw after subcutaneous injections of quinine. ^ During my visit to Mauritius in 1889, scarcely a week passed without my hearing of a death from Tetanus, and I was awakened once at two a.m. to go to the rescue of a neighbour whose physician had given him over two or three dozen subcutaneous injections of quinine during ten to ■^ Dangerous to stimulate the heart when quinine is given, and coffee is a heart-stimulant. 184 THE EPIDEMICS OF MAURITIUS. fifteen days, and lockjaw had supervened. On my return to Europe I exposed that treatment {B.M.J.^ 1893) as dangerous wherever perfect disinfection of needle and of syringe was not carried out, and wherever quinine tablets and boiling water were unobtainable. * Massive doses of quinine were sometimes administered by the mouth, as much as sixty grains being given in one dose ; but this was rare, especially in the early years of ^ the epidemic, when quinine cost as much as three to four pounds an ounce. Several chemists amassed a fortune in those days.' CHAPTER X. Malarial Fever, contuiued. Sir Ronald Ross, in his Report on Malarial Fever in Mauritius,* has gone so fully into his subject that I cannot do better than extract, with his permission, the following paragraphs from that report. Others before Sir Ronald had written on Malarial Fever in Mauritius. As far back as 1867 the Local Government Commissioners had published a valuable communication on the origin and spread of the disease. In 1890, as seen in the preface to this chapter, I read a paper before the Hygienic Congress on the same subject and on my discovery of the Plasmodium Malarice in the blood of patients in the hospitals of Port Louis. Drs, Davidson, Antelm, and Meldrum about the same time published their researches on Malaria in Mauritius and on its rainfall periodicity ; Mr. Chadwick and Dr. Bolton followed with their Reports on the Water System and the preservation of the rivers against pollution ; and finally Messrs. Daruty and d'Emmerez de Charmoy pub- lished certain communications on the Mauritian mosquitoes and their habitats. Summary of facts regarding the amount of Malaria in Mauritius, from Sir Ronald's report : ' A. — The followinor figures give important averages during the seven years 1900-1906 : ^ (1) The average population of Mauritius was 384.G7C. (2) The average total deaths per annum were 14,139. The averasfe annual total death per mille of population was 87-4. * Report on the Prevention of Malarial Fever in Mauritius (1908). Waterlow & Sons. 18() THE EPIDEMICS OF MAURITIUS. The. average annual deaths reported as due to fever were 5384 (doubtfni). The average annual death rate per raille of population reported as due to fever was 1-i'O (doubtful). The avei-age reported fever deaths were 31 per cent, of the average total deaths (doubtful). (3) The total admissions into the hospital for all causes averaged 18,761 a year. The admissions into the hospitals for malarial diseases alone averaged 4348 a year, or nearly one-quarter (23*2 per cent.) of the total admissions. The total deaths in hospital from all causes averaged 1174 a year. The deaths in hospital from malarial diseases alone averaged 84 a year, or 7*1 per cent, of the total deaths. The ratio of > deaths in hospital from malaria to admissions into hospital f )r that disease (case mortality) was 1-935 per cent. (4) The attendances of out-patients at all the hospitals and dispensaries for malaria alone averaged 13,464 a year since 1878. In 1907 alone the total attendances for all causes were 79,053, and for malaria alone were 28,294, or 35"8 per cent, of the total.' ' B. — (1) There are about 182,000 children of fifteen years and under in Maairitins. (2) Out of 30,137 of these examined in all parts of Mauritius at the end of 1907 and the beginning of lii08, that is, before the middle of the malaria season, 19,711, or 65"4 per cent., had no enlargement of the spleen ; 4,381, or 14*5 per cent., had small enlargement of the spleen ; 3,479, or 11*5 per cent., had medium enlargement ; 2,506, or 8 "5 per cent., had great enlargement. From these data it may be computed roughly that the average spleen of Mauritian children is 2*54 times the normal size. (3) Out of 885 more children examined, 169 were found to have enlargement of the spleen. Thus, out of a total of 31,022 children examined, 10,595, or more than one-third (34" 1 per cent.) had enlargement of the spleen. Hence, probably, out of 182,000 children in Mauritius, about 62,062 suft'ered from enlargement of the spleen. (4) If we suppose that children without enlargement of the spleen, but with the parasites in the blood, numbered as many as a quarter of the spleeii cases, then we must infer that at the beginning of the last malaria season 42*7 per cent, of all the children in Mauritius, i.e., about 77,724 children in all, were infected with malaria. Di*. Bolton estimates that malaria costs the estates in Mauritius Rs. 650,000 a year in loss of labour, and MALARIAL FEVEE. 187 the labonrers themselves Rs. 150,000 in loss of wages, besides similar losses to the general community.' ' (1) Prevmtion of Malaria in Mauritius (p. 7(5). — It has been made clear that malaria will not remain in a localicy (1) unless the carrying agents (Anophelines) are numerous enough ; (2) unless there are enough infected persons to infect the carriers ; and (o) if the insects are j^revented from biting human beings. There are thus three groups of preventive measures which may be employed by public authorities to reduce the disease : (1) Anopheline reduction. (2) Case reduction. (3) Isolation reduction.' Ross therefore recommends immediate, persistent, and thorough drainage or deepening of the swamps and marshes, dragging weeds out of the water, clearing and cleans- ing of the pools, pits, canals, and streams, especially of the banks of these last, so as to prevent the Anophelines laying their eggs in the grass along the water's edge; the cutting down of trees and shrubs too near houses, the destruction of all plants which may retain water for some time between their leaves and stems, and in the cups of erect flowers ; the filling or blocking up of holes in trees and in the broken bamboo stems ; the introduction of fish to eat the larvso, and the oiling of cess-pits and banks of streams^ &c. ; the absolute removal of tubs, old pots and cans, and broken bottles from courtyards, and dealing with house- water rigorously : in this way Anophelines might be reduced. In accordance with Koch and Celli, he would reduce the cases of infection by curing with quinine the patients from whom the Anophelines become infected. The third method — that oi isolation or protection from bites of mosquitoes — has been carried out with success by mosquito- nets, punkas, and fans, wire-netting the doors and windows, and the use of strong-smelling scents and ointments. He also recommends the segregation of Europeans from native villages, where infection will be found, and instructing the public how to protect themselves, although he does not expect much from this last measure. Sir R-onald, after discussing the advantages and disad- 188 THE EPIDEMICS OF MAURITIUS. vantages of each of these three groups of joreventive measures to reduce Malarial Fever, comes to the conclusion : * That although any of them rigorously carried out would eliminate the disease, yet for Mauritius it would in the long run be cheaper to adopt the " Pleasures on Anopheline Reduction,'' or a partial combination of these with a partial ■"case reduction." ' ' The success of this combination will depend on a firm scientific Government that would force the local authorities to attend to the duties for which they were appointed, foremost amongst which is sanitation, "for a scientific Government recognises that widespread disease is a great bar to prosperity, and can be fought only by concerted measures which are mostly beyond the powers of the indi- vidual citizen, and must be at least directed by authority. On the other hand, it is the guardian of the public purse, ^nd must refuse to sanction expenditure which may lead to no result. It must, therefore, begin by obtaining an esti- mate of the amount of mischief produced by the disease and of the cost of reducing it thoroughly. With organization the spleen-test can be applied regularly once or twice a year for many years without serious difficulty, and thus the authorities could obtain data to justify their expenditure, and could also ascertain which localities most require it." ^ Expeaditare on A)di' malarial Worl\ — Theoretically it would be justifiable to spend as much money for the pre- vention of Malaria as the disease costs the community. It is a great source of waste of money {a) by deaths and reduction of population ; (/;) by loss of manual labour in plantations, factories, farms, &c. ; (c) by sickness among Government labourers and officers ; {d) by invaliding and -deaths among higher officials and soldiers. Practically, how- ever, Governments must be limited, not only by their own revenues, but by that part allotted to the medical and sani- tary budget. Perhaps the best estimate under this head may be formed by comparing the total amount of sickness due to Malaria with that due to all causes — generally a large percentage. The cost to the Government ought to be MALARIAL FEVER. 18& recouped by saving to the public and consequent addition to expense. ' The cost of Anopheline reduction varies as area, not as population, but the expenses for isolation and caHe-reduction vary as population, and not as area. The greater the density of population, the greater the advantages of mosquito- reduction per unit of cost. In rural areas mosquito- reduction may not be nearly so advantageous. Also in small towns and villages situated in the midst of large marshes, or marshy forests, or flat, water-logged country, the cost of mosquito-reduction may be too great. In that case, resort can be had to the other measures. ' In order to carry out these preventive measures some legislation and discipline will be necessary. The success of the work at Panama has been largely due to the great powers given to the Health Department and to the stringent discipline exerted ; and the public themselves have become thankful for this wise severity. There must, therefore, be special working organization placed under an Oflicer of Health, selected for his knowledge of the subject and his capacity for scientific administration.' The general preventive measures for Mauritius recom- mended by Sir Ronald are: (1) A periodical census of children in schools and on estates. (2) Treatment of children with enlarged spleen in schools and on estates, and a certain amount of quinine distribution. (3) Occasional house protection. (4) Mosquito-reduction where advisable (r/) by minor works, as already mentioned; (/>) by major works, such as the drainage of marshes, especially those of Curepipe, La Louise, Pamplemousses, and centre of Flacq ; and the canalisa- tion of the minor streams of Port Louis. (5) A suitable organization, and an Annual Malaria Report. He adds some special notes on prevention in the towns. He recommends for Port Louis : (1) That an extensive house-to-house spleen census of 190 THE EPIDEMICS OF MAURITIUS. tlie children should be undertaken in September, October, and November, i.e., after the rainy season, after the children have had Malaria,* with the object of ascertaining exactly which are the most malarious spots, and whether they are contiguous to the uncanalized streams, or to other breeding- places, with a view to the prosecution of major works. One could obtain exact information by a comparison of the results of the examination of the healthiest part, as round Govern- ment House, and of the unhealthiest, as close to the Pouce, at Tranquebar (^Hde Plan of Port Louis), and south-west of the Champ de Mars, east and west of Plaine Yerte, south of the Market, south of the Latanier stream, and near the Cassis streams. (2) House-to-house quinine-pill gratis distribution of half to three grains for children of one to nine years of age, and of four to five grains for those above that age and up to twelve, to be taken once a day, provided they suffer from fever or enlargement of the spleen, or are in imminent danger of contracting the fever. The adult poor should also obtain the quinine gratis if they suffer or had recently suffered from Malarial Fever. Sir Ronald, as already stated, recommends the rough canalisation of the lesser streams after and before the rains so as to prevent the formation of the pools which fill the town with Anophelines. The Pouce, la Paix, Trinchinopoli, and the Cassis streams should receive special attention, as, although in the town proper, they are well canalised, yet above the canalisation the water runs through grassy borders. The Latanier river, emptying itself in the marshes near the Fanfaron Bastion, breeds the Coda Us plentifully. * On the whole,' says he, * I consider that the uncanalised parts of the five streams above mentioned are responsible for the disease in Port Louis ; the spleen rates were high any- where near them. At Tranquebar, close to the pools in the upper part of the Pouce stream, all out of thirty-two children suffered — some very severely.' * Vide Dr. Davidson's chart (p. 179) illustrating the relation of the mean monthly fever admission and death-rate to the average monthly rainfall. MALAEIAL FEVER. 191 'A special feature in the superficial drainage of the town is the existence of " Regards " or man-holes, leading to the sewers, into which the rain-water from the well-made stone gutters flows. These must be smoothly cemented throughout, and the ooze from leaking \^ater pipes and similar waters must be stopped.' As will be seen on the plan of Port Louis, the old drains or sewers of the town are being replaced by new ones, and the whole capital will in a few years hence have a good system of sewers, which will empty the sewage beyond Fort William, where it will meet a strong current from the mouth of the Grand River, and be carried far out to sea. The old Canal Bathurst bringing water from Pample- mousses has long ago fallen into disuetude, so also has that from the lower part of the Grand River, and ihey are gradually being filled up with earth, as they were breeding- places for the mosquitoes. But the people of Port Louis still drink the impure and polluted water from the Municipal Canal from the higher reaches of the Grand River, and thus run great risks of complicating Malarial Fever with typhoid. The municipality is putting down other pipes to bring pure water to the capital from a spot up the right branch of the Grand River, higher up than the ^ Digue.' For Curejnpe, Sir Ronald recommends likewise the immediate drainage of the marshes by deepening the bed of the Mesnil River. There are not very many cases of malarial fever in the town as yet, but Clairfond, where there was a serious out- break in 1903, is not far from Curepipe, and the Pyroto- phorus costalis is beginning to find a suitable breeding-place in its marshes. Already some have been found there by Sir Ronald. Around this Clairfond marsh both the Myzo- rhynchiis Mauriticoius and the P. costalis were caught by day and by night. The latter were also found inside and outside houses, and were less numerous than the former. The M. Mauritianus, which is not as dangerous as the P. eostalis, prefers to live outside in woods and under verandahs 192 THE EPIDEMICS OF MAURITIUS. and hedges, and in other sheltered places. They migrate chiefly on warm, still nights, and rest in the grass during^ the day. There is an idea that places over a thousand feet above sea-level are exempt from malarial fever, but recently cases of it broke out at Reduit, owing to the presence of the P. costaHs in the immediate neighbourhood, and at Cilaos in the sister island of Reunion, a former health sanatorium situated more than two thousand eight hundred feet above sea-level. For Quatre Bornes village the La Louise marsh is a threatening source of danger, as it causes much sickness in its vicinity. For the other towns, he recommends not only the removal of neighbouring marshes, but also the reduction of the large number of trees which grow all around the houses. * The law that Malaria and Anophelines abound most near breeding-places, holds good for Mauritius as elsewhere.' MALARIAL FEVER. 198 ' DR. BOLTON'S REPORT.* ^(1) On Major Sanitary Works of a Permanent Nature TO be undertaken on Estates, as part of an Anti-Malaria Campaign. ' Famphmousses District. * Beau Plan Estate. — The factory and camps of this estate, situated in the flat, low-lying part of the district, have in their immediate vicinity a large marsh, resulting from the damming of the discharge canal of all the ponds in the Botanical (hardens. The land all round this marsh is boggy over a considerable area, and contains numberless pools and puddles overgrown with aquatic plants and weeds. 'The Malaria Committee have under consideration a scheme for the suppression of this dangerous nuisance. ' In my opinion the most important factor operating in pro- ducing high malaria prevalence in one part ol' the district of Pamplemousses is the state of the banks of the river of the same name. ' The banks of this water-course are overgrown with a thick jungle, impenetrable in some places and composed of brambles, bamboo, raffia palms and weeds of all kinds. Any number of collections of stagnant water exist on each bank. The roots of trees, stones, aquatic plants and vegetable matter in different stages of decomposition, by mipeding the flow of water, help to form col- lections of stagnant water. This most insanitary condition of things from a general, as well as from a malaria point of view, is the result of tJte maimer in which the forest laivs hfive been applied, and of the faiiatical reverence for trees which is shoiqn b// those in charge of river reserves. ' Besides the above obstacles to the flow of water and trie resulting nuisance*, several dams exist on this river to supply water to Rosalie-Constance, Le Plessis, The Mount, Maisdn Ijlanche and I'Ksperance Estates, and lastly to the Botanical •Gardens. Acres of land have thus been submerged, aquatic plants and weeds have grown, water stagnates and mosqi^itoes abound. ' These estates have always given high malaria percentages on * From Sir Ronald Ross's Report. o 194 THE EPIDEMICS QF, MAURITIUS. the total deaths, 50-GO per cent, beiiio- common figures. The camps of these estates have all been built close to the river on account of the Avater supply. ' Anti-maiaria measures on a small scale will not be of any use. ' Rosalie - Coxstaxce, The Mouxt, Maisox Blaxche, L'EsPERAXCE. — To abate the nuisances existing on these estates will necessitate perhaps alterations in the method adopted in sup- plying water to the factories of the first two estates : removing some of the dams, cutting down the trees and jnngle on the banks of Pamplemousses river, cultivating the land thus reclaimed, train- ing and banking the stream wherever this may be found necessary. But inasmuch as Pamplemousses Villag*G begins immediately after I'Espei'ance Estate, and as the river flows through part of it, I sliould say there should be one comprehensive scheme of sanitation embodying the estates mentioned above PamplemousBes . Village, includinir the Botanical Gardens and Beau Plan Estate as far as the Royal Alfred Observatory. Needless to say this calls for the interference of the sanitary engineer. ' Riviere du Rempart District. ' The coast line of this district being low and flat presents numerous marshes, the most important being at I'Union, Poudre d'Or, Haute Rive and Schoenfeld. ' L'UxiON. — This at one time a large estate has been parcelled out, and we have now to deal with a scattered population living in isolated huts, so that I do not advise any major works. ' Poudre d'Or. — This estate now forms part of St. Antoine Estate. There is a camp with ahout thi'ee hundred souls. In the vicinity of this camp there is a large marsh which empties itself into the sea by a small sti-eam which skirts Poudre d'Or village. Here again, any works to be U!idertaken should comprise the village as well, and must be entrusted to a sanitary engineer. ' ScHOEXFELD. — There is a marsh on this estate which in my opinion is the cause of the high prevalence of Ma'aria. I have not inspected it carefully, so can form no idea of the works which should be undertaken, A careful survey is necessary. ' Haute Rive. — Several large marshes overgrown with rushes exist on this estate, and a river passes through one of the camps. * I do not think it will be easy to drain all marshes, as the land is very low and there is barely any fall to the sea, which is quite close. A proper survey and plane tabling will have to be made preliminary to any substantial and permanent work. * Flacq District. 'There is but one estate in this district where comparatively MALARIAL FEVER. 195 extensive works will have to be undertaken. Here again, how- ever, as in the case of Pamplemousses, whatever scheme is even- tually adopted should comprise Centre of Flacq village. The estate alluded to above is Constance (d'Arifat). ' Constance (d'Arifat). — The portion of this estate where the factory and camps are situated is only a few feet above sea- level ; very flat and boggy in many places. A sluggish river ser- pentines through it ; the banks are so flat that it often overflows. When the water recedes, part remains behind to stagnate in small pits and hollows, and this occurs under the usual thick, im- penetrable jungle, the river reserves. Besides this one there is another river which comes from Centre de Flacq village to meet it. The above description applies equally well to the latter. * Grand Pm't District. ' Union Yale. — This is the only estate in this district where sanitary works ot* any magnitude are called for. Between the factory and the hospital exists a marsh which should be drained, but as its overflow runs through private property lower down, I am not in a position to judge the magnitude of the works which may be lequired. *0n no estate \\\ the districts of / Savanne, Plainer Wilhems, MOKA, AND Black River are major works necessary in the fight against Malaria. Such as may be undertaken will be connected with a general scheme for all villages, townships, and hamlets, and need not be discussed here. ' If the major anti-malaria undertakings are not numerous in connection with estates, the same cannot be said with regard to Minor Sanitary Works and Measures forming part of an Anti-Malaria Campaign on Estates. * Pamplemousses. * Rosalie, The Mount, Rosalie-Constance, Le Plessis (part of The Mount), Maison Blanche (part of Mon Rocher), I'Esperance. All these camps are within mosquito reach of Pamplemousses and have already been considered. At Maison Blanche malaria is at times very bad. * Rivihe du Rempart. * Haute Rive is the only estate in this district where there is a, 196 THE EPIDEMICS OF MAURITIUS. stream close enough to the camps to operate against the healthi- ness of the camps. There are two small ones near the two camps of He d'Ambre and a river at Haute Eive. As these camps are, so to speak, within a stone's throw from the sea, the river should be cleaned, all jungle removed, and the banks trimmed. *Flacq. •' In this district the following have water-courses near their camps : Constance (d'Arifat) has already been dealt with under the heading of Major Works ; Argy, Beau Bois (a few huts near the rivei-) — T propose to have this small camp removed, Belle- Rive, Belle Vue, Constance (M), Deep River, Olivia, Rich Fund, and Union. * Grand Port. 'Anse Jonche, Beau Vallon, Ferney, Joli Bois, Le Vallon, Riche en Eau, St. Hubert, Union Park. ' On all of these, streams or rivers exist with the usual reserves, which have to be attended to. * Savanne. ,.», * In this district there are numerous streams in too close proximity to the camps. 'Bel Air, Bel Ombre, St. Aubin, St. Avoid, St. Felix, Savannah, Terracine, have all a heavy malaria percentage on total deaths. With exception of St. Avoid, they are all situated near the coast ; they have no neighbours along the river between them and the :sea, so that no possible harm can accrue to any one if the different .'streams were to dry up afcer cutting away all the river reserves, a thing I do not anticipate. * Plaines Wilhems. '" 'Bassin, Trianon, and Ebene (part of Stanley) are the only Estates in this district W'hicli have tilthy streams near the camps. * Molca and Black River. " 'The' first district is the healthiest of the Island, malaria pre- valence low. The Malaria Committee had this district under its consideration in 1902, and with most beneficial results. (See my report on Estate Hospitals for the second half of 1902.) ' In Black River distficfc,-Medine Estate has streams near the camp. ' I propose now to enumerate the Estates where other measures, aire called for besides destruction of jungle on river Side or concur- rently therewith : these consist in filling in pits, draining small marshes, or filling in as the case may be, searching for old tins, token bottles, hollow stumps of trees, collections of stagnant water MALARIAL FEVER. 1^7 in factories, boilers, tanks, &c., i-emo\al of lank vegetation in the vicinity of cainps, and lastly a change in the style of hut adopted on Sugar Estates (sanctioned by law) for the housing of the coolies. The system of having long ranges of huts divided into eight, ten^ or more compartments, should be condemned, as they favour in^ fection from one to the other — the partition between being never an efficient pn^tection. To obtain a radical change in this direc- tion, the Labour Law and Camp Regulations will need alteration. ■ On the following Estates, collections of water repiesented by small pools and marshes and tanks will call for special attention : . * PampUmousses. , u: 'Beile Vue (Harel) . Tanks, wells, factory. •Belle Yue S.E. Co. . „ „ „ * Mon Piton . ., „. old pits, no factory. ' Mon Rocher . . „ ,, „ ' Rosalie . . . „ „ ftictory. ' Rosalie Constance . „ „ ,, 'Solitude. . .,„,,, „ canals, small marshes. 'Mount . . . „ „ „ „ ' Maison Blanche . Old pond, canal. ' L'Esperance . . Old pits, canal. • Riviere du Remparf. ' Antoinette. — Old drain near Mon Songe Camp. Old disused molass pits in the closed factories of La Lucia and Mon Songe. Pits near manure heaps. ' Beau Sejour. — If the boilers are not emptied after the crop^ they should be kept closed to keep out mosquitoes. Tanks and other receptacles for watei*. ' Belle Vue-L'Amiti^. — Old molass pits at L'Amitie. Factory tanks, &c. , 'BonEspoir. — Canal, old factory. ' EsPERANCE. — Cistern at the well near the hospital, collections of stagnant water. ' MoN LoisiR (A). — Ponds in yard near camp. ' L'Union (R). — Tanks in yard in vanilla plantation. ' Labourdonnais. — About halfway between the factory and the hospiral on the right-hand side of the road, I have often noticed a collection of water which in the rainy season will persist for weeks. 'J'his should not t)e allowed to continue. At Forbach, an annex of this estate, the cisterns should be carefully watched or properly closed to keep out mosquitoes. The same precautions should be taken at Mapou. 198 THE EPIDEMICS OF MAURITIUS. 'FJacq. , ;, * Beaux Champs.— Part of the camp of this estate has been erected to the leeward and Avithin anopheles range of some boggy lands which are converted into stagnant pools during the rainy season, the period of greatest ma]ari« prevalence. In presence of the high death rates and persistent increasing malaria prevalence, I have recommended the removal of this part of the camp to a healthier locality. This will soon be an accomplished fact. 'Deep River. — The reservoir for supplying the factory of this estate with water is a lai'ge pond dug in the earth. The sides are overgrown with brushwood and lank vegetation in which the water stagnates ; although the pond is stocked with some fish, they cannot reach the larvae of the gnats living among the grass in water barely half an inch deep in certain places. An ordinary road separates this sheet of water from one of the estate camps. The necessity of exploring the pond and clearing and trimming its sides is obvious. * La Gaiete. — Draining and filling in of some small collection of marshes. The factory has been closed for yeais ; as is usual in such cases, open pans, old tanks and pits are to be found ; as water may stagnate in them, they should be searched for and dealt with. * Grand Port. * The remarks concerning La Gaiete apply also to Anse Jonchee, Ferney, Le Vallon, Virginia, as regards sluggish and stagnant Svater. ' At La Rosa and New Grove, parts of Rose Bell Estate, Anse Jonchee, Savinia (part of La Baraque), Sauveterre, Viiginia, the factories have been pulled down ; old pans, cisterns, molass pits, &c., should be caiefully investigated and dealt with as circumstances .may requiil^, * Savanne. ' BE?f ARES. — The land all round tire reservoii- should be kept 'free of jungle, any collection of stagnant w^ater suppressed. The canal passing through the camp kept clean, and the sides properly trimmed aiid freed of grass, &c. ' L'Uj^ion. — A large depression next to the camp should be carefully watched and no stagnant water allowed in the rainy season; 'Savannah. — There is a ditch on one side of the lower camp which is often overgrown with rank vegetation. As there is almost always more or less water in it, it should be kept perfectly clean, the banks properly trimmed, and all obstacles to the flow of water removed. MALARIAL FEVER^ 199 'Terracine. — Canal and ditch to be kept clean. The other estates of this district which I have not mentioned, need no special attention beyond searching for collections of stagnant water in old tins, tanks, and cisterns, &c. .< o .^ 'Molca. 'As I have already observed, the estates of this district being comparatively malaria-free, the measures to be adopted need no^ be ^specified at length. At Bon Air, however, there is a spring wHi'ch supplies watei^to the camp; at one time a marsh had been formed just below the spring and malaria had prevailed exten- sively. This was suppressed by the Malaria Committee with most, marked effect. It should not be allowed to fall into its original state. * Flames Wilhehis. — Black River. -Nothing special to be said of any of the estates of these two districts beyond what I have akeady written. a 'Execution and S'ost* of Major Works. ' I am sorry I am not in a position to lay down, even approxi- mately, the cost of some of the works to be execnted. Each case must be dealt with separately, and the area to be attacked properly surveyed, levels taken, and the natuie of the works to be under- taken specified by a Sanitary Engineer. ' I am still of the opinion ex'pressed in my report addressed to the Honourable the Protector of Immigrants, on the 20th of June, 190(), that the so-called "reserves" should be cut down in the lower parts of the island where malaria prevails, the wood given to the riparian proprietors, and the land thus reclaimed culti- vated. X. very large saving will thus be effected. I have gone fully into this subject in a paper which I read before the •' Societe Medicale " of this island at a meeting held on the 8th of August, 190G. 'Minor Works. ' These can easily be undertaken by ordinary lab(jurers under the direction of a trained overseer; the tools required being a measuring tape, a few hoes, pick-axes, crow-bars, and baskets. Each district should have its own gang or gangs distributed over certain areas. I propose to divide each distiict into sections, each section to be in charge of a patrol composed of : — ' One Sanitary Guard at ... ... Rs. 35 p. m. Four labourers at 64 p. m. . Rs. 99 p. m. 200 THE EPIDEMICS OF MAURITIUS. *At Rs. 35 p. in. the services of an intelligent man able to draw up a report can be secnred. All pati'ols to be under the- direction of the Sanitary Warden of the disti-ict, and to be allowed to travel free on the rnilway, and to be entitled to the refund of any travelling expenses where the railway will not be available. 'A considerable part of the expenditure to be incurred could be secured by a hut-tax by imposing a licence of Rs. p. a. on each day-laboui'ei", and by a house-tax outside townships ^Yhere the same is not already levied. 'The Indians and Creoles in Indian villages, hamlets, and camps outside estates are the principal sufferers from malaria ; they do not contribute to the revenue, and in case of sickness are a burden on the Colonial finances — gi-atuitous medical aid. * The total Indian population of the island may be roughly estimated at :i«0,000 souls. Of these 99,000 reside on sugar estates. So that there is a population of 181,000 ito lie accoufltM for. ' Of these fully 40,000 work as day-labcurers. A licence of Rs. G per annum, equal to 2 c. per working day imposed upon every day-labourer, Indian and Creoles, would bring in Rs. 240,000 per annum at least. And a house and hut-tax perhaps consider- ably more.' In the following schedules the probable cost of draining marshes and clearing and improving streams is given by the Director of Public Works and Surveys, P. le J. de Segrais : — ^ * Schedule No. 1 of prohahle Cost of draining 3Iarshes and clearing and improving Streams. No. of Probable Annexure District. Cost. 1. Port Louis ...... 2. Pamplemousses, Northern section . 3. ,, Southern ,, . 4. Riviere du Rempart .... 5. Flacq, Northern section .... 6. ,, Southern ,, 7. Plaines Wilhems, Beau Bassin and Rose Hill section 8. ,, ,, Quatre Bornes section . 9. ,, ,, Vacoas section . 10. ,, ,, Curepipe ,, . 11. Moka . ..... 12. Grand Port, Rose Belle section 13. ,, ,, Mahebourg ,, 14. Savanne ...... 15. Black River. . . . . * Sir Ronald Ross's Report. Rs. 21,700 87,500 20,500 33,000 64,500 17,400 33,500 54,500 65,300 60,000 26,000 41,400 16,500 25,000 63,500 630,300 MALARIAL FEVER. 201 * Schedule No. 2 of prohahJe Cost of ainiuaUy recurrent Expin- (Hiure for Mcmitenance of Brainuge Worlxk when completed. ' No. District. Particulars of Labour 300 Working Days. 1 sirdar 1 rupee 1. Port Louis . 1 gang of 10 men & @ 60 cents. @ 2. Pamplemousses — North ,, 15 ,, South . „ 10 „ 3. Riviere du Rempart M 10 ,, 4. Flacq, North „ 10 ,, ,, South ,, 10 „ 5. Plaines Wilhems, Beau Bassin and Rose Hill „ 10 „ Quatre Bornes ,, 15 ,, Vacoas .... „ ]0 „ Curepipe M 10 ,, 6. Moka . . „ 15 ,, 7. Grand Port, Rose Belle ,, 15 „ Mahebourg . „ 10 ,, 8. Savanne „ 15 „ 9. Black River . 2 „ 10 „ Probable Cost. 2,100 3,000 2,100 2,100 4,200 2,100 2,100 3,000 4,200 2,100 3,000 3,000 2,100 3,000 4,200 205 42,300 202 THE EPIDEMICS OF MAURITIUS. 'TABLE L* ■' ■ vv • ■ ■■ ■ Giving Popul/ttion y.^peaths, and declared Deaths from Fever in Mauritius from 1865 to 1906. Years. Population. Deaths, Death Rate per 1000. 1 Fever Dtaths. Fever Death Rate per 1000. 1865 360,337 12,042 33-4 5,181 14-8 1866 305,051 11,702 32-1 1 4,913 ^f^'l 14-0 1867 332,968 40,114 120-5 31,920 99-5 1868 324.370 18,403 ; 56-7 10,923 34-9 1869 322,892 11,295 35-0 1 6,330 20-6 1870 32«,604 7,4"3 22.6 3,3?9 10-6 Mfan 336,579 14,476 44-1 1 9,769 30-3 3 871 319,470 8,171 25-6 3,578 11-1 1-Tl 325,960 8,745 26-8 4,235 12-8 1873 332,476 11,210 33*7 5,031 15-1 1874 339,806 10,019 29-5 4,024 11-8 ]875 345,037 8,584 24-9 4,061 11-Y 1876 346,390 9,525 27-5 , 4,845 14-0 1877 349,060 10,335 29-6 5,787 16-6 . ]878 355,058 9,649 27-2 . 5,144 14-5 1879 357,774 11,485 32-1 5,303 14-8 1880 360,328 10,143 28-1 5,173 14-3 Mean 343,135 9,787 28-5 4,718 13-7 1881 359,419 10,746 29-9 5,826 16-2 1»82 3.'i9,322 12,563 35-0 7,483 20-8 1883 360,221 12,770 35-4 6,741 18-7 3 884 368.813 11,2-47 30-5 6,103 16-5 1885 367,288 12,352 33-6 7,423 20-2 188G 368,145 10,624 28-9 5,839 15-8 1887 368,163 12,690 ;u-5 7,690 20-8 1888 369,302 i 11,193 30-3 6,110 16-5 1889 372,664 12,567 33-7 7,338 19-6 1890 370,624 1 12,781 34-5 7,004 18-8 Mean 366,396 11,953 32-6 6,751 18-4 1891 373,985 10,080 27-2 5,003 13-3 1892 374,079 J 3,055 38-4 5,698 14-9 1893 371,798 1 15,307 40-9 6,032 16-2 1894 376,219 1 10,792 29-0 5,655 14-9 1895 378,041 i 13,958 37-1 7,509 19-8 1896 374,942 1 15,843 41-9 8,181 21-8 1897 377,856 1 11,066 29-5 5,890 15-5 1898 378,872 ! 12,064 31-9 6,507 17-1 1899 379,659 13,222 34-8 4,576 12-0 1900 389,897 13,691 34-8 4,844 12-4 Mean 377,535 12,908 34-5 5,980 15-8 1901 380,212 14,971 40-3 5,612 14-7 1902 383,410 12,716 34-0 4,456 16-6 1903 382,483 15,034 39-9 5,840 15-2 1904 387,395 12,064 32-2 4,333 111 1905 386,128 15,379 40-6 6,764 17-5 1906 383,206 15,118 40-0 5,827 15-2 Mean 383,606 14,214 36-0 5,472 1 14-2 * Sir Ronald Ross's Report. MALARIAL FEVEB. 'TABLE IL* 203 \ Statement showing the Deaths from Malaria and from all Causes for the Years 1896-1906. Districts. 1896. j 1S97. l)-98. 1899. 1 19C0. 1901. Port Louis Malaiia . 1,565 1,111 1,394 . 789 601 802 All causes 3,184 2,262 2,699 2,886 1,982 3,002 Pamplemousses Malaria . 1,302 688 871 616 691 916 All causes 1,966 1,110 1,282 1,319 1,346 1,626 Kivi^re du Rempart Malaria . 598 308 378 241 219 299 All causes 1,042 680 674 629 722 839 Flacq . Malaria . 1,309 982 1,153 1,002 1,112 1,000 All causes 2,065 1,572 1,855 1,670 1,961 1,759 Orand Port . Mnlaria . 1,007 ! 915 691 625 690 823 All causes 2,234 1,702 1,508 1,492 1,633 1,751 Savanne . Malaria . 59.2 j 491„ 324 374 437 524 All causes ■ ] ,299 ! 274 479 969 992 1,231 Plaines Wilhems Malaria . 1,012 783 944 346 384 351 All causes 2,292 1,644 1,894 1,810 2,201 2,124 Moka Malaria . 393 349 428 231 296 453 All causes 1,197 787 943 915 1,054 1,142 Black River .. Malaria . 403 263 324 352 416 442 All causes 564 435 460 508 607 685 Districts. 1902. 1903. 1904. 1905. \ 1906. Port Louis . • ^ llalaria . _-.„ao4 451. 378 939 ' 549 All causes 2,543 2,428 2,148 2,926 ! 2,416 Pamplemousses Malaria . 812 ' 1,020 820 1,084 985 All causes 1,509 1,636 1,381 1,795 1,734 Riviere du Rempart Malaria . 243 419 326 498 i 531' All causes 731 940 748 1,039 1 1,263 Flacq Malaria . ! -"811 " 1,328' 1,047 1,557 1,511 All causes ' 1,465 :2,121 1,721 2,412 2,401 Grand Port . Malaria . 643 \ 1,065 537 1,090 643 All causes 1,538 2,188 1,595 2,204 1,700 Savaane . Malaria . I 368 ; 524 413 545 j 465 All causes 988 ; 1,124 976 1,212 1,156 Plaines Wilhems Malaria . 217 I 273 189 274 i 292 All causes 1,957 \ 1,950 1,684 1,896 j 2,240 Moka . . . Malaria . i 352 i 369 304 427 479 All causes 986 r 976 .S99 1,097 1,236 Black River . Malaria . 406 391 319 350 372 , All causes 609 ! 6Sl 656 546 638 * Sir Ronald Ross's Report. •204 THE EPIDEMICS OF MAURITIUS. 'TABLE IV.— D.* Summanj of Spleen Rates [Seetiou 20). — "O Spleens. si a V , Total ^ a !c S 1 3 6 9 with ^A ^^, o £ Spleen. qqOS <^ Estates. • Pamplemousses 1,997 1,207 365 300 125 790 39-6 2-62. Riviere du Eempart 3,945 2,964 541 261 179 981 24-a 1-97 Flacq . 2,877 1,158 825 582 312 1,719 59-8 3-45 Grand Port . 3,110 1,615 504 636 355 1,495 48-1 3-26 Sg-vanne 2,953 2,317 334 189 113 636 21-5 1-85 Black River . 875 378 192 193 112 497 56-8 3-57 Mbka . . 1,961 1,874 23 34 30 87 4-4 1-23 Plaines Wilhems . 1,191 1,089 33 35 34 102 8-6 1-43 Total . 18,909 12,602 2,817 2,230 1,260 6,307 33-35 2-42 Schools. Port Louis 2,003 1,297 305 179 222 706 35-2 2.64 Grand Port . 1,152 813 144 116 79 339 ! 29-4 2-30 Savanne 449 300 43 51 5q 149 33-3 2-74 Black River . 76 20 30 17 9 56 73-4 3-89 Moka . 263 209 41 8 5 54 20-5 1-62 Plaines Wilb ems . 2,245 2,094 88 33 30 151 6-5 1-26 Total 6,188 4,733 651 404 400 1,455 23-5 2-05 Various Localities. By Dr. Milne . 3,907 1,768 677 657 805 i 2,139 67-7 3-84 By Masson. Ross, and Fowler 1,133 608 236 188 101 525 46-3 2-96 Total . 5,040 2,376 913 845 906 2,664 52-9 3-64 Miscellaneous. Total . 30,137 19,711 4,381 3,479 2,566 10,426 34-6 2-54 Ross and Fowler . 885 716 — — 169 19-1 — Grand Total . 31,022 20,427 — — — 10,595 841 — * Sir Ronald Ross's Report. MALARIAL FEVER. >05 * TABLE IV.— E.* Spleen. Rate according to Altitude {Section 20, 7). Children Spleens. Spleen Average Altitude T 'tal with in Feet. examined. 1 3 6 9 Spleen. Rate. Spleen. 100 5,210 2,623 1,030 732 734 2,587 49-6 3-30 200 4,843 2,593 813 765 633 2,250 46-4 3-16 300 3,559 2,208 616 457 258 1,351 37-6 2-59 400 2,817 1,432 651 473 262 1,386 49-2 3-01 500 1,246 786 193 177 90 460 36-9 3-48 600 830 518 106 128 78 312 37-5 2-74 700 1,963 1,373 227 •235 122 590 30-0 2-27 800 1,398 1,241 80 41 36 157 11-1 1-65 900 624 478 52 48 46 146 23-4 2-14 1,000 972 901 47 11 13 71 7-3 1-26 1,100 782 736 18 9 7 46 5-8 1-14 1,200 858 751 49 28 19 107 12-4 1-28 1,300 130 124 — — 6 4-6 — 1,400 1,991 1,556 185 160 90 435 21-8 1-94 1,500 612 586 10 12 4 26 4-2 1-19 1,600 1,700 1,800 112 105 3 4 7 6-2 1-31 765 740 13 6 5 25 3-2 113 * TABLE lY.— F.* Spleen Rates compared with Death Rates h(j Districts {Section 20, 8). Class. Districts. Death Rates Average 1905-06. Spleen Rates. Average Spleen; Estates only . Pamplemousses 37-3 39-6 2-62 Kiviere du Kempart . 30-7 24-6 1-97 Flacq 30-9 59-6 3-45 Grand Port 24-5 48-0 3-25 Savanne . 28-7 21-5 1-85 Black River 39-5 56-7 3-56 Moka 18-7 4-4 1-23 Plaines Wilhems Average of the above 27-0 8-6 1-43 29-7 32-9 2-42 All Classes Port Louis 56-6 35-6 2-66 Pamplemousses 46-1 45-7 . 3-04 Riviere du Rempart . 39-7 27-6 2-12 Flacq 42-4 62-7 3-89 Grand Port 38-6 42-4 2-97 Savanne . 32-5 '^3-0 1-96 Black River 44-2 58-2 3-63 Moka . . . 31-1 11-2 1-52 Plaines Wilhems Average of the above 31-9 14-3 1-61 40-3 .35-6 2-6Q,_ Sir Ronald Ross's Report. 206 THE P]PIDE\IICS OF MAURITIUS. 'MAURITIUS BLUE BOOK. Tables of Cases of Malarial Fever or other Endemic FeceTy. Plague, Typhus^ Small-pox, Scarlatina, Enteric {or Typhoid) Fever, Erysipelas, Pycetnia, occurring amongst Patients. 1908. 1909. Name of Disease. No. of Cases admitted. No. of Deaths. No. of Cases admitted. 1 No. of Deaths. PoBT Lonis. Civil Hospital — Malarial Fever Plague .... Enteric (or Typhoid) Fever . Erysipelas .... Prison Hospital — Malarial Fever -. Plague . . ... 980 14 8 17 546 10 7 4 3 I 710 25 9 13 : 361 1 1 7 20 2 Pamplemouss^s. Lorn) Mountain Hospital — Malarial Fever Plague .... Erysipelas .... 126 2 3 1 1 143 1 6 KlVlfeRE DU KeMPART. Povdre d'Or Hospital — Malarial Fever . Enteric (or Typhoid) Fevtr) . Erysipelas .... Pyaemia .... Plague .... 263 15 12 2 2 2 173 14 12 3 1 ^ 3 4 2 3 1 Flacq. i Malarial Fever Plague Erysipelas .... Enteric Fever Pyeemia .... 535 12 303 1 4 1 3 1 1 Prison Hospital — Malarial Fever . 31 2 17 1 Erysipelas .... — — — — Grand Port. Malarial Fever Erysipelas .... Enteric Fever . Plague Pyaemia 830 11 9 7 2 2 601 18 ! 6 ! 3 9 3 1 MALARIAL FEVER. Mauritius Blue Book — continued. 207 Name of Disease. Savanne. Malarial Fever Erysipelas Enteric Fever . Plague .... Prison Hospital — Malarial Fever . Plaines Wilhems. New Central Prisons. Benu Bassin — Malarial Fever . Erysipelas . Pyaemia Enteric Fever Barkly Asj/lum, Beau Bassin- Enteric Fever Malarial Fever . Plague Erysipelas . Lunatic Asylum — Infirmaries Malarial Fever . Erysipelas . Plague Government Beformatory, Rose Hill— Malarial Fever . Typhoid . . . . MOKA. Malarial Fever Erysipelas. . . . . Enteric (or Typhoid) Fever Plague 1908. No. of Cases adiuitted. 23'.) 3 3 34 546 1 8 607 110 1 101 123 1 21 No. of Deaths. 1900. No. of Cases admitted. 287 5 1 47 329 1 2 2 29 556 186 2 1 128 2 144 3 11 No. of Deaths. 208 THE EPIDExMICS OF MAURITIUS. *DR. BOLTON'S GOVERXMENT REPORT OxV THE POLLUTION OF THE RIVERS IN MAURITIUS.^ ' As a prelimiiiaiy to this report I must allude to Riviere des Pamplemousses, the fans et origo mcdi. The source of this river is not, I believe, well known, as it received the waters of the Ville Bague Canal at a spot between " Rosalie " and " Rosalie Con- stance " estates. If the waters of this canal were to be diverted from Pamplemousses River a very insignificant little stream will be all that would be left, as it has no feeders of any importance. ' Numerous dams have been constructed along- its course to meet the water rights of the estates having them ; the last one is situated just on the boundary line of Pamplemousses village and supplies the Botanical Gardens, after which the waters are again ■collected into the Mon Plaisir Canal near the high road leading to Mapou, whence this canal goes to " Beau Plan " estate, where there is another dam and a large marsh. * " L'Esperance," " Maison Blanche " (part of Mon Rocher), " The Mount," " Le Plessis " (part of th| Mount, and " Rosalie Constance"), are Avell situated along the Pamplemousses River. Fourteen years ago Mr. Chadwick was requested to report on the insalubrity of Pamplemousses district. The following extracts are from his report No. A/89 of 12.8.92 :— * " The fact that malarial fever is rife in the district of Pample- mousses needs no demonstration ; all the conditions which favour the production of this disease exist. There are numerous marshes and a large area covered with dense bush. The manner in which the forest laws have been applied has aggravated the natural defects of the district." * This was written fourteen years ago, when it was not known that jungles and marshes are not injurious to health in themselves, but owing to the presence of the fever-carrying mosquito in them ^in the former it finds perfect shelter, and in the latter its natural breeding places. 'As a member of the Malaria Committee I had occasion a short time ago to inspect several parts of Pamplemousses River. Its banks are in many places impenetrable, so overgrown are they with bamboos, raffia palms, Jamrosa trees, and weeds of all kinds. In many places the roots of these trees project into the river, hinder the flow of water, and help to form pools and swamps in which anopheles are to be found in large numbers. The water was dark coloured, and gave evident signs of the washing of large * Sir Ronald Ross's Report. MALARIAL FEVER. 209 -quantities of dirty clothes along the whole course of the river. This very undesirable condition of things is due, as Mr. Chadwick wrote, to the " fanatical reverence for trees which is shown by those in charge of river reserves." ' The whole vegetable kingdom, bamboos, raffia palms, ravenals, rushes, and aquatic plants of all sorts are saved, and may not be touched even after death. * Land is too valuable in this district for the owners to allow it to remain uncultivated, so that the cause of the insalubrity of that part of the district of Pamplemousses wherein are situated the estates I have mentioned above is to be found in the "reserves" of the river. ' In my report for the second half of the year 1905, it will be found that Malaria caused 50 per cent, of the deaths of L'Esperance Estate, 28-5 per cent, on The Mount, 28*12 per cent, on Rosalie Constance (it is worse this year), 60 per cent, on Mon Rocher. The percentage of the whole district was 48*4 for the second and 58 "75 for the first half of the year ; and for Beau Plan 35'3 ; L'Esperance, 50; Mon Rocher, 70 '5; Rosalie Constance, 50 ; and The Mount, 49. ' It is clear, therefore, that a very large fraction of the deaths on these estates could be reduced to a considerable degree if anti- malaria measures were adopted. ' I have shown the cause of the high death-rate on the estates mentioned to be Malaria. This disease must therefore be either suppressed in that particular locality or considerably mitigated. The remedy is simple. Reduce the depth of the reserves of Pamplemousses river ; remove all brushwood, small trees, bamboos, <&c., leaving a narrow belt of large trees on each side of the •stream. 'In Mr. Chadwick's report, he says (paragraph 15): "All trees or bush should be cut down in the bed of the stream and on the banks for a distance of, say, two yards from the banks. No bamboos, raffias, vieilles filles, and similar rubbish should be allowed to grow within twenty feet of the stream. I do not propose that the trees on Government river reserves should be cut down, though I believe that they might without any evil results." ' Paragraph 18 : '* I am not in any way opposed to re-afforesta- tion — indeed, I believe that it would, in the uplands, be of the greatest benefit to the Island ; but I maintain that to affect the rivers re-afforestation must take place above the springs which furnish the dry weather supply. It is clear that nothing that happens below these springs can have the slightest effect on their discharge. Trees along the banks of rivers may to some .slight extent check evaporation by shading the rivers, but if p 210 THE EPIDEMICS OF MAURITIUS. neglected they cause obstruction and stagnation, and aciuaJly increase both evaporation and loss by perrotationy ' It is clear, therefore, that river reserves have no raison d'etre in the low-Jying parts of the Island — i.e., within the zone of Malaria prevalence ; they do not help to keep the water supply, and even if they did, to whom Avould this water supply profit ? No one in particular, for there are no factories in the low parts which derive their water supply from the spot. It all comes in canals from a long distance. This fact, added to the other that the reserves are prejudicial to the health of those living in their neighbourhood, brings us to the only conclusion possible: do away w^th them. If my suggestion, based upon opinions ex- pressed by such a high authority on sanitary matters as Mr. Chad- wick, were accepted, I believe they could be carried out at a very little, if any, cost to Government. * The riparian proprietors would only be too glad to undertake the work if they were allowed to keep the wood removed. ' If the timber on river reserves belong to Government, then tenders might be called for the purchase thereof ; or it could be sold by public auction en bloc or in portions. *The money resulting from the transactions would defray the cost of clearing the river, cutting the brushwood on the banks, and filling in pools and swamps. ' If as the Forest Laws now stand my recommendations are illegal, special legislation will have to be resorted to. What Mr. Chadwick has stated with regard to the Pamplemousses applies to all rivers of the colony; and the reserves in populous localities such as towns, villages, hamlets, and Indian camps on estates should be dealt with as I have recommended. ' Take for example Riviere Dragon in the district of Savanne. The reserves opposite " Abattis Mareuille " and in the vicinity of the camp of St. Felix Estate are positively pernicious to that hamlet and to the estate camp. As the reserves in no way tend to maintain the water supply they should be removed. ' There is a considerable capital represented by the wood in the reserves which could be therefore called in and employed in fight- ing Malaria ; the portions of reserves which are considered dan- gerous and therefore removable should be marked out and the- wood sold. (Signed) *John Bolton, '2Mt June, 1906. ' Medical Officer.'' With regard to tbe vexatious questions of Forest Laws- and Eiver Reserves, I could not do better than give the- foUowing extract from Sir Ronald Ross's report : MALARIAL FEVER. 211 * Addendum 3. — The Question of the River Reserves. — The chief product of Maurifcius is sui^ar. It has been shown by years of observation that the amount produced Uj her magnificent fields varies as the rainfall multiplied by the number of rainy days. Now it has long been a dogma of forestry that forests tend to increase the rainfall. For this and other reasons, Manritius possesses a Forest and Gardens Department, costing Rs. 142,377 in 190G (Blue Rook). 'Although the whole island is well wooded, the true forests exist mostly on the mountains or higher parts of the plateau^ where they are carefully guarded by the law. In addition, how- ever, there is an old law which prevents the cutting of trees, with- out permission of the Forest Department, within a distance of from ten to fifty feet from the edge of certain parts of rivers and. streams. The result is that in most parts of Mauritius, wherever there is a small river or stream, or even a stony channel, there is generally found a strip of thick, and sometimes impenetrable, vegetation, consisting both of lai'ge trees and underwood., and ex- tending from the stream to the top of the ravine made by it, in the deep shadow of which the water runs along almost hidden from sight. 'These strips of jungle are called the ''River Reserves." Recently the question has arisen whether, whatever may be their good eft'ects, their existence is beneficial to the health of the people who live near them. It has been pointed out that nuisances which tend to pollute the streams (which are largely used for drinking) are often committed in the shelter of the wood, and may cause ankylostomiasis ; and that the water is further polluted by dead leaves of bamboos and other plants, which lie soaking in the pools. More recently, Di'. Bolton, Medical Officer of the Immigration Department, being directed to report on the cause of the high death rate on certain sugar estates, came to the conclusion that on many it was due chiefly to malaria caused by Anophelines breeding largely in these River Reserves (July, 1906). His reports were forwarded fur an expression of opinion to the Societe Medicale, which endorsed his views, and advised " la suppression et le maintien de la suppression des reserves forestieres le long des rivieres dans tout centre de population de la zone malarienne et a 3 et 400 metres en aval et en amont de ces centres " (August, 1906). The matter was now put before the Woods and Forests Board, which considered it at various meetings for more than a year. During the same time the Director of Forests (Mr. Koenig) wrote reports in which he maintained the utility of the River Reserves, and criticised some of Dr. Bolton's conclusions. Finally H.E. the Governor asked me (Colonial Secretary, No. 9826/06 of 15/2/08, with correspondence enclosed), for my views on the question. n2 THE EPIDEMICS OF MAURITIUS. * I have carefully considered this literature, as well as reports by Mr. Thompsou (1880) and Mr. Gleadow (1904) on the Forests of Mauritius. I also had opportunities to discuss the whole matter with Dr. Lorans, Mr. Koenig, Dr. Bolton, and many others, and will do my best to throw some light on the controversy. 'The fii'st questions which arise relate to matters of fact. (1) Is it really true tltat forests increase the raifffall ? In this con- nection I had the advantage of being able to read in manuscript an able report on the subject by Mr. Walter, of the Observatory. By analysis of a mass of meteorological statistics he concluded that certain large denudations of forest which occurred in the island some decades ago had certainly had a small but definite effect on the rainfall. The total rainfall had not been markedly changed, but there had been an appreciable decrease of the number of rainy days — one of the most important factors in sugar-cane cultivation. From another paper of his (and also from other articles I have read) it w^ould seem that trees suck up moisture by their roots and exhale it into the atmosphere by their leaves in large quantities. On calm days this exhaled moisture increases the humidity of the air until saturation and a fall of rain occur — thus explaining the afternoon showers so frequently seen over the land (but not at sea). Hence trees would be, as it were, syphons which tend to draw up water buried in the soil and to distribute some of it over the fields — in other words, valuable irrigators. ' But the efi'ect of the whole extensive denudations referred to had not been large. I have unfortunately mislaid my notes on Mr. Walter's report ; but if I remember aright there was evidence of only a small percentage of decrease in the num.ber of rainy days. Now the entire extent of River Reserves put together amounts, I believe, only to 2 or 3 per cent, of the total forest in Mauritius. Hence, I presume, the removal of the entire River Reserves would scarcely diminish the number of rainy days by more than a small fraction. Still further, the proportion of River Reserves and other wooded water channels within 400 metres of populous centres must be only a small fraction of the entire River Reserves and other wooded water channels ; so that the removal of these parts only, as advised by the Societe Medicale, would have (I should think) an absolutely inappreciable efi'ect either on the total rainfall or on the number of rainy days. If the denudation of large areas has had little effect, surely that of a few hundred yards of narrow strips of ground near a few populous centres could have scarcely any at all. * But other benefits are attributed to the Reserves. It is said vhat they break the force of the wind on the cane fields ; and I think that they do — but only to a very small percentage on the average. They prevent the water running away too quickly to MALARIAL FEVER. 2Vd sea ; they check erosion of the banks by floods and the washing away of the soil by heavy rains. But while admitting these points, we must again remark that it is not proposed to denude all the streams but only small parts of them near " populous centres." 'Now let us turn to- the other side. (2) Is it reallf/ true that the River Reserves cause Malaria ? Dr. Bolton drew his conclu- sions from a comparison of a number of estates which he divided into two classes, namely. Class A, in which a stream, river, or marsh exists in the vicinity of the Camp ; and Class B, in which they do not exist. The death rates for the first half of each of the years 11)03, 11)04, 11)05, tended to be higher in Class A than in Class B ; while, taking the average estate death rate for the district as a mean, the death rates of Class A were above it and those of Class B were below it. Uufortunaiely, owing to large statistical error, death rates are not very reliable quantities for such a comparison. Spleen rates would obviously give much sounder information ; and the details for 1007-08 will be found in Table lY, A. These will not necessarily accord with Dr. Bolton's figures, since they were collected two years later, and also because, owing to the confusion of names adopted for some of the estates, I camiot always identify his localities ; but they generally support his argument. On averaging the spleen rates for the districts I find as follows : — Class A. Class B. Av. Spl. R. Av, Spl. R. ' Pamplemousses . . . 55*7 21-8 Flacq 67-1 53-8 Grand Port .... 68-8 44-0 Savanne 20-9 27-7 * Savanne is the only exception ; but the sources of error are so- numerous that the figures are worth but little. There may, for instance, be breeding-places in Class B not included in those men- tioned ; while in Class A some of the waters may be too distant to have any great effect. ' I trust that the spleen census and the results of the minor works proposed in sections 28 and 33 will definitely clear up the question in a year or two ; but at present I cannot say that the River Reserves (or more generally the wooded water channels) have been fully convicted of causing all, or even much of the malaria, near them — at least, by statistical evidence. * Speaking generally, however, they are certainly dangerous. There is no doubt whatever that the Anophelines do breed in the streams ; bat they breed in water along lengths of grassy margin, and in pools, in rocks, &c., not in the trees. I am not certain that the trees affect the question much one way or the other. In fact, as pointed out to me by Mr. Koenig, the shade of large trees- is inimical to the growth of grass, which is generally scanty under 214 THE EPIDEMICS OF MAURITIUS. them — and it is grass in water which is the danger. Moreover, I can quite imagine that a thick growth round a stream must make ingress or egress much more difficult for mosquitoes. On the other hand, trees do breed Culicinee, and shelter all mosquitoes; and our ' moustiquiers ' easily captured Anophelines in the Reserves — suggesting that women and children who go to draw Wiiter may often become infected there. And the objections to the Reserves on account of nuisances still stand. • Before proceeding to consider recommendations, two more points have to be discussed. (1) It is, I think, perfectly agreed to by both sides in the controversy that the undergrowth in the Reserves is quite unnecessary. Mr. Koenig informed me that his •department requires the large trees, not the dense growth of useless bushes under them ; and it is precisely this undergrowth which the Health Department objects to. There is therefore no reason whatever why it should be retained. ■ The removal, at least near villages and coolie camps, will give free access to the streams not only to the people but to the n^alaria gangs. Nothing more is required than what was so excellently done by the Forest Depart- ment itself in the Mesnil at Phoenix, * The second point is one which I have heard raised, but W'hich, I think, few will assent to. It is that, if they are of use to the planters, the Reserves should be maintained even if they do cause mat aria. From a humanitarian point of view, this proposi- tion is open to strong criticism. It suggests in brief that human life may be exploited in the interests of individuals. But no civilised state can allow such a thing; and the Immigration Department in Mauritius has been expressly constituted to protect the indentured, coolies. From a rational economical point of view, however, the proposition is still more unsound. If it could be proved that the small parts of the Reserves near populous centres really add materially to the output of the estates, then something might be said for maintaining them. Even then, however, the question would arise w'hether the loss to the estates from the malaria would not more than counterbalance the gain from the Reserves. People who uige this proposition seem to have com- pletely forgotten this last item. As Dr. Bolton says, the day's work of a coolie is worth from R. 1*25 to R. 1"50 to an estate during the season. When 10 per cent, or more of the men are '" down with the fever," the loss must mount up to hundreds and thousands of rupees to a single malarious estate during the year. Dr. Bolton adds (18/7/06): — "On many estates new immigrants have to be imported to make up for the loss of labour through sickness. They cost R. 200 each on landing, but in reality a great deal more if the cost of those who desert or die is added to that of those who remain. On some estates more than 25 per cent, of MALARIAL FEVER. 215 the new immigrants imported within the last three years have •deserted. Add to this 5 per cent, of deaths. The remaining seventy out of 100 men therefore cost Rs. 20,000, equalling Rs. 285'7 per head for five years, or Rs. 57*14 per year, or Rs. 4.7G per month." He remarks also that numbers of convalescents have to be put to light work, which means that ten men have to -do the w^ork of six, and says, *'The low price of sugar, the high price of transport, labour, and provisions, leave a very small margin, if any of profits, so that any economy in the cost of pro- duction becomes a matter of serious import." Does any one suppose that a few hundred yards of jungle planted along a S'tream is evei- likely to compensate a planter for such heavy and constant losses caused by malaria ? It therefore seems to rae that, if Government is finally di-iven to decide between River Reserves and malaria sanitation, it would do wisely to clear away the former without much hesitation. For the practical needs of the moment, however, my single recommendation is as follows : — * The promotion of a bill to allow riverain proprietors to cut ■down, destroy, or remove any uprooted or dead tree, and also any bush, weed, or noxious growth, found or growing on their property, "vvith proper clauses to notify the Forest Department before this is done, with a vicAV to saving such tiees as this department may wish preserved. The bill might be on the lines of the proposed Ordinance of 1905, framed by the Directors of the Forest and Medical Departments, but with the compulsory clauses changed into permissive ones. (I understand that the bill was lost owing to these compulsory clauses.) In sections of the bill the Medical And Health Department might be allowed to do the work after notice. The wood removed might be given to the remover, i.e., the proprietor, the Medical or the Forest Department (if this is possible), whichever does the work. A system must be considered by which the Forest Department will not impede the work either •of the owner of the property or of the Medical Department, by delay in specifying or notifying which trees are to be left alone (for example, the trees to be preserved may possibly be marked). ' So lar as I can see, this bill would meet all the requirements of the case, and would satisfy all parties. The Forest Department admits that it does not wish to I'etain the worthless growth, and I believe every one else wishes to get rid of it. Many planters told me that they were only too willing to remove it, but they were prevented, or hampered, by the laws. If the owner does not wish to do the work, the Medical Department can do it for him. If he refnses permission, I fancy that he could be compelled to give it. The actual work can be done, where required, by the malaria gangs, especially during the winter months. I would not advise iim.itation of the bill to any particular localities, e.g. those near 210 THE EPIDEMICS OF MAURITIUS. populous places, unless the Forest Department wishes to pre- serve undergrowth as well as trees in spots far removed from habitations. ' In conclusion I must add that the exact effect of the streams in causing malaria can be ascertained only by watching the results of the minor works and by taking the spleen census frequently, as already recommended. The facts will declare themselves auto- matically in the course of the work. Here, as elsewhere, labour lig-hts itself. '(Signed) R. Ross.' ■fe' I am sorry to end this chapter on Malarial Fever with the statement that the disease is still very prevalent in the Island.— D. E. A., Od., 1918. Bihliography : My own notes taken in Mauritius, Madagascar, Comorro Islands, and Egypt ; Sir Ronald Ross's Report on Mauritius ; Personal experience, for I suiTered severely for many years from Malarial Fever contracted in the above countries ; ' Parasitical Nature of Malarial Fever in Mauritius,' by myself, i«wc^f, August, 1890; 'Tetanus after Quinine Injections,' by myself, British Medical Journal ; ' Dangers to Health ork board Passenger Steamers,' by myself. Tropical Journal. CHAPTER XI. Dengue Fever. Dengue*, or Dandy, or Breakbone Fever occurs as a rapid,, short spasmodic fever almost everywhere in the tropical and sub-tropical countries, especially along the seaboard. The virus, which has not yet been discovered, is supposed to be transmitted by the common mosquito, the Culex fatigans, and probably by the Stegomyia. The virus, which is filterable, remains in the patient until the fifth day after he has been bitten by the mosquito, which itself remains infected from the first to the eighth, or even to the twenty-seventh day. Sf/mptoms. — These are pretty fully described further on. They are successively the following : — First attack lasting two or three days, sudden onset after two to five days*^ incubation ; rise of temperature to 105^ F., initial transient scarlatinal rash over face, neck, and extremities, itchiness of palms and soles, breakbone pains about the joints, and myalgia, with swelling of the fingers and toes, severe frontal and postorbital headache, swollen glands, insomnia, de- pression, malaise, loss of appetite, constipation. After three or four days all these symptoms and fever disappear to reap- pear in two days, with a measly rash about the wrists, toes, and ankles, elbows and knees, and sometimes about the whole body. After one to three days, desquamation and conval- escence, which is slow, sets in. Some of the tendons [Tendo J chillis especially) remain painful for a long time. Diagnosis. — The seven days' Phlebotomic Mediterranean fever resembles Dengue, but the saddle-back temperature * Memoranda of Mediterranean Diseases (War Department). 218 THE EPIDEMICS OF MAURITIUS. chart and the ra«h may be absent ; the spleen is also enlarged. Influenza, small-pox, measles, scarlatina, malarial, yellow, typhoid, and paratyphoid fevers in some of their signs and symptoms resemble Dengue, but they have special cha- racters of their own. Treatment. — Five or ten grains of cryogenin, phenacetin, aspirin, for pain and headache, cold spongings, port wine, and light diet. In prolonged cases of asthma — adrenalin : thirty drops of a 1/1000 solution in a little water, drunk twice a day. Destroy mosquito hiding-places, and protect against their bites by nets and wire-guards (eighteen meshes to the linear inch), and rubbing the skin with one ounce of Epsom salts in half a pint of water ; or with one part oil of bergamot in sixteen parts of kerosine ; citronella oil in vaseline ; 50 per cent, alcoholic solution of thj^mol or oil of cloves in lanoline and glycerine. DENGUE FEVER IX MAURITIUS. ^ The epidemic of Dengue Fever occurred in the summer of 1873, when I was in Mauritius, and, as I suffered acutely from it, I can speak from personal experience of its painful symptoms. ' The epidemic lasted only six or eight weeks, and was not fatal, but in a very short time it became general. Beginning with Port Louis, it quickly spread to all the other districts ; its general as well as its individual onset was so sudden that the machinery of daily work came to a standstill whilst it lasted. Everybody in every house became attacked one after the other ; but, in spite of the pain, there was no scare nor panic, for it was easily diagnosed as the Dengue Fever, well known in India, whence it probably ■cam^e to Mauritius with the coolies. Of course, every invasion of every disease was laid to the charge of the DENGUE FEVER. 219 immigrants from Asia, for until immigration had. been instituted Mauritius had been comparatively free of epidemics. Nay more, apart from the cholera in 1854, 1856, and 1862, the Island had, until the invasion of malarial fever in 1865, been looked upon as the sanatorium of the Southern Hemisphere, and troops came from India and Singapore to convalesce on its plateau, and tuberculous patients from Europe visited its shores during the cool and dry months of the year. ' Etiology of Dengue. — Its Etiology in Mauritius has been a mystery. The disease was prevalent in India in 1873, and several coolie ships with it on board arrived and were given pratique, as it was not thought necessary by the General Board of Health to place them in quarantine for *' a disease which did not kill." * I wonder whether these wiseheads had their fair share of the break-bone pains ! It is still a question until this day as to how the disease is propagated : mosquitoes, midges, bugs, ticks, fleas, flies, lice, air, water, food have all been accused as the carrier of the parasite or micro-organism, some authors claiming that the Culex fatigaus^ or the Stegomyia, or the Phlehotomus, all of which abound in Mauritius, especially during the hot season and along the coast, was the medium of transference. But Dengue spread to the upper and cooler region of the Island, where these OuUcines and Psychodidce are not very numerous ; still they are to be found, even at Curepipe, 2000 feet above sea- level. As the coolie immigrants scattered all over the Island as soon as they landed, they carried the disease with them, and that explains the complete invasion of all the districts at about the same time. ' Symptoms. — The symptoms were typical I went to bed quite well, and woke up with pains in my feet and hands and a slight feverishness. Thinking it was my old and constant enemy, malarial fever, that was coming on, I stayed in bed, and took a good dose of quinine. By ten a.m. my whole body ached from head to toe, and in spite of the •quinine the fever had risen over 101° F. These sj'^mptoms 220 THE EPIDEMICS OF MAURITIUS. lasted the whole day and night, and the next day the doctor declared it to be Dengue. I do not remember whether I had. any initial eruption, but I shall not forget the intense pains in my fingers and toes, and the swelling of all the phalangeal joints; the fingers were like sausages. My face was swollen and bloated, my eyes injected ; I had no vomiting nor diarrhoea, no epistaxis, nor any swollen glands. The above symptoms gradually disappeared in three or four days, when the secondary fever and eruption soon came on. At that time this secondary stage was thought to be a relapse with greater exacerbation, for in my case the pains recurred with as great intensity as before, and the fever rose to over 102", and a rubeolar eruption covered my whole body, producing an intense pruritus, especially of the scalp, and more swelling of the face, hands, and feet than before^ So great was this irritation that for a couple of hours I off and on kept my head under a tap of cold water, and took during the day two or three warm baths containing bran and bicarbonate of soda and medicinal herbs (chiendent and the vouatouc). * Neither the secondary fever nor the irritation lasted longer than a couple of days, and the eruption disappeared,^ leaving a branny desquamation behind it. The swelling of the fingers was the last to go, but within ten days from the onset of the attack of Dengue I was back at College again. I had no relapse, but my father, brothers, and sisters all followed suit, and, though none of them had the pruritus as severely as I, yet the other symptoms were more or less the same as mine had been. Our house was infested with mosquitoes ; we had ornamental ponds and bath-rooms quite close to our bedrooms, and although we always slept under mosquito- curtains, in the hot season in the twilight hours the whole Nature buzzed with the noise of these creatures, and ere we retired to rest we had supplied ample food for their stomachs. * Mortality. — I do not remember having heard that any- body died from that epidemic. * Treatment. — Cold camphorated water-compresses to the DENGUE FEVER. 221 liead (Raspail's treatment), witli hot mustard foot-baths, relieved the headache. A blue pill, followed by an aperient, was invariably also given for the same purpose and to keep the priiuce vice in good condition. Quinine was given empirically without any good result — on the contrary, some believed it made the pruritus worse ; the room was darkened on account of the injection of the eyes ; sponging with warm water and iced lemonade brought the temperature a degree or two down. As before said, during the secondary eruption, when the pruritus was bad and the body swollen, medicated tepid baths were given. ' Seqiielm and Complications. — None in my case, and I do not believe that the other patients had any, as the epidemic was comparatively light and short.' Criticism. — The consensus of opinion as to the carrier or transmitter is that it is a Phlehotomus, probably the Papatasiiy which is also believed to carry the micro-organism of the so- called ' seven days Mediterranean fever/ and possibly of the Micrococcus Melitensis. The Psychodidce, of which the Phlehotomus is a genus, inhabit the Tropical and Temperate Zones. It is a singular fact that in some countries, as in Mauritius, the epidemics of Dengue recur only after twenty or thirty years' interval. In others, as in India, it is endemic in some localities and epidemic in others, and pro- duces no immunity of long duration. Since this chapter on Dengue Fever in Mauritius was written I have heard that, although the disease has never again taken on an epidemic form of severe intensity, yet it visits the Island much oftener than before. Bihliof/raphy : My own personal experience of the Disease ; The Tropical Society s Journal. CHAPTER XII. Beri-beri. *Beri-beri' or 'Khake' is an infective peripheral neuritis^ due, according to some authorities, to a deficiency of certain necessary chemical elements in food, or to an unknown specific micro-organism associated with ov^er-crowding. I shall give the latter, or the germ theory first. Sir Patrick Manson believes that the disease is produced by the toxin of a germ, or a germ itself, either of which some- how gets into the body, where it produces neuritis. Etiology. — Many cases are adduced to show that by removing the persons attacked to more salubrious localities, the epidemic stopped ; in other words, that the infectious germ remains in buildings, earth, or places indefinitely. Avoid these and you are safe. JN'o such germ, bacterial or protozoal has been identified — but it may be like those of the zymotic diseases which have not yet been revealed by the microscope. In that case, says Professor Daniels, 'it is essential to demonstrate that Beri-beri is conveyed from man to man, that pre-existing cases of the disease are ne- cessarily present, and that the disease does not arise de novo. This has not been established.' * The other theory is the dietetic theory : First, that the disease is due to a superabundance of carbohydrates (rice) and deficiency of fats and proteids- (meat). The eminent Japanese Doctor Takaki, by improv- ing the diet in the navy and army on these lines, has all but eradicated this disease in both these services. Second, the theory of the elimination from rice by over- * Daniels' Diseases of the Tropica. BERI-BERI. 223 milling (i.e., by decortication, or by prolonged boiling or boiling under pressure) of certain anti-neuritic substances, has been proved to be a correct one so far as Beri-beri in tbe far East is concerned, but not in South America, where very little rice is eaten. Here they eat other cereals, and in the process of their preparation the elimination of these same antineuritic substances takes place, with the consequent neuritic effect in those who eat of these cereals. The conclusion is * don't eat decorticated rice or certain cereals alone, but mix them with other non-decorticated rice and with fat and proteids.' I would add in view of the cases due to * pique ' fish and meat in Mauritius, that fat and farinaceous (non- decorticated rice) food be partaken of at the same time with suspected proteids. 'Therefore, the condition we know as Beri-beri is a multiple peripheral neuritis, and must be a secondary con- dition, and due to the action of a toxin or poison intro- duced into, or manufactured in the human body, or to the absence of some special substance required for the proper nourishment of the nerves ' (Daniels). In this disease there is in the last stages fatty degenera- tion of the white substance of the nerve and atrophy of the axis cylinder. The treatment adopted by the School of Tropical Medi- cine at the Albert Docks is the dietetic, i.e., not giving rice at all, or mixing this with other cereals, vegetables, and meat ; next attending to and treating the symptoms ; in other words, providing attentive nursing, preventing the patient from moving brusquely or getting out of bed if his heart is implicated, giving three to five drops of nitro- glycerine, one per cent, solution, every half-hour, or inhalations of nitrite of amyl if there be increased excitability of the heart, palpitation, great dyspna3a, pain under the sternum,- pulsa- tion of the large vessels of the neck and in the epigastrium, and a feeble pulse at the wrist. Mustard sinapisms are also placed over the heart. As the patient gets better, his^ legs are massaged and Faradized, but not before his heart is very much relieved and the hyperaesthesia of the muscles 224 THE EPIDEMICS OF MAURITIUS. ■is diminislied.^ For tlie ocdematous condition of the lungs warm poultices are employed. Although as a rule Beri-beri cases are either of the paralytic or of the dropsical kind, yet both may be present, or one may pass into the other. When there are positive proofs that rice or other cereals are not the cause of the disease, then the patients' clothes and rooms should be thorough^ disinfected, and they them- selves be removed to another locality where the disease does not exist. Ships on board of which it broke out should be fumigated, and the cabins, forecastle, or mid-decks occupied by the patients, be well disinfected by sulphur fumes. The mortality is from five to forty per cent. * The post-mortem examination reveals nerve-lesions (seen under the microscope), and as a rule in the hydropic foi^m : serous exudations in the pleural, pericardial, and peritoneal sacs, and infiltration in all the connective tissues ; and in acute cases congestion of the capillaries of the viscera sup- plied by the pneumogastric and splanchnic nerves' (Daniels' Trop. Med. and Hygiene). He adds 'that the limgs are often oedematous and flaccid, the heart slightly hypertrophied, the cavities dilated, especially the right. The heart muscle is fatty and friable, and sometimes there are hsemorrhages in the renal tubules, in the liver and spleen, and in parts of the mucous membrane of the alimentary canal.' Symptoms. — Weakness of legs with tenderness and burning sensation about the epigastrium and pericardium, numbness and * pins and needles ' in the legs, deep pain in calves and arms after pressure lasting some time, gradual anaesthesia and analgesia, with motor and sensory paralysis of the muscles affected (generally the peronei and tibialis anticus) ; oedema of the anterior part of the legs ascending to the thighs, and even into the abdomen (ascites) ; effusion in pericardial and pleural sacs ; affection of the vagus nerve with dilatation of the heart, and severe dyspnoea in acute cases. There is also loss of the deep reflexes, and reduced secretion of urine. The wet or dropsical kind often passes into the dry BERI-BERI. 225 atrophic variety, and vice versa. The local paralyses cause a peculiar characteristic walking gait, the ' high step ' walk. The patient, when squatting, cannot rise if his arms are up. Incubation about ten days. Pathology. — The principal lesion is the fatty degeneration of the white substance of the nerves affected, with or with- out atrophy of the axis cylinder, and occasionally small ha)morrhages within the sheaths of the nerves. In addition there are all the changes already referred to on the pre- ceding page. Diagnosis. — The * squatting test ' and the walking gait on tip-toe are characteristic of Beri-beri. Valvular Diseases, peripheral and arsenical neuritis, and nephritis, may be mistaken for Beri-beri. Tabes dorsalis has lightning pains, and Argyll-Robertson pupil. Scurvy has, besides the subcutaneous and submucous haemorrhages, spongy swollen gums, loose teeth, &c. Epidemic or acute ancetnic dropsy ^ common in India and in Mauritius, and also due to rice and other articles of diet, is sometimes mistaken for Beri-beri ; but, although very much like it, there are certain symptoms which differentiate it from Beri-beri — e.g., the itching and burning sensations which precede the anasarca, and the erythematous rash which is common in the epidemic dropsy, the vomiting and diarrhoea, the anaemia, the absence of anaesthesia, and the paralysis of the motor nerves. * Treatment. — * Extract of rice polishings : desiccated yeast, two teaspoonsful rubbed up into a paste with boiling water aud milk and sugar ; " Marmite," a substitute for dried yeast, one cube twice a day ; nitro-glj^cerine or nitrate of amyl carefully inhaled (one or two capsules, and no more) broken on a handkerchief, or 1 per cent, solution of this injected intra-muscularly when cardiac dilatation threatens death. Strychnine, and electric stimulation after the dropsy has disappeared. * Memoranda of Medical Diseases in the Mediterranean War Area. Q 226 THE EPIDEMICS OF MAURITIUS. * A good diet of eggs, fresh milk, vegetables, soups, and oatmeal — all in small quantities at a time, to avoid painful epigastric distension/ BERI-BERI IN MAURITIUS. ' History. — Beri-beri for many j^ears past has become endemic in Mauritius. As far back as 1808, when the colony belonged to the French, the C.M.O. Chapotain, wrote a thesis on this disease, which was then called Barbiers, and ever since then sporadic cases have occurred in different parts of the Island, in the prisons and hospitals. ^ Acute Amemic Dropsy. — In 1878 and 1879 there were so many cases of acute ana3mic dropsj^ all over the island, and it spread so rapidly from house to house and estate to estate that it became a regular epidemic, and a Commission was appointed to discover the cause of the outbreak and the best method of stopping it. The Commissioners gave their opinion that the disease was not Beri-beri, but simply an epidemic of contagious acute anoemic dropsy. But the con- sensus of opinion amongst the other medical men of the island was that the disease was none else than Beri-beri, for although the neurotic symptoms were wanting in most of these cases, yet all the other symptoms of Beri-beri were present, as will be seen in the following account, by Dr. Bolton, of the cases that were under his care at the time. * The symptoms were : * 1. Swelling of the limbs, the lower always the most persistent of the symptoms, the upper sometimes, and occa- sionally the body. * 2. Burning and deep-seated pain in the affected limbs at the commencement. * 3. Fever with rubeolar eruption, sometimes before, sometimes after the swelling ; in some cases altogether abyeni;. BERI-BERI. 227 *4. Shortness of breath, cough, and palpitation in all cases. * 5. Great emaciation, exhaustion and anaemia in some •cases, slighter in others, but well marked in all. ' 6. In fatal cases great disturbance of respiration and •circulation, and death generally sudden. * 7. Bowel complaint in many, diarrhoea, commonly •accompanied b}^ vomiting, dysentery in a few. ' 8. The duration of the disease : about two months in cases of average severity, leaving the patient greatly en- feebled. The red cells were diminished and the leucocytes increased. The staggering gait and the nerve disturbance, generally the more prominent symptoms in Beri-beri, were often ahsoit, but present in some of those attacked by the dry kind (as is the case in Beri-beri) ; especially was this the condition in Chinamen, ' It is noteworthy that the acute anaemic dropsy in Mauritius was both contagious and epidemic ; that during the latter part of 1878 and commencement of 1879, starting from Flacq, it spread rapidly all over the island. It was supposed to have been imported from the east coast of India whence Coolies came. The man who was first attacked had been living with newly-arrived immigrants, some of whom had had acute anaemic dropsy on board. 'The treatment adopted during the epidemic of 1879 consisted of free purgation with pulv. jalapao co., blisters over cardiac region as soon as pericarditis came on, friction of the extremities with stimulating liniments, tonics (strychr nine and iron), diuretics combined with iron, small quantities of gin, and careful dieting. 'The following table gives the cases of admission into the hospital and of mortality throughout the Island during sixteen months of the epidemic of November, 1878, to February, 1880 : 228 THE EPIDEMICS OF MAURITIUS. Admissions Deaths through- DISTEICTS. into Hospitals. out the Colony. Port Louis .... 18G 97 Pamplemousses . 116 101 Riviere dn Remparfc 24 27 Flacq . 48 118 Grand Port 61 104 Savanne 79 138 Black River U 6 Plain es Wilheins 131 69 Moka . 128 69 Total 787 729 ' The disease was almost entirely confined to the Indians of ail ages and both sexes, residents in town and country ; it attained its acme in February, 1879, and disappeared by October. But the mortality given above included not only acute anaemic dropsy, but also other kinds of dropsy and anasarca cases. * The post-mortem examination revealed the same appear- ance as in Beri-beri occurring in other parts of the world : pericardial effusion with characteristic flabbiness of the heart, its cavities often empty, in others containing a mode- rate quantity of dark semi-fluid blood, pleural effusion, oedematous lungs. After 1879 right on to 1900 this so- called acute anaemic drops}'', without the neurotic symptoms of Beri-beri, became so scarce that until to-day those medical men who saw the epidemic cases do not feel quite certain whether, after all, the Commissioners were not in the right in dissociating the disease from Beri-beri, which continued to be sporadic amongst the Chinamen. * In 1900 all acute anaemic dropsy at the Civil Hospital are entered as Beri-beri, whether neuroses were present or not. * Outbreak of True Beri-beri Epideinic, — In 1902, however, three vessels arrived from China with Chinese immigrants on board, and a few months after the landing of these Chinamen many of them showed signs of true Beri-beri, and BERI-BERL 229 Tiinety-four cases were admitted into the Civil Hospital, and all tlirougli that year more than sixteen to twenty cases were also daily treated at the Chinese Hospital. The mortality at the Civil Hospital was excessive, thirty- three died out of the ninety-four, eighteen in less than seventy-two hours after their admission, and five in four or six days. * In 1904 there were only sixteen cases at the Civil Hos- pital, all of these save one being Chinese ; but in 1905 there were twenty, fourteen Chinese and six Indians, and ever •since then the cases have gradually diminished ; but not at the Chinese Hospital, where until 1908 there was an average of twenty in the ward. * Sy))iptoms. — As I have given the symptoms of acute anaemic dropsy, I shall compare them with those shown by the Beri-beri patients of 1903. Dr. Rouget, of the Civil Hospital, and Dr. de Chazal of the Chinese Hospital, say that most of the patients had the dry form. All without -exception had paralysis of the legs and arms. They com- plained first of numbness of the legs and pain over the ankles on pressure. Those who could walk had the " high- stepping gait." A few had the clawed fingers. * Palpitation, quick pulse, especially after an effort, irregular cardiac rhythm, diffuse cardiac impulse, murmur present in some, absent in others. Gastric disturbance, -eructations, appetite lost during the crisis but voracious during convalescence, pain in the epigastric region on pres- sure, loss of patellar reflex always as the case got worse ; this last sign being characteristic of the disease, and dis- tinguishing it from all other forms of dropsy and anasarca of the legs. As is often seen in chronic malarial patients, anaemia is present in most cases. * If fever was present, quinine showed that it was a malarial concomitant. * Death was generally preceded by nausea, or some other gastric disturbance, and dyspnoea, tightening of the chest, great pains over the heart region ; and the patient either died slowly and retaining consciousness to the last minute, or more rarely he died suddenly. 230 THE EPIDEMICS OF MAURITIUS. ' FoHt-mortem. — At the only post-mortem made at tlie Civil Hospital nothing very abnormal was seen, except a slight hypertrophy of the heart, splenomegaly, fatty liver, and the- presence of ankylostomes in the small intestines. No micro- scopic examination of the organs, nerves, or other tissues was made. * Treatment. — Besides rest in bed, special diet of fresh meat and fresh fish, milk, and bread and batter; most of the doctors in Mauritius adopted the IIo})g Kong mixture containing: ferri perchlor., acid phos. and digitalis ; sometimes strychnine was added. Dr. Bolton gave either pulv. jalapae co. or Leroy mixture to reduce the dropsy — this mixture contains elate- rium, scammony, rhubarb, and cucurbit vegetalis. During convalescence be employed massage and electricity. ' Etiology. — I have left this moot question to the last, as Mauritius offers a good field for the investigation of this important problem. ' Dr. Bolton's report on the outbreak of the disease in Diego Garcia (^vide Annexure) in July, 1900, throws a flood of light on the contagiousness of the disease. He says in his concluding remarks : *' With regard to Diego Garcia,, one would be tempted to admit that under certain special conditions the Beri-beri patient might be compared to an ambulating laboratory of toxins which he scatters on all sides around him, or which toxin was extracted from him by a carrying-agent, bug, flea, or louse, and conveyed by that insect and inoculated into those persons who were in daily contact with the patient." ' How could one otherwise explain the case of the little Indian baby of a few days old, who, on the death of its parents from Beri-beri, is taken to a white lady's house half a mile away and placed in a clean cot in this lady's well- aired and wholesome bed-room, and dies a few days after from Beri-beri, after having given it to the lady who had nursed it as if it had been her own child ? All the other members of the household escaped, as none of them had been near the child. The lady had Beri-beri very severely, and nearly died' BERT-BERT. \ 231 ' But Dr. Bolton himself, within two or three months of his return from Diego Garcia, caught Beri-beri ; his ankles began to swell, the oedema gradually extended up his legs, he could not walk without the aid of two sticks, the cardiac disturbance was marked, the impulse very diffuse, and the pulse fast and irregular. He never was paralysed ; under treatment he recovered, and within three months none of the symptoms remained. None of the people at Diego Garcia, not even the Anjouanese who brought Beri-beri to that island, nor Dr. Bolton, ate any other rice except the Indian rice (Mooghy and Chatta Balam). In the Comorro Island whence the Anjouanese came and where Beri-beri is endemic, Saigon rice from Cochin China is eaten. So that it is evident that the Diego Garcia inhabitants and Dr. Bolton caught the Beri-beri disease by contagion from the Anjouanese and not from the Indian rice. 'In 1906 a certain merchant introduced large quantities of Saigon rice into Mauritius, and sold the same at a cheaper price than the Mooghy white rice, and even than the Chatta Balam, the common red rice. (The Mooghy is a decorticated and well- washed rice, like the Saigon, and is sold at twelve to fifteen rupees per bag, and is eaten by the rich, whereas the Chatta Balam is a non-decorticated rice, still in its reddish husk, and is sold at ten rupees per bag, and has to be pounded and fanned and washed each time before it is cooked.) The Government and many planters bought the Saigon rice on account of its cheapness, and fed the prisoners and the coolies upon it. But the Chinese, who often had Beri-beri, ate decorticated white Chinese rice, and not the Saigon. Therefore Beri-beri in their case did not come from the Saigon rice. It was something else that commu- nicated the disease to them. Soon after the introduction of the Saigon rice, the Indians on the estates and the prisoners inside the civil prison began to be attacked with all the symptoms of Beri-beri. As twelve or eighteen months before, several Lascars on board the Union line steamers from Durban 232 THE EPIDEMICS OF MAURITIUS. liad arrived witli Beri-beri, and had been sent to tbe Civil Hospital, and some had died there, it was thought at first that these Lascars had started an epidemic once more in Mauritius, and the infection-theory partisans blamed these Lascars ; but when it was remembered that the Antemours, a healthy tribe living in the south of Madagascar, had contracted Beri-beri at Tamatave (where they worked during certain months of the year) by eat- ing Saigon rice,* the Government stopped the supply of that rice to the prisons, and the planters also did likewise, and fed the coolies with Mooghy rice, and at once Beri-beri stopped and the cases recovered. This was a distinct impeachment of the Saigon rice as the cause of the disease. Moreover, all those who had always eaten Mooghy or Chatta Balam or Malagasian rice never got the disease. How did the Chinese get it ? Dr. de Chazal, who is the Chinese Hospital doctor, and who has for a long time sought a solu- tion to the enigma, thinks that the germ or poison causing the disease in the Chinese is to be found in all probability either in the white decorticated Chinese rice, or in the pre- served salt meat and salt fish and other food imported from China, and of which the Chinese in Mauritius partake very freely ; and in support of this opinion, the case of an out- break of Beri-beri amongst the crew of a Norwegian ship, the HerOy is given. That ship had a cargo of dry stock fish on board, and had come direct to Madagascar without touching at any seaport on her way. The crew of eight men had eaten of that fish and also of salt meat and biscuit during ninety days, and all but one sailor caught Beri-beri. One died at sea. The late Dr. Chevrau, who narrates this, examined the barrels of salt meat, dried stock fish, and bis- cuits, and found the meat and biscuits in perfect condition, but the fish had all been perforated here and there {pique is the French word ; it may mean, perforated by an insect or showing minute blotches). Dr. de Chazal and several other doctors in Mauritius say that the fish and the meat the * And also at Reunion, a neighbouring island where Beri-beri was endemic and severe, the inhabitants ate Saigon rice. BERI-BERI. 233 Chinese eat are also pique or pricked. Several other medical men in Mauritius, Reunion, and Madagascar aver that the old rice seeds often show this pricked or diseased condition, whether they be from Saigon, or from India or China. * It is worth noticing that the Lascars above referred to and who had Beri-beri, all slept in one damp, dark, and close room in the ship's forecastle, and that all the other Lascars who slept in the other room partitioned off by a strong, well- fitting wooden wall, escaped. The rule in Mauritius now is to eat only non-pricked rice freshly- gathered from the fields in India, decorticated or not, and never to eat it the next day after cooking; or to eat non- pricked, well-cleaned Chatta Balam after pounding it oneself. As the Saigon rice is cheap, a mixture of this with the other rice has been tried with good results. So far, then, the doctors in Mauritius are divided into two camps in their belief as to the cause of Beri-beri — (1) Those who believe that certain kinds of rice and other food are the cause, and (2) those who believe that the germ or poison, as Manson says, '' resides in the soil, in the houses, and surroundings of Beri-beri areas — that it is a toxin secreted by a living germ which gains access into the body through the lungs, or through a wound in the skin, or by an insect bite." * Criticism. — I have often thought that this toxin may be secreted by an insect or a germ which feeds on certain kinds of rice and other food-stuffs, causing a poisonous metabolism in the rice, just as Pellagra may be due to a poison secreted by the Simulium in the maize, or directly in the person bitten or stung. We have an analogy in the gastritis pro- duced by mouldy cofPee-seeds. Just as when green coffee- seeds, exposed to a damp, cloudy sky for drying purposes, become mouldy and diseased, and produce severe colic, so the marshes in which the rice grows, or the weather at harvest- time, or a small insect, or mould, may cause a change in the chemical equations of the rice, and a chemical poison or toxin is produced which (according to the most recent 234 THE EPIDEMICS OF MAURITIUS. researcli) has its an ti- toxin in the phosphorus and other ingredients normally existing in the head of the seed, which is broken off during decortication, and in the husk, which is pounded or scraped off. ' Perhaps at Saigon the factors inducing that change in the rice are powerful and numeirous, and when once any rice so affected is carried in ships, the mould or germ finds its way into dirty and dark, damp places on board, and with the greatest difficulty can it be drivea thence, entering both through the lungs and the mouth of the strong as well as of the weuk exposed to its baneful effects. Dr. de Chazal found that the stronger and more athletic the patient was the more virulent was the disease. ' This poison, or germ, may get in the clothes as well as inside the bodies of those persons exposed to it, and it is in that way conveyed from person to person, and even to other food, especially salt meat and salt fish. It evidently grows best under unhygienic conditions, and the larger the quantity absorbed (as by a strong man with a large appetite, or in a close room) the more violent the disease. The fact that most of the other patients in a well- ventilated ward escape, would indicate that a large dose must be absorbed before the disease can be produced — but all the same it is a contagious- disease.' BERI-BERI. 23,!^ ANNEXURE ON BERI-BERI. A Resume of Dr. Bolton's Report on the I^eri-beri Epidemic at Dip:go Garcia in 11)01. * At the commencement of 1901 Mr. de Caila, Administrator of Diego Garcia, noticed that several of the labourers had all the symptoms of Beri-beri, and requested the Governor of Mauritius to send a physician out to Dieg-o. ' This island is one of the Chag-os Archipelago, latitude 7° 8. by longitude 72° E. Ic is a long coral-and-sand bank, horse-shoe in shape, rising a few. feet above the level of the sea ; the bay is fifteen miles broad by three long. The inhabitants lived in two camps situated at each end of the bank. The Eastern Camp, Point de I'Est, had 326 souls ; and the other, Pointe Marianne, 140. Apart from a dozen white persons the othei's were African Creoles, Malagasies, and Indians, They ate fresh and salt fish,, eggs, vegetables, fowl, birds, pork, fresh cocoanut oil, and Bengal rice, imported from Mauritius. 'Only one ship did service between Mauiitius and Diego and the Isle Peros Banhos, sitnated 120 miles to the east. One and the same kind of rice was eaten, it was disembarked first at Pointe Marianne, then at Eastern Point, and last of all at Peros- Banhos. The water drunk came from wells of five or six feet deep, and was slightly brackish, but the Administrator and his servants drank rain-water. ' The huts in both camps were well constructed, with well- ventilated, high, dry rooms and stucco floors. The Administrator's house was raised some distance above the gronnd. The inhabit- ants all worked in the open air, and had abundance of food. In a word, the whole population were living under very favourable hygienic conditions. 'On July 27th, 1900, a convoy of thirty labourers arrived at Diego, amongst whom were nine Anjouanese, who, after leaving the Oomorros, hnd gone to Mauiitius, and thence were recruited for Diego. On their arrival, Mr. de Caila noticed that seven of them had ophthalmia, stomatitis, gingivitis, and oedema of the- legs, one of them could scarcely Avalk. They were all detained at the Eastern Camp, and in three days two of them entered the- hospital, complaining not only of oedema but also of pain on pressure over the calves and over the epigastrium. There was no fever. On January 14th one of them became bedridden, and 536 THE EPIDEMICS OF MAURITIUS. complained of pain in the cardiac region, palpitation, dyspnoea, weak and irregular pulse, srernal oedema, and distended epi- gastrium. He died suddenly the next day. His companion, however, only remained fifteen days at the hospital and re- covered. ' On August 6th, 1900, i.e., two days after landing, a third Anjouanese had shown signs of hypei^esthesia of the legs as well as oedema, but he had refused to come into the hospital ; on January Sth, 1901, however, having all the symptoms of the fatal ■case above described, he came into the hospital, and died suddenly two days after. * A fourth and fifth Anjouanese, still with oedema of the legs and partial paralysis, returned to Mauritius together with all their fellow-countrymen. One of them showing signs of hallucination was treated for some weeks at the Lunatic Asylum and recovered, but he was still lame when he left. Of the other no news could be obtained. ' Until March 15th, 1901, only Anjouanese had shown symp- toms of the disease, but on that date some of the other inhabirants of Mauritius began to be attacked ; the usual symptoms of Beri- beri being very marked in most of the cases. Theie were three •deaths in April, the first one being the man who had nursed the Anjouanese. * In May there were two deaths ; a man who had often visited one of the sick Anjouanese showed rapid signs of the disease and died on the 10th ; and an Indian woman who on the same date gave birth to her child, sickened with Beri-beri and died on the 22nd. On June 11th her husband took ill and died five days after from the same disease, and the baby is adopted by Mrs. de Caila, and, as has been seen, in spite of all that care, devotion, and good hygiene could do, the child dies on June 23rd from Beri-beri, and Mrs. de Caila soon after catches it and nearly dies. By July 1st, ]901, six more persons, all of whom had been in contact with the «ick Anjouanese or with other Beri-beri cases, had contracted the disease, but had all recovered. * The interesting facts in this epidemic are : * I. A population of 326 persons living under the very best -conditions had no disease amongst them, except colds (malaria does not exist at Diego), before the arrival of the Anjouanese. ' 2. On July 27th, 1900, nine Anjouanese arrive in the island, ^even of them with incipient Beri-beri (mixed form). * 3. The disease spreads amongst those of the population who had been in contact with the Anjouanese, and not amongst the rest of the inhabitants. Therefore there can be no doubt as to the contagiousness of Beri-beri. *4. Again, the rice eaten after the arrival of the Anjouanese BERI-BERI. 23r was the rice that had been in the stores in the island hefore their arrival. ' 5. Moreover the same rice was being eaten at the other camp (Camp Marianne), and also at Peros Banhos, where Beri- beri never broke out. ' Therefore, this Indian rice could not have been the cause of the disease. ' (). The disease disappears from Diego after the departure of the Anjouanese. '7. Dr. Bolton arrived on July 1st, 1901, when the last six of the cases amongst the inhabitants were recovering ; he saw these and also Mrs. de Caila, at whose house he lived. He only spent two months in the island, and returned to Mauritius, and two months after he contracted a mild form of the disease, recovering in a few weeks.' Bibliography : Personal Notes ; Bulletins de la Societe Medicale de Vile Maurice .• Dr. J. Bolton's Notes ; Dr. Daniels' Tropical Medicine and Hygiene. CHAPTER Xlir. Diphtheria. 1878 AND 1907 TO 1909. * History. — Just as with the other epidemics, Diphtheria, from the earliest period of the Island's history, every now and then broke out sporadically, and scared the families with young children, for the disease once imported seemed to hide its germs, and whenever the occasion was propitious brought them out of their crannies, nooks and corners, to attack the throats, especially of the young. Neverthe- less, a decade or two would sometimes elapse, during which only a few cases attracted the doctors' attention. ^ Epidcuiic of 1878. — But in 1878 the disease spread with such rapidity and virulence in the Moka district that it became necessary to take preventive measures against its extension to the other districts. But it managed to leak through iuto Port Louis, where it occasioned a pretty severe epidemic, and also into the southern districts, where even several doctors lost their children. In those days, before the bacteriologists had discovered the Bacillus diphtherice and serotherapy was not yet hinted at, therapeutic agencies were all but useless, even tracheotomy could not in half the cases stop the invasion of the bronchi. In those days there was a layman in Mauritius of the name of Gentrac, who had made out of simple herbs a secret remedy, which when applied to the patient's throat before the fourth day of the disease, was invariably successful, — and from morning to night this man was hard at work curing the little ones. Professor Brown Sequard, of the College de France (Paris),* * This celebrated physiologist was born and educated in Mauritius. He was offered the chair of J'hysiology at Oxford, but preferred to retain that of the College de France. DIPHTHERIA. 239 persuaded him to visit Paris, and try his remedy on the children, who were dying from Diphtheria by the hundred at the Trousseau Hospital. The Paris Academy at once placed the children under his care^ but his remedies here had no effect, and the fatal cases were as numerous as before ; he returned to Mauritius a sadder man than when he left, and he handed his secret over to a Monsieur Flauricourt, who became as successful a healer as Gentrac had been before he left for Paris. In all probability Gentrac's Avant of success in Europe was due to the fact that the herbs he used in Paris, though the same in every respect as those of Mauritius, grew on French soil. * It is a well-known fact that the same plants have different properties according to the soil they grow in. The cacumina of Genesta coparium have diuretic effects in the British Isles, but not so the French ones. They produce dizziness and vomiting in France. So also the edible potato is a poisonous tuber in some of the islands of the Pacific Ocean, whereas the berries can be eaten with impunity. *To return to the epidemic of 1878. In those days, unless fever prostrated the little patient, or his swollen submaxillary glands, attracted notice, no attention was paid to his complaint of soreness of throat, or to red spots on the veil of the palate ; and even then, unless membranes were forming on his tonsils or his fauces, no measures were adopted to check the disease, which a day or two later laid such a firm grip of its prey, that no skill, not even Gentrac^s infusions, could rescue him from the claws of death. 'The doctors at that time did not believe that Diph- theria germs could exist in mild sore throats without fever and without submaxillary swelling, for bacteriology had not yet taught them that even the most benign case, without any red spots or n^embranes, could in a few days develop into a malignant one with adherent membranes full of Loeffler's bacilli. In other instances, sudden local paralysis occurred in persons who apparently had not previously had Diph- theria and no sore throat to speak of except a few red 240 THE EPIDEMICS OF MAURITIUS. spots on their tonsils, but who liad been in contact with diphtheric patients. If the mucus from these red spots had been examined under the microscope, or a culture made from it, Loeffler's bacilli would have been revealed. 'Now, of course, the situation is different, but in those days neither the bacillus nor its cultures had been discovered. ^Symptoms. — The general symptoms were : (1) As to the aspect of the throat : redness, partial or total of the throat, sometimes limited to one or both tonsils, or to the pillars of the fauces, or to the uvula ; the tonsils were sometimes swollen and glazy. (2) With regard to the false mem- branes : their extent and appearance varied from a simple, filiform, yellow or white spot, to a pultaceous mass covering one or both tonsils, pillars of the fauces, and the soft palate. If the spots were aphthous in appearance, the prognosis was serious ; the disease then often ended in local paralysis. (3) With regard to the fever, the temperature rarely rose high, but it sometimes went up to 39''-5 C, and 40° C, and came down in a few hours in some patients, whilst it remained high in others. (4) The pulse was generally normal but weak, except in those who had fever. (5) The submaxillary glands were not very swollen, and yielded to treatment in a few days. (6) Albuminuria existed in a feeble degree as a rule in all the cases, and persisted sometimes for months, so did the anaomia and paralysis of the soft palate, the sequela3 of the disease. 'After 1878 there was no other epidemic until 1901, which was very mild and easily extinguished, but that of 1907 remained three years. 'Epidemic o/1907, 1908, and 1909.— By this time— May 1907 — not only was lioeffler's bacillus well known, and its culture likewise, but the Government had opened a labora- tory at St. Pierre village in Moka, and a competent bacteriologist, Dr. Lafont, a former army surgeon and pupil of Pasteur's Institute, had been appointed its director. Consequently, although the epidemic was severer and more extensive than that of 1878, yet under the early injections of anti-diphtheric serum into all suspicious cases, as well as DIPHTHERIA. 241 into those severely affected, a fatal issue became very rare, and the local post-paralysis less common. It was not, how- ever, until March 1st, 1908, that there was a lull in the spread of the disease, but it was of short duration, for it started afresh at the end of August, and lasted till November 3rd, to begin again on February r5th, 1909, to the end of March ; once more there is a period of calm until July, when it persisted until the end of the year. ^Epidemic of 1908 and 1909. — But most of the cases of 1908 and 1909 were either relapses of those of 1907, or in persons (adults and children) who had been in contact with diphtheric patients either during or soon after their illness, — and some cases (it is stated by Dt. Clarenc, who had the most successful practice in Mauritius during this epidemic) were contracted by people going to live in houses where eight years before (epidemic of 1901) children had died from Diphtheria, although those houses had been considered disinfected (about their method of disinfection anon) by sulphurous fumes. He mentions that a family took a house in 1908 previously infected in 1901, and whilst they were in it they had the flooring pulled up, and a new floor put in. A few days after, several members of that family became seriously infected with Diphtheria. He quotes other instances of a mere visit of ten to twenty minutes to the laboratory where Dr. Lafont was making diphtheric cultures, as being the cause of Loeffler's bacilli being found on the throat of visitors before they left the laboratory. * In other instances no reason could be given for persons living at a distance from the diphtheric foci contracting the disease, except that these persons had passed through a village, a few days before, where Diphtheria existed, and yet they had not stayed there any time nor talked with the people of the village. But such accidents only occurred during the hot and wet months of December to April, during which time the Diphtheria epidemics used to be most violent. ' Criticism. — From a study of those epidemics in Mauri- tius one cannot but come to the conclusion that the Bacillus R U2 THE EPIDEMICS OF MAURITIUS. diphtherm must be a most subtle, long-lived, quickly pro- pagated germ, that it easily floats in the air. lives and' propagates itself in the dust of rooms even for eight and ten years, and given a propitious nidus in the nose and throats of children (as their mucous membrane is tenderer and less thick than that of adults), it quickly secretes its toxin. There is food for thought here for sanitarians and bacterio- logists. How long after a diphtheric child is healed is he a safe individual ? In some of Dr. Clarenc's cases, children. sixty-six days after their illness gave it to other children, playing with them at some distance from the infected house- As with typhoid, the once-diphtheric patient may carry the diphtheric germs with him in his throat for many months. ' Is not the doctor too an ambulating box of microbes scattering Diphtheria, Small-pox, and Beri-beri germs, not to mention the other zymotic micro-organisms, wherever he goes? ' Dr. Clarenc and Dr. Lafont, of the Bacteriological Institute, found Loeffler's bacilli in their own throats after coming from Diphtheria-infected houses, even after they had gargled several times with antiseptics ; true, the cultures of the mucus from their throats produced only attenuated and distorted bacilli which took a long time to grow in gelatine and serum cultures — still there they were. ' Technique. — Dr. Lafont reporrs* that he "made 230 examinations of mucus specimens scraped from throats of diphtheric patients in Moka, and 119 gave Loefller's bacilli ; out of 520 analyses of specimens sent from all parts of the Island 52*5 per cent, gave microscopic positive results, and 6S per cent, culture positives ; and yet most of the other negative ones came from individuals who certainly had Diphtheria. It is therefore an error to suppose that Loeffler's bacillus can be detected in every diphtheric case. Some gave negative results under the microscope, but positive in cultures, even though many took a long time to grow ; 3 per cent, of microscopic positive specimens gave * Bulletins de la Societe Medicale de Maurice. DIPHTHERIA. 2U per cent, {i.e., negative) culture results, and 7 per cent, of microscopic positive gave positive cultures after the fourth or eighth day. ^Bacilli — "The bacilli were either short, medium, or long. The first were generally found in benign cases, but were very contagious, the medium were plentiful in the cases with false membranes and easily destroyed, and the long in virulent and dangerous cases. Where these last were seen, and especially when accompanied by streptococci, the prognosis was always bad, unless large and early doses of the anti-diphtheric serum were injected." ' "Even after the spots and the membranes had disappeared under the serum treatment, Loefflor's bacilli were seen sixty- six days afterwards in one patient's throat, thirty-three days in two, thirty in three, seventeen in four; the average was fourteen days. The bacilli were not easily seen in the false membrane, except at its very centre, where they were plentiful. Some of these membranes could be easily re- moved, and others not ; in the latter case the bacilli were more plentiful than in the former. ' " But all resistant false membranes do not necessarily contain Loeffler's bacilli. In streptococcic and in Vincent's anginas, both producing resistant membranes, Loeffler's bacilli are not to be seen, either under the microscope or in cultures." '•'At Moka all the varieties of Diphtheria were seen, viz., the true Loeffler's diphtheria, the influenza angina, the coccal, pneumococcal, diplococcal, streptococcal, and Vincent's anginas. This last was frequent in prisons, but not exclusively there. There were also one syphilitic and one tubercular angina." * Treatment. — As soon as it became known that an anti- diphtheric serum had been produced in Europe, a large quantity was imported from the Pasteur and the Lister Institutes, and the injections made when the epidemic of 1901 broke out, and the success was so pronounced that at once the empirical treatment (Gentrac's and Flauricourt's) was given up altogether. 244 THE EPIDEMICS OF MAURITIUS. ' The doses of tlie injection varied according to the patient's age and the severity of the attack, from 2000 to 6000 units (Lister) and from 28 to 60 c.c. (Pasteur), and they were given early. * * " Even if Loeffler*s bacilli were not detected at the laboratory examination, if the clinical symptoms were suspicious, an injection was made. The accidents of serism were very rare and not serious ; they consisted in a temporary swelling of the face, in slight short syncopic attacks, and in the production of urticaria in spite of a previous administra- tion of calcium lactate. A roseola and great pain in the wrists ensued in a child after a severe relapse occurring fifteen days after his first attack ; eight vials of serum had been injected.'' * Salicylic acid gargles and swabbing with glycerine of tannin or tinct. iodi were also employed. * The singular appearance of yeast on the throats of the little patients as the membranes disappeared under the influence of the serum, I do not think has been observed in other countries than in Mauritius. Invariably every microscopic and chemical examination of mucus taken from the throats of those who were healing revealed the presence of these yeast forms. Whether or not this is due to the fact that in a sugar-producing country children are always eating sugar-cane, and that it is to be found in all their food, milk, &c., it is a fact worth noting. 'Disinfectants. — The infected rooms were disinfected by burning large quantities of sulphur, after closing as best one could all the openings and crevices. But, as we now know, unless sulphurous acid fumes be forced into an air-tight room in large quantities and under great pressure, as by Clayton's apparatus, the disinfection is not thorough ; so also with every vaporous disinfectant. And that is pro- bably the reason why the Diphtheria, Beri-beri, and Plague epidemics have become more or less endemic in the Island. A few Clayton's apparatus, well managed by a competent * Bulletin de la SociiU Medicate de Maurice. DIPHTHERIA. 2^5 engineer, will do much towards exterminating these fell diseases for good and for ever. * I learn that one has heen sent out, but that the Indian and black servants not only steal the contaminated clothes from the infected rooms before the disinfection has taken place, but that it is impossible to force sulphurous fumes into a thatched Indian hut or into a black man's shanty. The only way would be either to burn these thatched houses and shanties down, or to remove the thatched roofs and put new 'ones on, and plaster the whole of the interior of the house and cement the floors.' DIPHTHERIA BACILLI. Bibliography: Bulletins de la Societi Medicale de Maurice (Dr. Clarenc's articles) ; Correspondence and Interviews ; Dr. Bolton's notes. I am greatly indebted to the above sources of information, as there never was an epidemic of Diphtheria in the Island whilst I was there CHAPTER XIY. Plague. Plague is an acute, chronic, and infectious epizootic disea^se of the grey ship-rat, Uvs JVorregicHS, and the hlack house- rat, Mus Rattus, and other rodents. The bacillus, which is not stained by gram, but stains bipolarly, is transferred to man by the rat-flea, the Xenopsylla Cheopis^ which deposits it from its saliva, excreta and urine, into the skin -wound, and in eight or ten days a bubo forms in the groins or axillary glands of the person bitten. This is characteristic of the * Bubonic Plague.' The second form, ' Pneumonic Plague,' is also conveyed by the rat-flea, but it attacks the lungs, and produces congestion of these organs, and is transmitted from the sputum and breath of the patient. The third form, the ' Septic or Septicaomic Plague,' attacks the blood, and the bacilli are absorbed in the food contaminated by them, or by pus from the Bubonic Plague, or again from the sputum of the Pneumonic patients. In other words, the first two varieties may pass into the third. Domestic animals, dogs, cats, horses, and donkeys, may catch Pneumonic Plague, and become sources of infection. Dead rats in Plague countries are a warning of the proximity of danger. Every one in those localities must at once get inoculated with the antiplague, Hafi'kine's or Yer8in\s, serum. Symptoms. — The following symptoms are common to all three varieties : Sudden onset, high temperature and dizzi- PLAGUE. 247 iiess, great prostration, bloated features, injected conjunc- tiva), thick speech, and tendency to heart-failure. In the mild or ambulating form, these symptoms may be attenuated, though the patient may die suddenty. Bubonic Plague. — Swelling of the lymphatic glands of the groins, and sometimes of the arm-pits and neck ; of the first in races who go about bare-footed. A primary vesicle •or pustule forms quickly at the site of the flea-bite ; patient has pains in the head, looks frightened, anxious, pale, haggard, drowsy, and totters when he attempts to walk ; he is thirsty, and lips and teeth are covered with sordes ; he is delirious and may die in convulsions. As is usual in every fever, his urine is scanty, and his liver and spleen ^re enlarged. On the third day the characteristic * bubo ' (generally only one) forms on the groin, and grows to the size of a big -Q^^. There is much inflammation ,all around it, and much pain as a rule, and by the fifth day it bursts, discharging putrid' pus. If the patient is to recover, convalescence sets in on the fourth or fifth day, with profuse perspiration, and the wound sloughs. If, on the other hand, the case ends fatally, death ensues about the sixth day. Sometimes petechia) are seen about the body, accompanied by ha)morrhage from the nose and intestines, gangrene of the skin around the buboes, or pulmonary inflammation. P}icu)))Ouic Plague. — Rigors and vomiting often usher in this variety of Plague, the temperature becomes irregular, €Ough and dyspnoea follow, with profuse liquid rusty sputum (that of true lobar or lobular Pneumonia is thick and adheres to the spittoon). Moist rales are heard, e^specially at the back of the lungs ; there is consequently rapid breathing ; the microscope reveals a large quantity of the bipolar bacilli, for this variety of Plague generally ends fatally. Septica^mic Plague. — This is the worst form of the three, the patient often dying within forty-eight hours after the symptoms have begun. These are paleness of the face, Iia)morrhage, great prostration, apathy, fever or none at all, 248 THE EPIDEMICS OF MAURITIUS. intense headache, thready pulse, delirium, coma, and as a rule death ensues. Morbid Anatomy, — * ' Marked involvement of the lymphatic system, with destruction of the endothelial lining of the lymphatic and blood vessels/ Diagnosis. — Plague in its early stages resembles typhus, but the microscope reveals the difference. Yenereal bubo resembles a Plague bubo ; here again the microscope will reveal the Spirillum pallidum of syphilis. Relapsing fever may simulate it, but this is due to the Spirocl/ceta Ohcrmeieri. Malaria may be mistaken for it, but the malarial parasites are easily recognised. Influenzal pneumonia also may be mistaken for it, but the thick sputum and the diplococci are characteristic of pneumonia. Septicaemia resembles it, but the Plague bacilli will settle that difficulty. Treatment of Plague. — Antiplague vaccine of Haffkine or Yersin's antiplague serum as a prophylaxis. To keep away fleas: Pesterine.* This consists of: Kerosene, 20 parts; soft soap, 1 part ; and water, 5 parts. Dissolve the soap in the water and gradually pour the oil into the hot mixture. Naphthalene by itself, or naphthalene in kerosene. Tricresol p>ou'der (3 per cent, cresol powder). The Pneumonic patient should be in a well-aired room. Strychnine, strophantus, and aromatic spirits of ammonia are useful cardiac stimu- lants, better than alcohol which may increase excitement. Patient should be kept quiet and in a recumbent position, as cardiac failure may ensue on sudden movement. Yersin's and Ludwig's antiplague sera (50 to 100 c.c.) administered intravenously in some cases of Bubonic Plague act well if employed early. Treat the symptoms : cold sponging for fever, glycerine of belladonna over unbroken buboes, but incise aseptically as soon as suppuration sets in ; injection of tincture of iodine in the neighbourhood of buboes ; morphia as a hypnotic and cardiac stimulant. * ' Attendants should wear leather or rubber gloves,, overalls, puttees, and gum boots ; in the Pneumonic wards * According to Memoranda of Medical Diseases of the Mediterranean War Area (published by the Government, 1917). PLAGUE. 24» they should wear, in addition, masks and goggles. Note that Plague bacilli persist in patients for three weeks, therefore convalescents must be isolated for a month.' 'Patients' clothes, rags, &c., should be burnt, and the house thoroughly disinfected by Clayton's apparatus (3 lbs. of sulphur for each 1000 cubic feet), or the thatched huts should be burnt.' * Clayton's apparatus easily disinfects a ship by using 3 lbs. of sulphur per each ten tons of tonnage. Rats and PLAGUE BACILLI. fleas will at the same time be destroyed. Fumigation should be continued for twelve hours. Rat guards must be fixed on mooring hawsers and cables.' It is convenient to divide fleas into two great families,. viz. : Those with eyes^ and those without eyes. Those with eyes, are subdivided into three classes: (1) those without a comb of bristles on their neck or on their chin ; (2) those with only a comb on their neck {Ccratophyllus) ; and (3) those with a comb on their neck, and one on their chin {Cte)iocephalus), This last group has also got hairs on the back of the tibiae, arranged in pairs. 250 THE EPIDEMICS OF MAURITIUS. To the class of fleas with eyes and without combs on neck or on chin belong the tropical Rat flea (Xriiop-sf/Ua C/ieojm), and the Human flea {Pulex irntans). They are both yellowish in colour, and the Rat flea has a single hair growing almost vertically in front of each eye, whilst the Human flea has a hair growing hoiizontall}^ beneath but not in front of each eye. But the Ccratophylhis fasciatus is also a Rat flea of the temperate climate — it is greyish, and does not take so easily to man as the Xe)iopf>yUa. The Hoplopmjllm (uiomaJuSf the ground squirrel flea, also feeds on man and can carry the Plague bacilli ; so also can bugs and lice from an infectious case. Daniels advises as a protection against fleas the use of -a liniment containing the oils of cherry laurel, eucalyptus or citronella, to be applied freely to the parts likely to be invaded. PLAGUE. 251 PLAGUE IN MAURITIUS. ' Oiithveal'. — Towards the middle of January, 1899, Dr. Dubois, who was in charge of the Public Hospital at the old Powder Mills in Pamplemousses, reported to the C.M.O. that he had a patient whom he suspected to be suffering from Plague. The patient died the same day. Next morning the C.M.O. and Dr. Bolton made a post-mortem of the body. The body was that of a well-developed Creole of mixed African and Malagasy origin. ' One side of the chest presented an extensive cedematous swelling, extending well into the armpit. When this was cut into, the subcutaneous tissues were found to be infiltrated with bloody serum. The axillary glands were matted together and imbedded in a mass of blood exudation. They were all highlj^ inflamed, and showed numerous hsemorrhagic spots on section. * Slides made from, the cut surfaces revealed numerous bacilli, which readily took the bipolar staining. This was the first recognised case of Plague in the Island. The patient, Louis Nicolas, lived in Camp Yoloff, in the western suburb of Port Louis, when he was taken ill. An inquiry to find out how the man had got infected, brought to light the fact that previously to this case there had been several persons in the same locality who had suffered from enlarged glands — one of whom had died. ' Louis Nicolas had worked in the docks when, at that time, the SS. Mpanjaka from Madagascar was undergoing repairs. In the last three months of 1898 several members of the Antemoor tribe had died in Tamatave (in Madagascar) from what was afterwards recognised as Plague ; and some Mauritians (Creoles) domiciled in Tamatave had died, and their effects sent to Mauritius to friends, inhabitants of Camp Yoloff. It was therefore suspected that the disease was introduced from Madagascar. This point was ij-eyer very definitely made out. - .^ * March of the Disease. — For some time the disease appeared 252 THE EPIDEMICS OF MAURITIUS. to be confined to Camp Yoloff, several cases having followed the one of Louis Nicolas ; and at one time there was every indication of its having been stamped out, as no fresh case was discovered for more than a fortnight. However, fresh cases soon began to crop up in other parts of the town, and from there it spread to the districts, and is now endemic. ' Many factors have operated in furthering the disease, viz. : ' 1. The mode of propagation of the disease and the part played by rats and fleas not being at that time established, disinfection was carried on in such a way that it was soon considered synonymous of " destruction of property," and, as the compensation granted by Government was always inferior to the value of the articles damaged or destroyed, the people removed their goods and chattels, infected and harbouring fleas or not, and lodged them elsewhere as soon as they suspected a case of Plague on the premises. And they still do it, even at the present day, and in spite of inspectors, sanitary wardens, and C.M.O. ! * 2. The ignorance and obstinacy of the uneducated classes. They hide their cases, which are often discovered only when other inmates of the house or hut have become infected. ' 3. The Chinese shopkeepers, who remove their sick at night so that their shops should not be disinfected. They also scarcely ever inform the Sanitary Authorities if there be any epidemic of rats in their shops. The inspectors have sometimes to bribe their Creole or Indian neighbours to denounce these removals of the sick, and to point out the shops where rats were seen dead or alive. Very often a dead Chinaman was found on the street-pavement in the early morning, no one knowing whence he came. *4. On sugar estates the planters themselves have in several cases helped the spread of Plague by failing to acquaint the Sanitary Authorities with the discover)^ of dead rats in large numbers in the estate's grain store. They have, in one or two instances, actually got men to remove dead rats without taking any precautions to protect them from infection. Several were thus infected. PLAGUE. 253 * 5. Unexpected opposition on the part of certain medical men who were not yet convinced that the disease was the Plague. * Criticism.. — It seems very strange that in a small island like Mauritius, with limited plague areas, the disease has not long ago been stamped out. A Commission consisting of eminent authorities on Plague and Tropical Hygiene should be sent from England to investigate the matter. I have no ■doubt that under their advice and supervision, this fell disease could be permanently driven out of the Colony. The C.M.O. should be a man of firm and resolute character, with an extensive experience and knowledge of Plague and other tropical diseases, and of engineering, architecture, and agriculture. He must be untrammelled by family ties with the inhabitants of the Colony, i.e., with Mauritius. It were wise if all the Government medical officers in the Colony were compelled to take a course of studies at one of the Schools of Tropical Medicine in England. I would go further, and advise that the Governor, the Chief Judge, the members of the Executive Council, the Government Surveyor and Architect, the Forest Rangers, Sanitary Warden, and all other officials connected with the Health Departments of the Colony, should attend a series of lectures on the Diseases of Mauritius. * To return to the march of the Plague in Mauritius. * Types. — The types of Plague observed in Mauritius do not differ from those of other countries — viz., the Bubonic, Pneumonic, and Septicajmic, but the Bubonic is the commonest, the immediate cause of death being, in the vast majority of cases, heart failure. '■ Statistics. — From the commencement of the epidemic in 1899 to October 25th, 1908, there were 6805 cases of Plague in the Colony, with 3579 deaths in Port Louis, and 851 in Plaines Wilhems. The returns from the other districts •cannot be obtained, but according to certain reports about 300 more fatal cases may be added to the above figure, making a total of 4730 deaths. * During the first year there were 1416 cases with a 254 THE EPIDEMICS OF MAURITIUS. mortality of 1100. During the second year the epidemic sank to 796 cases with a mortality of 600. It rose again during the fifth year to 1380 with 1050 deaths, to sink during the tenth year to 167 (the lowest on record) with 80 deaths. But in 1906 it rose to 436 with 310 deaths, and since then it has fluctuated between 100 and 200 deaths per year. As I said before, the Bubonic form of the disease was the most frequent, especially in summer when the fleas are most numerous ; the Pneumonic came next, especially in the cool season (May to November) when colds pre-dispose the lungs for the reception of the bacillus. * Treatment : Preventire and Curative. — Yersin's serum or Lister's was employed during the nine years, 1899 to 1908^ with considerable success, as the following table shows : HEALED. DEAD. At Bois Savon 304 365 ,, Grand Eiver 74 37 ^, Plaines Wilhems 227 120 ' Vaccine was used as a prophylactic, and the intravenous injection of large doses of fresh anti-plague serum as a curative ; but the efficacy of the serum depended on the way it was prepared, or the perfect imtnunisatfon of the horses. Wherever these measures were adopted in a scientific manner before the fourth day, and by competent practitioners, the result was satisfactory, but there are some medical men in Mauritius who consider themselves authorities or experts in Plague, some of whom have only spent a limited time in a bacteriological laboratory in Europe, and have never attended a course of lectures in any School of Tropical Diseases, who decry serotherapy and anti-plague vaccination, because they were not successful with their cases, with the consequence that the Commissioners sent to Mauritius a few years ago to make retrenchments in the expenditure of the Colony, have advised the suj)pre3sion of the only Government laboratory extant, and the dismissal of its Director, probably the only good bacteriologist in Mauritius, a man who has studied at the Pasteur Institute, and under the great masters in France I PLAGUE. 255 I lay stress on this deplorable mistake made by the Com- missioners, to show how the Mother Country may ruin her Colonies in trying to save a few thousand pounds a year ! * Dr. Lafont, the man in question, does not think that Mauritius will ever get rid of the Plague, that the rats are too numerous, and their habitats too inaccessible and scattered over too vast an area to make it possible, without' the outlay of a large sum of money to exterminate them ! He points out that a large area of Port Louis is covered by old wooden houses with double walls and double floors and ceilings,, wherein hundreds of rats live ; that the cellar floors are undermined by numerous tunnels, leading from house to house and across the street into the old drains, where the female, although only four months old, propagates her species by six to eight young ones at a time every twa months, every couple producing a progeny of two thousand descendants in one year. He also points out that until the granaries have cemented floors, walls, and doors, it will be impossible to prevent these rodents from getting access to them. If that part of Port Louis where Plague has been most persistent were to be burnt down and new houses built with impermeable concrete walls and floors, and the old drains filled in, and new drains constructed with a good flush of water and a strong incline, then Plague may cease in town. ' As for the country, he recommends the determined " chasse aux rats " on every estate, the firing of every old camp, the abolition of cellars from every mill and house, and the concreting of the floors, and constant disinfection with 5 per cent. Lysol, as well as the introduction of more cats, rat- terriers, owls, and mongoose. Moreover, every gunny-bng in the Island must be thoroughly disinfected, as they harbour a great many fleas. The above measures, with quarantine and isolating stations, and the compulsory anti- plague vaccination of every individual within a mile of a Plague outbreak, will no doubt save the Island. Of course, that means millions of pounds sterling to be added to the Mauritius debt ! * Difficulty of carrying out Preventive 3reasurcs. — The pre- 256 THE EPIDEMICS OF MAURITIUS. <;edmg remarks sbow how difficult it must be to fight the Plague in Mauritius. In the town of Port Louis there are other very important local conditions to fight against. Most of the houses in the peripheral part of the town are of wood on a stone foundation, so that we have the following structural conditions : 1. A very dark cellar, in most in- stances not two feet deep ; 2. Wooden walls with an inner wainscotting, leaving a space of about six inches on a height •of nine to ten feet. Many of these homes are out of repair, often overcrowded and generally dirty, — with rats, fleas, bugs, and lice in abundance ! Again, there are two or three old underground drains built in the time of the French, more than one hundred years ago. They are now more or less dilapidated, and swarm with rats. These drains are gradually being filled in, but fully one-third still exist {vide Map of Port Louis). ' The whole of the stock of rice, gram, dhoU, oats- bran, :fl.our, &c., is stored in warehouses in the town. The attraction is too great for rats to resist, so they resort to these granaries in large numbers. On one occasion, one of these stores situated in Church Street was cleared because dead rats had been discovered in it. Over four hundred of these rodents found dead and dying were destroyed. How can one expect the town, aye, the whole Island, to ■ever get rid of the Plague as long as these granaries are not made rat-proof? * Every Chinaman- shop contains most alluring food for rats, and they congregate therein. The Chinese supplj^ the largest number of Plague cases. * Private initiative being a thing unknown in Mauritius, the Medical Department gets no assistance from outside ; if anything, their recommendations are ignored and even opposed, so that their task is a difficult one. A fortiori the necessity of having a strong-handed man at the head of that department. * On sugar estates the suppression of Plague is, as a rule, an easy matter. On an order from the Protector of Immi- grants, the infected camp, or part thereof, is vacated at once. PLAGUE. 257 and the inmates lodged in temporary structures built on a distant part of the estate, and the old huts burnt down, rats and all insect life perishing. In every case this measure has proved successful. ' On one estate the daughter of a rat-catcher was ill with Plague. The Inspector asked the mother where her husband kept the rats he caught. She went into the hut and came out carrying a tin pot in which were half a dozen dead rats ! It came out that this man had to produce a certain number of rats daily. Whenever he caught more than the number allotted as his task he used to keep the surplus at home, and produced them next day. He used to set traps, and also hunted with a dog. As rats were dying in the camp he would pick them up and keep them. The sick rats found were also easily caught by his dog. The whole family (four) eventually contracted Plague. * In a few instances the disease would appear to have^ been transported on sugar estates in second-hand gunny- bags, bought in Port Louis from infected stores. * Some proprietors, acting on Dr. Bolton's advice, disin- feet all the gunny- bags before being stored on the Estate — rice and other grain being rebagged. No Plague has aa yet been reported from these Estates. *That part of the town where gunny-bags are stored has- had many cases of Plague. ' To facilitate the transport and treatment of Plague cases, lazarets have been constructed at Mahebourg, Souillac,^ Flacq, Poudre d'Or, Beau Bassin ; at Port Louis the old Lunatic Asylum is used, as well as a lazaret at Bois Savon, near Abercrombie police-station. At each, patients are treated and suspects isolated, * Conclusion.. ^Although, cases of Plague have, within the last two or three years, been less numerous both in town and country, yet occasionally the mortality still goes up to six and seven per day, then there will be a lull of a few weeks,, and again cases crop up. After heavy rains, when the rats are driven out of the drains, or after severe droughts when they come out for water, the mortality is greatest. For 268 THE EPIDEMICS OF MAURITIUS. several years past tlie cases amongst the white people have been few and far between, for as soon as a dead rat is seen on the premises or in the garden, the house is evacuated and thoroughly disinfected from top to bottom, and re-painted and re-papered, whilst the family get re-inoculated with Yersin's serum. * Yery often a procession of rats can be seen leaving one part of the town and migrating to another part. It is always an indication that the abandoned homestead is plague-ridden, and at once a search for dead rats is made, and they are invariably found in large numbers ; but before the place can be disinfected several inhabitants are attacked with Plague and die. In the meantime, the people amongst whom the undesired rat- guests have sought refuge, take alarm and vacate their homes, whilst the Medical Depart- ment disinfects and chases the rats away. But they move on and search for pastures new, always leaving death and destruction in their path. * In spite of large sums of money spent in the attempt to annihilate this detested rodent, it still multiplies and infests the land. * The mongoose has been introduced all over the Island, but the destruction of birds became so rapid that it was found necessary, in order to save the sugar-canes from devastation by insects (borer and others), to kill the mongoose. * The Colony has had to bear heavy expenses in connec- tion with its Medical Department. These were already heavy enough ever since malarial fever broke out in 1868, but now what with Plague and Surra, and the expense connected with the ever-vigilant quarantine stations, no wonder Mauritius is nearly ruined, and ruinous Commis- sioners are sent out to add to the burden in seeking to lighten it ! Bibliography : Government Reports; Interviews with Medical Men from Mauritius; The Press articles on Plague; Bulletins de la Societe Midicale de Maurice. CHAPTER XV. Phagedenic Epidemic. As will be seen in this chapter on the epidemic of Phage- ■daonic ulcers in Mauritius, the doctor in charge of the cases was not sure whether the ulcers were not due to the (then) newly-discovered Leishman bodies. It is now well known that these parasites or protozoa are introduced into the human body by the bite of the Phlebotomus midge or of infected bugs. It will have been seen in the preface on Malarial Fever that some midges resemble mosquitoes, but an easy way of recognising the latter is to see whether the second and fourth ribs or veins on the wing are bifurcated, and the third short and not extending to the base or starting point of the wing. After a fortnight or even a year's incubation, the lesion appears on any exposed part of the body, commonly on the forearm, hand, and face, and looks at first like a hard red papule covered with a brown scale ; it then increases in size, and softens, and the skin becomes purple and glazed, with a narrow rim of chronic inflammation around it. After a period of three or four months a painless superficial ulcer is formed and is covered by a dark adherent scab, from beneath which swelters foul- smelling yellow pus. The ulceration spreads to the surrounding tissues and causes (Edematous swelling. In six or twelve months pus is re- placed beneath the scab by healthy granular tissues, and the ulcer becomes shallower, heals up, and leaves a white or pink scar. The virus is inoculable, but there is no constitutional •disturbance, and one attack confers immunitv. Sometimes 260 THE EPIDEMICS OF MAURITIUS. the papules do not ulcerate but grow big and soft, and the skin covering them becomes purple and shiny. All the same, they are full of Leishman bodies, and they eventually shrink, dry up, and are absorbed. Diagnosis. — Phagedaenic ulcer. Trench sore, Yeldt sore, and Tertiary syphilis may be mistaken for one another. The microscope reveals the Leishman bodies in Oriental sore, and staphylococci in the first three just mentioned, and Spirillum pallidum in the last. The history and symptoms LEISHMAN PARASITES. of these are characteristic. The Trench sore is more acute and of shorter duration than the others. Treatme}it. — * ' Intravenous injection of tartar emetic, 1 per cent, solution of antimony tartrate in distilled water, 5 to 10 c.c, every alternate day. 'Intravenous injections of salvarsan and neosalvarsan, in the usual doses. 'Injection of hectine (an organic arsenical preparation), 1 e.g. for each four kilos of body weight, into the indurated periphery and base of the sore, twice or thrice weekly. It induces rapid healing, and lessens scarring if used before • Memoranda of Medical Diseases in the Mediterranean War Area. PHAGEDENIC EPIDEMIC. 261 ulceration begins. Local applications of tartarated anti- mony (2 per cent.) ointment once or twice daily, or of ointment made up of equal parts of medicinal methylene blue, A^aseline, and lanoline, nigbt and morning for fifteen days ; then wash away the ointment and reapply fresh until healing is complete. * Perma^nganate of potash dusted on the sore is very efficacious, but it is a painful treatment, the pain persisting for eight hours. At most three applications are necessary before the sore is transformed into a simple ulcer. * Carbon dioxide, radium exposures, are also useful. * Prophylaxis. — Paint the site of all fly and other insect bites with iodine as soon as possible. Remember, Leishman- iosis is contagious and auto -infectious.' 262 THE EPIDEMICS OF MAURITIUS. PHAGEDENIC ULCER EPIDEMIC (1903). Dr. Rouget, of the Civil Hospital, Port Louis, relates that : *In the last months of the year 1903, without any apparent rhyme or reason, barefooted Creole and Indian labourers in the low-lying districts of the Island were attacked on their legs, ankles, and dorsum of the feet by ulcers which quickly spread and sloughed. * Origin. — These ulcers either started from papules, accidental pricks and abrasions of the skin, or from a boil which formed a blebs and then burst, leaving an ulcerative surface. * Sf/mptofns, — In the milder cases the skin and sub- cutaneous tissue only underwent gradual sloughing, and the ulcer became circular with irregular and indurated edges, and looked like an Oriental sore, or Delhi boil, whilst in the severer cases an (Edematous areola formed around the ulcer and quickly became undermined, generally along the vertical axis, and soon muscles, tendons, and bone became exposed over half a foot to a foot in length, by five to six inches broad ; putrid greyish green pus, or an adherent slough, covering the wound. These severer forms were certainly j)haged8enic. * Spread of the ^jndeniic. — From the country the disease spread to Port Louis, and from January 1904 to May patients crowded into the Civil Hospital in the Capital, and into the other hospitals and dispensaries, as the following table shows, and the epidemic only abated in October, to- disappear completely by December 1905, after having lasted two years and four months. PHAGEDENIC EPIDEMIC. 263 STATISTICS. ADMISSIONS. Civil Hospital of Port Louis. Other Hospitals and Dispensaries. Total. 1903. August September October — 40 31 53 40 31 53 November . — 55 55 December . ~ 90 90 1904. 269 269 January February March 28 69 96 248 480 524 276 549 620 April . May . June . 65 44 20 310 227 124 375 271 144 July . August September October 26 18 12 7 89 60 51 49 115 78 63 56 November 9 33 41 December . 5 28 33 1905. 398 2,223 2,621 ■ January February March 12 20 18 ! April . May . June . 9 13 6 s - 1 o July . August September October 1 2 5 1 November 4 December — 489 TOTAI ^ • 489 C }rand Total 3,110 264 THE EPIDEMICS OF MAURITIUS. * Prevalence, — As has been seen, the disease prevailed during the hot and rainy months — the fever months — December to April. In the majority of cases the disease was associated with anaemia and splenomegaly, or anaemia alone, and was severe amongst the very poor. ' Treatment. — The treatment Dr. Rouget found most efficacious, after having tried various antiseptics, was Hanson's cauterisation of the ulcer with pure carbolic acid, until sound granulations were obtained, and afterwards the dressing of the wound with powdered camphor ; in Mauritius a poultice of powdered camphor and pounded sorrel leaves (Oxalis corymhosa) is frequently used by the common people for ulcers. Under the above treatment the wound rapidly healed. There were a few relapses, but they healed too. Good food and tonics followed. Only one death was recorded at the Civil Hospital during that epidemic. No mortality returns from the other hospitals of the Island are to be found. ' Dr. Rougefs Conclusions. — Dr. Rouget gives his reasons for believing this epidemic to be one of Tropical Sloughing Phagedaena, and says that in scraping the sides of a well- washed-out ulcer and examining the exudates, he found a large number of very actively motile bacilli, straight or slightly curved, with rounded or somewhat tapering ex- tremities, their length being three or four times their width. On staining with a basic aniline dye the centre of the bacillus did not take the stain. He also found some very fine spirilla, non-gram staining. The bacilli grew in the ordinary media, and were aerobic. He maintains they are similar to those described by Crenderoponto of Camaran, as occurring in the ** Ulcere de Yemen," or Phagedaenic sloughing ulcer of Tropical countries. * Criticism. — But knowing how handicapped the majority of the physicians in Mauritius are in Tropical bacteriological research, through the absence of the necessary implements for such delicate work as can only be achieved in an up-to- date laboratory under a competent teacher, I think it would PHAGEDENIC EPIDEMIC. 265 Ije wise to withhold one's verdict as to whether this epidemic was one of Tropical sloughing Phagedaena, or one of pure Phagedaena {hospital gamfrene), or one of Oriental sore com- plicated by Phagedaena and syphilis. True, only in one of his cases was the ulcer on the generative organ, on the vaginal cul-de-sac, and implicating the os uteri ; but his •description of the milder cases at the Civil Hospital looks like that of a Delhi boil. With the present means of recognising Leishman- Donovan bodies. Dr. Rouget might perhaps have found them in the exudation scraped from the ulcer. Their transitory forms might have been present ^nd been easily overlooked. * I believe the phagedaenic ulcers seen in hospitals in the Temperate climate do not reveal the presence of motile bacilli (though Brownian movement may be mistaken for motility), but those seen stain uniformly, and are in other respects similar to those found in the sloughing Phagedaena of the Tropics. The question is whether on these slight "differences one is justified in not believing that the two •diseases are one and the same. Both are produced by infection ; in both Spirilla pallida have been found, to- gether with the supposed causative bacilli. In the Tem- perate jclimate hospitals a syphilitic sore is often the starting contagion-focus whence all the ulcers in the ward became infected, and took on the phagedaenic character ; or the air of a putrid insanitary ward seemed to change healing wounds and ulcers into gangrene. So could we not attribute the epidemic in Mauritius to some malignant micro-organism or bacillus, generated during a long droughty season from the offal and refuse of the roads, and deposited on the grass and sugar canes in the fields, awaiting the necessary conditions (warmth and rain) to become active and virulent, and the slightest abrasion of the skin offered a door of invasion to the organism ? Or again, if it be asked why did not the epidemic break out before 1903, if the cause was always present in the offal, dust, and refuse ? If a long period of drought, accompanied by high wind, preceding the hot and rainy season (when the disease broke 266 THE EPIDEMICS OF MAURITIUS. out) be not a sufficient explanation, perhaps we might find one in the human manure mixed with guano from South America, with which the sugar cane fields are prepared before the sugar cane is planted; that year's guano might have been contaminated. In support of this hypothesis, note that only the exposed lower extremities (with one exception), and rarely the hands, were the seat of the ulcers, and that the thick skin of the soles of the feet and of the palms of the hands, not easily abraded, escaped; also that women (with one exception), few of whom work in the fields, and children, in town at least, did not suffer. The seat of the ulcers on the lower uncovered extremities might suggest a flea or low-flying insect, or even a mosquito as the carrier, but in that case women and children would have been affected as easily as the men. *My opinion is, in view of the extreme resemblance between the two diseases — sloughing Phagedsena of tem- perate climate (^.^., hospital gangrene) and sloughing Phagedaena of warm climate, the one we are now con- sidering — that they are both one and the same, and are caused alike by the same malignant organism, or by different species of the same germ, concerning which the final word has not yet been said.' Bibliography : Dr. Rouf^et's Thesis for the Edinburgh M.D, degree ; Bulletins de la SociMe MSdicale de Vile Maurice ; My own notes of cases seen in the University College and Paris Hospitals. I am greatly indebted to Dr. Rouget's excellent Thesis, as it is the only work giving an account of this epidemic. APPENDIX FAUNA OF MAURITIUS, The only indigenous living creatures found on the Island at its discovery were the Aphanapterix ; a large fruit-eating Bat ; the Dodo ; and the vSolitaire. All four are now extinct, but their fossils have been disinterred and can be seen in the Museum in Port Louis. Some authorities maintain that the Portuguese counted four mammiferous, twenty-four ornithological, and twelve reptilian species on the Island. Of the t\v'enty-four species of birds only eight remain ; the others have been introduced from Asia, Mada- gascar, and Africa. Of the indigenous animals, the Tandrake, Monkeys, Bats, and Frogs still exist ; and many others were introduced, viz.. Cattle,. Horses, Mules, Donkeys, Monkeys, Hares, Babbits, Deer, Pigs, Tortoise, Goats, Cats, Dogs, Mice and Rats (which have always been a pest), and Mongoose. The eight indigenous birds are the Cnisinier Thiush ; the Phaeton (two varieties, yellow-beaked and red-beaked) ; the Ringed Parrot ; the Chicken-eater (a falcon) ; Meyer's Dove ; the Woodcock ; the Banana Bird ; the White or Manioc Bird. Those introduced are the Curlew ; Turnstone ; Petrel ; Frigate ; Terns; Plover; Cuckoo; Martin; Mynah ; Canary; Turtle- dove ; Indian Crow ; Sparrow ; Swallow ; Pigeons ; Partridge ; Quail ; Sarcelle; Bengali ; Pingo; Merle ; Cardinal ; Gasse ; Wood- pecker; and Bo'swain. The Island is remarkably free from obnoxious insects and reptiles. Nevertheless, the following are plentiful : Centipedes, Millipedes, Scorpions (lulus and Scutigerus), Ticks, Bugs, Redi- vivuspersonatus (Punaise Maupin), Pediculi, Acari, Pulices, Ants, White Ants (Termites), Ladybirds, Moths (the larvje of some of which, the Borers, are very destructive to the sugar-cane). Lizards or Tchekos, Frogs, Spiders (Olios leucocinus, Salticus, and Epoires), Carapates, and Butterflies, which are very numerous. The pi-ettiest variety has yellow and black wings ; another, A^ekety black wings with blue blotches on them. The Liptoceres and Vanessa were indigenous, but have died out. The following are from Madagascar : Papilio demodicus, Vanessa Radami, Atellanta phalanta, Danais chrysippus, Phytallus Smithii. Two genera of Rock Snakes still exist in Round and Serpent 270 APPENDIX. Islands in the north of Mauritius ; they belong to the family of Boiidse, and have never been seen anywhere else. They are the Bolieria multicarinata and the Caesarea Uussumieri. Two specimens sent by the Governor Sir Henry Barkly are preserved ^t the South Kensington Natural History Museum. FLIES. Thje Musca, CaHiphora, Tabanus, Stomoxys, Lucilia, Hippo- bosca, Nyctherus, Cantharis, Tipulidae, Wasps, Cockroaches, Grasshoppers, Crickets, Mantis, Midges, and the following Mosquitoes : ■CuUrince : Culex fatigans (very common all over the Island). „ tigripes (common ; does not always bite man ; very big). „ annulioris (only one specimen seen as yet). „ arboricolis (found in holes of trees). „ Eonaldi 1 (both these have been found to already exist „ Fowleri j under other names in Theobald's list). Stegomyia fasciata (comm^on near the sea). Scutomyia notoscripta (the commonest in Mauritius). Anophelince: Pyrotophorus costalis (principal carrier of malaria in Mauri- tius (found everywhere). Myzorhynchus Mauritianus (does not carry Malaria ; found everyw^here). Nyssorhynchus maculipalpis (not common). PROTOZOA. The most important in the Island are : The Malarial parasites (Benign Tertian, Quartan the com- monest, and the Subtertian). Amoeba3 histolyticag. Trypanosomum Brucei and Evansi (imported from India or Madagascar in cattle in' 1902, and causing Surra; con- stantly seen in cattle, horses, and mules). Piroplasma bigeminum canis (no one in Mauritius has yet described it, but several dogs are said to have had red urine). Spirillum pallidum. Leishman-Donovan bodies (not yet described, but a boil very much like Delhi-boil came as an epidemic a few years ago on the lower extremities of labourers). FAUNA. 271 Amongst the Helminths : Nematodes. Ascaris. Oxyuris. Ankylostomum (ankylostomiasis) ; very common. Sfcrongyloides. Filariae (elephantiasis; common). Cestodes (this branch has not yet been studied). Taenia solium. „ mediocanellata. „ Davainea. ,, echinococcus (liydatid) ; and probably the other Taeniae. Trematodes (not yet studied), but Schistosomum (Bilhartzia liaBmatobium) is very common. I saw lots in a coolie's nrine in 1889, and Fasciola hepatica has been found in Chinamen's livers. DISEASE FLOEA. The following disease-flora exists in the Island Bacillus tuberculosis. „ pneumoniae. „ lepr^. ,, diphtheriae. „ coH communis. „ Kochi (occasionally). „ pestis (since 1901). typhosi. Micrococci ? variolae. „ ? varicella?. „ ? beriberi. „ ? scarlatinae. ,, .^ rubeoli. FISH. Sea Fish. — The following are edible : ■Capitaine (Chrysogoprys belotula ; a deep-water fish). Cateau (a multi-coloured fish, frequenting the reefs). Cordonnier (a beautiful grey fish, with blotches of pale yellow all over ; makes a delicate dish). Mackerel (all around the coast). Dame Berri (a silver-scaled fish). Vieille or Rock Cod (Serranus. The dark brown spotted species and the vermilion red are the best to eat). 272 APPENDIX. The Croissant and the S. diascope or ' Cheval de bois' are poisonous. Gueule pavee (a silver-scaled fish, found in deep water). Ron get. Mullet (a silver-scaled fish ; two varieties only — the ' Mulet oToscaille' and the ' Mulet voleur '). Million (vei'y small sprat-like fish, living iu sea and brackish warer, and also in rivers ; most useful, as it eats up mosquito larvee). Ton or Tunny. Sprats and Sardines. Dilai'd (a delicate, very pretty multi-coloured fish). Carang'ue (Sconiberoides ; a deep-water fish, grows to a great size).. Cherugien (Acanthurus Chinensis). Raie or Sun fish ( Rhinobatus) has a Ions: narrow bony tail, and powerful fins all round its body. These fins make a delicate dish. Poule-d'Eau (Plarax Balochii. Like a gieen turbot with an im.nense- dorsal riu, which is a great delicacy). Soles (they are small and lie in the sand). Sea Fish. — The following are non-edible : Dog Fish. Skate. Rays. Tiger shark (twenty-five feet long). Haminerheaded Shark (Zyg^ena malleus). Trembleur (Torpedo marmorata) An electric fish, which when- trodden on gives an electric shock ; lives in the shade and under the sand. Boule-tangue (Tetraodon argontius), which, when taken out of water, inflates its spine-covered skin into a round ball. The Cuttin Fish. That reniai'kably-shaped little fish, which looks like an oblong box with a fish's head stuck to one end of the box^ a short tail to the other, and a small fin to each side. Laff Of Weaver (Scorpaena, Synanceia, Pterois). A very poisonous mud fish, which injects a venom into the foot of the unwary fisherman or bather who may tread upon his dorsal fins. The poison, which is said to be green and slimy, secreted from glands placed below the hollow spikes of the fins, is fatal unless the wound be canterised immediately, and a poultice of the leaves of the Ehretia petiolai-is be apt .lied to it to ease the pain, and aromatics and stimulants be given to prevent cardiac failure. The foot and leg become swollen, and in a few days the wound sloughs deeply, leaving a large hole which takes "TAUNA. ■ 273 months to heal. There are several other species of this Laff along the coast — the Pterois volitans, the Pterois muricata, the Pterois antennata. •Conger and other sea-water eels. The Sea Eel or Angaille Morele (Poeciloptera variegata), also a poisonous eel, growing to two or three feet in length and a^ little more than one inch in diameter, greyish black in colour, spotted with white. It frequents in large number the coral reefs and shallow pools, and does not bite unless attacked, but its bite, although not fatal, is painful. Several species of this sea eel abound along the coast and in the creeks and harbours: The Muraana tentaculata is jet black, with a dorsal fin of bright THE LAFF. yellow, and a blue anal fin. A smaller species, about a foot long (the Ribbon eel) is bright green spotted all over with yellow. It has a pale dorsal fin and bright crimson eyes. Errantia (Cent- bras) : Another long, eel-like creature, made up of tubular contractile segments covered with small hooked spines resembling tubercles, protrusible or retractile. They are of different colour, and carry olive-coloured tentacles around theii* pink horny mouth. They bask like eels in shallow water ; or when attacked contract themselves into a round mass, and when drawn out of the water will hug the stick or the arm of a man. 'Octopus vulgaris (Ouritte). The long tentacles, after having been dried in the sun for several days, make good curry. The Squid (Moorgatte) is also plentiful, and is edible. Bambaras (sea-slug) looks like a black German sausage, and ;s eaten by the Chinese. T g74 APPENDIX. MednsaB of all sizes and colours (Cassiopea Andromeda), which sting fearfully. Sea Snakes have not been seen alono^ the coast of Mauritius, but they are common along that of Madagascar. Crustaeece ': Lobsters (Palinurus). Crabs (Pagarus). Hundreds of varieties ; the big green one is the most tasty. Soldier Crabs are poisonous, and are used as bait. Land Crab or Tourbouroux is amphibious, and tunnels under- ground, climbs up trees, and penetrates into cocoanuts and eats the pulp. Shrimps (Stenopus hispidus). Fresh-water Fish. The Carp. Gouramis. Dstme Cere (gold fish). Chit. Camarons (big prawii). ShHmps (Palaemon carcinus). Cabots (small harmless black fish living in mud, and not edible).- Fresh-water eels are plentiful. FLORA. * ' The principal remaining species of the aboriginal trees are (according to Mr. Koenig, in McMillan's Mauritius lUustrafed) : The Natte, Makak, Tambalacoque, Colophane, Tatamaka, Sandal, Olive, Cannelle, Pomme, Puant, Benjoin, Ebony. ' The lower species are : The Clou, Bigaignon, Sagaye, Ronde, Manahe, Lousteau, Fer, Riviere, Canne, Balais, Cashew. ' Trees introduced are : The Goyavier de Chine, Jamrosa (fruit tree), Yatis (fruit tree), Logwood, Bois Noir, Bois d'Oiseaux, Acacia, Badamier, Tamarind (fruit tree), MH9on> Thorny Fram- boise, Marinne, Vieille Fille, Aloes (several species), Raquette or Cactus (several species). Bamboo, Sugar-cane.' Baker's Flora of Mauritius is the standard work (1877), with later additions by Mr. Johnstone, Mr. Bewsher, and classificatioa by Martelli and Lloyd. * By permission. CONCHOLOGY. 275 Fruit tl-ees : Mango (in the summer season, November to February, price is 50 cents to K.l per dozen), Jaraalaqiie, Guava, Fruit de Cithere, Yavangue, Letcliis (40 cents in summer per 100), Jamblon, Sweetsop or Atte (ripens in March), Bilimbi, Bullock's He^rt (of same family as the Atte), Pomme Jacot, Longan, Papaw, Avacado Pear, Jack, Loquat, Bananas (J to 1 cent. each). Yarieties : Gingely, Naine, Mignonne ; Sinneroe, Malgache, Oilier (often cooked) ; JPineapples (abundant) ; Lemons, Limes (fairly abundant) ; Oranges, Peaches, and Yine Grape (rare) ; Straw- berries and Raspberries (cultivated) ; the Carambol (wild) ; Brend-fruit. Bouton's Mauritius Medicinal Plants, re-edited by Daruty, contains a list of over 100 species of medicinal plants. There are several annuals and creepers whose leaves or roots or tnbers are edible. Some of these annuals belong to the Solanacese and Belladonaceas ; their leaves when cooked make a dish like spinach. To mention but a few : The Brede (Martin, Malabar). Others bear fruit, all of which must be cooked, like the Brinzele, Patole, Pipengaye, Pumpkin, Calabash, Margoze, Sweet Potato and Yam (tubers) ; Manioc and Arrowroot (roots). Garlic, Onions, Carrots, Beetroot, Radish, Cabbage, Cauli- flower, Artichoke, Chillies, and Monkey Nuts grow well in kitchen gardens. There is a most useful frail tree, the ' Mouroungue,' every part of which is either edible or turned into good account : The blossoms, tender leaves, and fruit when cooked, make a nice dish, and the bark and roots pounded together are used as a rubefacient poultice. CONCHOLOGY. * Mr. Wade West, in McMillan's Mauritius Illustrated, gives the following list of shells to be found in Mauritius : — Muricidge (thirty vai-ieties) : M. Palma-rosae (the most beautiful). M. Crossei (the rarest). M. tenuispina (a delicate one). Pleurostina (forty varieties). Tritonida3 (eighty varieties) : T. anus (Lam.). T. clavater (Lam.) Ramella (twenty varieties). Purpurida3 (fifteen varieties) : P. persica (most common). * By permission. 276 APPENDIX ,,, Of the Coral Shells the commonest are : Coralliophila. Magillus. Leptochonchiis. Olives (great many varieties and some of them of great vakie). Conns (more than one hundred varieties) : C. Julii (the principal variety). Cyprsea : C. Mauritiana (the finest). C. testudinaria (the i-arest). C. Tigris (many varieties). Mitra (two hundred varieties) : M. papalis and M. epinopaUs (uncommon). Harpa (seven varieties) : H. imperialis (much prized). H. ventricosa (much prized). Cyclostome (numerous varieties) : C. Michaudi (brown shell with a white lip), C. Barclayanum (ditto with a red lip). C. tricarinatum (a sub-fossil ; has three sharp bands en- circling it). Of Bivalves there are not many varieties. Pectens (many varieties). Nerita. ' , Mussel and the Hache d'armes. Land Shells. Achatina or Couroupas (two varieties). A Fulica (peculiar to Mauritius). A Panthera (from Madagascar). Another rare species (the ' Tourne-a-Gauche '). Three river varieties (Melanees, Lyanees, and a pale green). Pupae (twenty species). Gibbus (four varieties). Pagodus. Lyonetianus (very rare). Helices (forty species). H. uversicolor (brown above, black below, wdth a rose-coloured mouth). BIBLIOGEAt>HY. ^77 BIBLIOGRAPHY, OB WORKS ON MAURITIUS. Account of Mauritius and its Dependencies. By a late Official Resident. 1842. Account of Mauritius, Seychelles, etc. Martin's Colonial Statistics. 1839.. Account of the'Ascent of Pieter Both. Taylor. 1833. Account of the Petrological, Botanical, arid Zoological Collec- tions made in Rodrigues, etc., during the ' Transit of Venus' Expedition, 1874-1875. A Discourse, Military, Political, aud Religious, delivered in Mauritius. By Captain Gordon (Chaplain). 1819. An Appeal in Arabic to the Mussulmans in Mauritius. By Rev. Charles Blackbufn. Annual Government Reports on Pimary Education in Mauritius, 1888-1906. By David J. Anderson, Superintendent of Schools. Archives de I'lle de France : Journal Litteraire et Politique a Maurice.' 1818-1819. A System of Cane Cultivation. By Jackson. 1906. Avenir d'une Colonic Sucriere. De Boucherville. 1886. Biographic de Brown-Sequard. Par Dr. Laurent. 1898. Brown- Sequard et son (Euvre. Arthus. 1898. Chinese Immigiation to Mauiitius. De Coriolis. 1886. Climate of Pamplemousses. By Claxton. Colonial Memories. By Lady Browne. 1899. Colonial Poems. By Mrs. Emma Anderson. 1866. Colonial Reminiscences. By Jerningham. 1901. Comptes rendus — Agriculture. Par Langlois. 1884. Consultation of the Lawyers on the Legality of Order in CounciL 1832. De Maurice et de ses Ressources. Meconnues. 1832. Description of two new Species of Fishes from Mauritius. By Dr. Gunther. 1887. Descriptive Account of Mauritius, its Scenery, Statistics, etc. By John Anderson. 1858. Detention of Flinders in Mauritius. By Mault. Digest of the Criminal Jurisprudence in Mauritius. By W. Greene. 1884. Eight Views of the Mauritius. By Captain A. Temple. 1811. Etudes sur la Sterilitc dcs Parties basses de I'lle Maurice. Par Langlois. 1879. - 278 APPENDIX. Etude sur le Patois Creole Mauricien. Par C. Baissac. 1 880. Evolution of the Crown Colonies of Mauritius. By Sir Charles Bruce. 1908. Extinct Birds of the Mascarene Islands. British Association. 1866-1872. Fauna and Flora of Round Island. By Sir Henry Barkly. 1870. Final French Stru^s^2jles in India. With an Account of the Cap- ture of Mauritius. By Malleson. 1884. Future of our Sugar-producing Colonies. By AVilliams. 1896. Oeogiaphy of Mauritius. By Decottes. 1906. Gleuside. A Family Record. By John Anderson. 1879. Gordon Pasha's Eden. By Murat. 1900. Growth of Sugar-cane Seeds gathered in Mauritius. By Perronat. 1891. Handbook on the Constitution, etc., of the Government in Mauritius. By Rae. 1896. Histoire du Protestantisme a I'lle Maurice et aux lies Masca- regnes. Rev. James F. Anderson. 1903. History of Mauritius, etc. Grant. 1801. He de France Contemporaine. Par Ranville. 1908. In Paul and Virginia Land. 1896. Island of Paul and Virginia. By Smythe. 1899. Jamaica and Mauritius. By Fortescue. 1891. Journal of Five Months' Residence iu Mauritius. By a Bengal Civilian. 1838. La Guerre aux lies de France et Bourbon. Par Poyen. 1896. Le Contre-coup de 1789 a I'lle de France. Par Ducray. 1883. Le Drainage de Port Louis. Par Sir Y. Naz. 1895. Le Nouveim Mauricien. 1881-1884. Le Premier Etablissement des Hollandais a Maurice. Par Prince Roland Bonaparte. 1890. Le Theatre a Maurice. Par Moranger. 1897. Letters from Mauritius. By (Grant). Life of Phillibert Cameion. By Pasfield. 1909. L'lle de France. Par Pitot. i7l5-1810. L'lle Maurice depuis sa Conquete par I'Angleterre. Par Mervas. 1895. L'Immigration Indienne. Par Sir Virgile Naz. 1891. L'Industrie Laitiere a Maurice. Bonnin. 1898.. Liste des Cochenilles de l'lle Maurice. Par Daruty et d'Emmerez. 1900. Lois de Maurice sur le Notariat. Par Thibaud. 1893. Madagascar, Mauritius, etc. Kelley. 1901. Maurice and Seychelles. Lucas. 1888. Maurice a Vol. de Oiseau. Magny. 1882. BIBLIOGRAPHY. 279 Maurice, He: Mahe de Labourdoiinais ; Documents Historiques. 1899. Maurice ou File de France. 1820. Mauritius and Bourbon. Muntagne. 1879. Mauritius nnd its Dependencies : ' Her Majesty's (colonies.' 1886. Ihid., by Pridham. 1846. Ibid., by Mill. 1899. Mauritius and Madagascar. Ryan. 186-4. Mauritius as it was before the Cyclone. Mauritius. Blundell. 1851. Mauritius. Bridge. 1906. Mauritius, Island of. Petition addressed to the Governor d'Entrecasteaux, etc. 1789. Mauritius : its Commercial and Social Bearings. James Morris. 1862. Mauritius. Jourdain. 1882. Maui-itius, or the Isle of France. Flemyng. 1862. Mauritius : Report of the Enquiry Commission, 1866-1867. Mauritius, Seychelles, etc. Trendall. 1892. Mauritius. Yon Jedina. 1877. Mauritius. Williams. 1899. -Memoire pour les Habitants de I'lle Maurice. Par un Colon. 1836. Memoires Historiques sur Mahe de Labourdonnais. Par un Petit- fils. 1827. Memoir on the Dodo of Mauritius and the Solitaire of Rodrigues. By Sir R. Owen. 1879. Memorial by the Inhabitants of Mauritius. 1833. Monographic de I'lle Maurice. Par James Morris. Translated by Ulcoq. 1862. Notes on the Flora of Round Island. By Colonel Pike. 1870. Notice Historique, He Mauritius. 1824. Notice Histoiiqne sur Ch. Telfair. Dejardins. 1836. Notice Populaire sur la Fievre, etc. Par Dr. Leour. 1902. Observations on the Isle of France. De Guignes. 1808. Ocean Lines, Railways, and Highways of Mauritius. By Campbell. Old Immigrants of Mauritius. 1871. Papers relating to 'J'heodore Hook. 1822. Paul et Yirginie. Par Bernardin St. Pierre. Public Instruction in Crown Colonies. By Sir C. Bruce. 1908. <^uelques Lettres sur I'lle Maurice. Par Sir Hubert Jerningham. 1896. Recollections of Seven Years' Residence in Mauritius. By a Lady. 1830. Registration of Deeds in Mauritius. By Guibert. 1897. Repoit on Afforestation, Drainage, and Harbour Improvements. 1900. 230 . APPENDIX. : Eepoi-t on the A^s^iicultural Resources of Mauritius. Home. 1886. Report on the Civil Establishments of Mauritius. By Sir Penrose Jul van. 1874. Report on the Forests of Mauritius. By Gladow. 1904. Report on the Inequalities of Mortality from Malarial Fever in Mauritius. By Meldrum. 1881. Report on the Prevention of Malaria in Mauritius. By Sir Ronald Ross. 1908. Rejwrt on the Storm of March, 1879. By Meldrum. Reports on Port Louis Water Supply, Mare aux Vacoas, General Sanitation of Mauritius, etc. By Chadwick. 1891. Reminiscences. By Florent. 1906. Renseignements pour servir a 1 Histoire de I'lle Maurice, etc. Par Adrien d'Epinay. Resources of Mauritius. Borwick. 1886. Revue Coloniale. De Bruderville. 1871. Revue Historique et Litteraire de Maurice. 1887-1894. Richesse de Yesous et Cannes a I'lle Maurice. Par Ehrmann.. 1889. Sejour a I'lle de France. 1803. Seychelles Archipelago. By John Anderson. 1879. Sir J. Pope Hennessy's Case and Position of Affairs in Mauritius. By W. Newton. 1887. Six Weeks' Hoh'day to Mauritius and Madagascar. By Captain Q. R. 1883. Souvenirs de Tile de France. Par De Froberville. 1874. Stamp Laws of Mauritius. By Banning. 1899. State of Slavery in Mauritius since 1810. Telfair. 1830. Statistique de I'lle Maurice, etc. By D'Unieuville. 1856-1886. Sub-tropical Rambles. By Colonel Pike. 1873. Sugar Crisis in Mauritius. By Newton. 1885. Sugar Industry of Mauritius. James F. Anderson. 1899. Sunspots and Rainfall in Mauritius. By Meldrum. 1879. System of Education in Mauiitius. By Chitty. 1905. T'Eylandt Mauritius. By Pitot. 1905. The Dodo in Mauritius. By Professor Newton. The Gospels, translated into the Creole ' patois.' Rev. S. Honyman Anderson. 1900. The Great Hurricane in Mauritius. 1892. The Journal of Mrs. Fenton. 1826-30. Thev were Married ; or The Isle of Palmist (The Captains Cabin) ;. My Little Girl. By Sir Walter Besaut. ) , Thirty Years of Colonial Government. By Governor Bow^n. 1889. Three Yoyages of a Naturalist, etc. By Nicoll. 1908. Yallentin : Reisebilder nach Mauritius. 1899. Yiews in Mauritius, etc. By Bradshaw. 1831. BIBLIOGRAPHY. 281 Voyage a File de France. Par Brunet. 1825. Voyage aux Colonies Orientales. Par Auguste Billiard. 1817- 1820. Voyage aux Colonies Orientales. Par Montalivet. 1822. Voyage et Aventurcs de Frangois Leguat. 1708. Voyage in the Indian Seas. By James Prior. 1810. Voyage of Francis Leguat, 1708. By Captain Pasfield Oliver. Voyage Pittoresque a I'lle de France, etc. Par M. J. Milbert. 1812. Voyage to, and Travels through, the Four Principal Islands of the African Seas, etc. By Bory de Saint Vincent, 1805. Voyage to Mauritius, etc. 1838. Voyage to the Island of Mauritius. By Bernardin de St. Pierre. 1775. Voyage to the Isle of France. By M. de Guynes. 1796. Voyage to the Mauritius, etc. By Author of ' Padiana.' 1851. ADDENDUM. EEMINISCENCES. There are many other families whose names should be inscribed on the golden roll of Mauritian history, but want of space has ■compelled me to mention but a very few ; nevertheless I ought to add here two more names to my list. Mr. Leoville L'Homme, the talented politician, journalist, litterateur, and poet, many years ago, by his articles in the press, greatly aided in bringing about the reforms which gave a certain amount of local government to the Mauritians. But it is as a litteiateur and poet that he excels. His description •of country scenery classes hitn at once as a disciple of Bernardin de St. Pierre ; the chapters from his pen in McMillan's Mauritius Illusirated read like those of ^tude de la Nature, w^hilst his poem, ' Soir Rustique ' places him as one of the most elegant poets of the French language. When one remembers that the author never left his Island shore, admiration passes into as- tonishment and proclaims him a genius. Many of the French Poets and Critics in Europe, afier having read his productions, have lecorded in Reviews and Magazines their appreciation and praise. Maurice Bouchoir, the French Poet, in the Parisian , review, Le Passant, of October, 1887, writes as follows : ' I admire a poet who, in a counti'y which no longer forms part of our dominions, writes so finely in the French language, at a distance of four thousand leagues from France'; and Prince T. de Boufi'remont, also in a leview, sa\s, 'Mr. L'Homme's verse is at once sonorous and powerful, full of grace and force, with something luminous, which makes one think of the Tropical Katuie in the midst of which the poet lives.' The reader who has travelled in Mauritius, or the West Indies, W'ill at once be transpoited in imagination to those beautiful tropical inlands as he peruses the Ibllowing lines : SoiB Rustique. Les charettiers ont vu les premieres cabanes Pres du chemin qui court le long des champs de Cannes : Leurs fouets claquent plus Ibrt : mais c'est en vain : les boeufs Sous le joug des grands chars lourds de feuillage et d'herbe, C ardent la meme allure en leur dedain superbe, - Le fanon blanc d'ecume et les sabots bourbeux. KEMINISCENCES. 283, Le jour qui meurt sourit, la cloche de I'usine Jette aux lointains I'appel de sa voix argentine, Une rumeur s'accroifc du moulin vers le camp, Puis s'appaise. Partout s'erale iiii frais silence ; Efc la terre, deja prise de somnolence, ^avoure enfin I'oubli du long soleil piquant. Des Indiens tardifs, la pioche sur I'epaule, ■Charges de rameaux sees, d'herbe, ou de quelque gaule, Emergent du yallon pins ombreux qu'un ravin. Nus, baigiies d'or, jonant an tour de leurs cahutes, De beaux enf'ants rieurs aux syllabes de flutes Font de I'humaiLe voix Iccho d'un chant divin. Et d'autres labourenrs accourent dans les sentes, Avec enx des chokras et des adolescentes, La botte de lastron ou la faucille au bras. ; Pour ar liver plustot ils ont pris par Jes Cannes Oil le lievre blotti laisse leurs caravanes S'eloigner, et longtemps ecoute encore leurs. pas. Au camp, le foyer luit. Montant de la ravine, Dans I'odeur du champac et de la balsamine, Des femmes aux cils noirs d'nn eclair etoiles, Le vase en cnivre au flanc, ou pose sui* la tete, Profilent dans le ciel ambre la silhouette D'un galbe pur, de seins pudiquement voiles. Madrasses et Bombays, leuis cheveux pleins de moire Snr la nuque d'or clair ou sur la nuque noire Tout tordus en nfieuds lourds de jeune orgueil. Le poids Du vase rempli d'eau laisse au cou droit et frele L'harmonieux contour d'un fln bronze de stele Ou rien ne pent froisser la caresse des doigts. Elles vont pieds reveurs, plis touibants, une a une. L'eclat si pur dont flambe I'air sur leur peau brune, Semble un baiser d'amour du soleil expirant. Tel un amant fnrtif, I'Esprit du soir vers elles Se penche, et sons le flottement de ses ailes, Eien que dans un soupir entre ses bras les prend. L'une, avec ses longs yenx de sourire et d'extase, A vu son jeune eponx pres du seuil de leur case : II s'arrete, et joyeux la regarde venir. Une autre, cils baii^ses, peut-etre en son silence Compte les ans perdus dans la vaine esperance D'entendre enfin I'appel qu'attendait son desir. 284 ADDENDUM. Efc toutes dardent loin la prunelle. Le veve Graiidit la vision qui les hante sans treve. Sur leur gorge s'endort le reflet du ciel roux Dans nn enivrement d'haleirie chalenreuse, Et rombre qui s'en vient deja, I'ombre amoureiise Fait leur chagrin plus tendre ou leur espoir plus doux. As I go to press I hear of the death of a distinguished Mauri- tian clergyman of the Church of England. The Rev. Charles Black- burn has just passed quietly awav in his seventy-third year, after a long life oi usefulness in Seychelles, Paris, and Maurituis. He was bora ill Mauritius of Franco-English parents on the Estate of Chamarel, of which his father was the propi'ietor. He was trained for the ministry by Bishops Ryan and Royston. Alter his ordina- tion he was sent to superintend the Mission at Praslin, one of the Seychelles Islands. After a few years spent at that work, he came to Europe and studied at St. John's Theological College, Islington, and at the Sorbonne, Paris. He w\ns ordained Deacon in 1873 and Priest in 1878 ; and was appointed Curate to the Embassy Church in Paris, later returning to Mauritius as a Missionary of the C.M.S. Here he devoted much of his time in mastering the different dialects of the Indian languages, in which he preaclied fluently to the Indian congregations scattered over the Island. He also learnt the Arabic and Chinese languages, so as to reach the Arab and Chinese merchants, and published a work in French on Mohammed and the Koran compared with Christ and the Gospels, and an Appeal to Mohammedans in Arabic. He also wrote a pamphlet in French on the Hebrew words : Wishamah, I^onahh, and Nephesh. He was preparing a Hebrew Grammar for beginners. Sir Charles Bruce, Sanscrit Professor at King's College, London, used to say he knew no better Arabic scholar in Alauritins. But it was principally as a successful- Indian Missionai'y that Mr. Blackburn will be remembered in Mauritius. His piety, modesty, and kindness of heart endeared him to all those who had the privilege of knowing him. He leaves a widow {7iee M. M. Anderson, second daughter of John Anderson) and two sons, the elder of whom. Rev. Eliel Anderson Blackburn, M.A., D.Th., is- Yicar of Corbridge, Northumberland, and the younger. Lieutenant Cyril Anderson Blackburn, M.C-, R.G.A., after fuur years at the War in France, has been transferred to the garrison in Mauritius. I cannot end these Reminiscences with a better sentiment than that expressed in the following words by a visitor to Mauritius nearly a hundred years ago^: 'In spite of some unfavourable * From Journal of Five Manths^Eesideuce-in the Mauritius by a Bengal Civilian. 1838. CYCLONE OF APRIL 29, 1892. 285 traits of a sejour in Mauritius, I should not cherish a very favour- able opinion of that person, who had journeyed tlirough the highways and byways of this charming island, and, sharing the cordial welcome of the Creole planter, had sat at the board where rosy wine and sparkling glances and musical accents, blended their influences, who could hear, in after years, the " Mauritius *' named without its conjuring up some sunny spot in the waste of memory. For myself its mere name will be entertained with ^ thousand scenes of vai'ious beauty ; rather assimilated in fancy to glimpses of Eden or the fabled Hesperides, than aught existent ^nd terrestrial ; nor will there be wanting living groups to impart an added and undivided interest to these Elysian prospects, whose ■eyes of brightness, whose voices of gladness, whose bland manners, whose playful intelligence, whose amiable affections, whose sin- cerity, rectitude, and benevolence might redeem their little Colon^ from the tribute which Malarial Fever imposes upon every visitor to her shores.' Of course these last two or three lines have been added, for Malarial Fever did not exist in Mauritius in 1838. CYCLONE OF APRIL 29, 1892. Reprinted from Blackwood's Magazine, September, 1892. * On the 28th April, 1892, Mauritius, the old lie de France, still vied with the Island of Ceylon for pride of place as the most beautiful and the most fertile Colony of the British Crown in the Eastern hemisphere. The cane crop had weathered the summer gales, which on February 12th, and again a fortnight after, had assumed very sinister aspects, and planters, who for some years past had valiantly fought against low^ prices and beetroot competition, were silently revelling in the prospect that the hurricane season being over, the year 1892 was likely to mark a new era of prosperity. The garden of Pamplemousses which Mauritians were wont to consider, and with justice, the third botanical garden in the world, was resplendent with tropical vegetation ; while that of Reduit, which had been nursed with love and pride by every successive Governor for upwards of a hundred years, was looking its best in its luxuriant display of palms and flowers and gorgeously coloured foliage. 'At 9 p.m. on the 29th, all this was no more ; the island had 286 ADDENDUM. lost its beauty, the cane its promise, the planter his hopes, and the gardens their charms. A short twenty-four hours had sufficed to perpetrate this end, and fortunate had it been could the mischief have stopped there, for the soil's fertility cannot be- aifected by a storm, and the soil of Mauritius is pre-eminently fertile and recuperative : but 1100 people had been killed, 2000 had been wounded ; one-third of the capital had been levelled to the ground ; thirty out of fifty churches and chapels had been demolished or rendered useless ; sugar-mills had been wrecked, crushing mercilessly men, women, and children who had sought refuge under their solid walls ; every Indian hut had been blown away, whole villages swept from the place where they stood,. and some 50,000 homeless people were left to seek for shelter and food, which a few hours before they were quietly enjoying, through their own exertions and labour. ' Nothing could withstand in places the terrible force of the- wind on the fatal day of the 29th of April. It will be for scientific men to explain how trees formerly planted more than a century back, and of 8 and 12 feet diameter, were felled to the ground ; how the iron-like teakwood branches were snapped and cut and b-okpn as mere brushwood ; how girdles of iron 18 inches thick were indented and twisted so as to become useless, as in the case of the great pulley-ladders of a sea- dredger ; how, in fine, a column of stones, each weighing more than a ton and fast riveted with iron girders and with cement was thrown down like a pack of cards ; and it will be for meteorologists to ex})lain how an island of 83 miles by 31 in extent through which the centre of the cyclone is passing, can escape at all fi-om a wind so violent as the above denotes. ' In the tables of observations, the velocity of the wind is set down at 120 miles at its maximum, w-hich corresponds to a pressure of 67 lb. to the square foot. It does seeai as if this pressuj-e, moved at double the rate of an express train, must render house-habitation useless as a place of refuge in a storm : yet in my inspection of the island I have seen a house destroyed, the walls- surrounding its yard crushed to atoms, and a pigeon-house on four miserable posts saved ! Why ? Everything was unexpected, singular, and unpreceder.ted, in this calamitous stroke dealt by nature with a viciousness that savoured of a woman's vengeance. The barometer fell to the lowest reading on record — viz., 27*9 <)1 inches at 2.30 p.m. ; while it had stood at 29*060 at 6 a.m. on thc^ morning of the storm, and got back to 29*719 at 9 p.m. after its. passage ; and the record dates since the year 1759. * The wind blew at N.E. by E. at the rate of 22 miles at 6 a.m. • — viz., in a direction which has ever indicated that the dis- turbance, when there is one — and there are many in each year — CYCLONE OF APRIL 29, 1892. 287 has passed to the southward of the island. At noon it was N*.G.. by half E. at a rate which had increased to 68 miles an hour, which showed that the storm was on ns, but its centre likely to avoid the island ; and at one, being still in the same direction ; the wind flew at a rate of 96 miies, indicating- hurricane fury.. At 2 p.m., the barometer stiil falling, the wind lulled to 56 miles an hour at the Observatory, where the centre did not pass, and to two miles in the centre, a mere whisper of impending danger. Those who realised the fact were able to save themselves. It is greatly to be feared that the majority did not, and that the greater part of the deaths which have been recorded, and the ruin that was produced, is due to this fact ; for all of a sudden, at 4 p.m., with a violence appreciable even to ears accustomed to the roar of the first pare of the storm, the wind blew at a rate of 121 miles an hour, and carried all before it. ' Noble trees that had stood the first blast went down, and in a short two hours upwards of 200,000 trees had been overthrown, and all the rest bereft of their bark, their leaves, and their branches, throughout the island. Such velocity had been unknown. The storm had come from the N.E., and there are only two instances of a cyclone having approached the island from that quarter in January 1863, and in January 1869, when little damage was done. Gales in Mauritius have been known in May and even in June, notably in 1785, when the storm lasted twenty- four hours, but no hurricane ; and though there have been three hurricanes in April since 1773, none were later than the 10th of that month, so that even as to date the hurricane of 1892 was- exceptional, and will probably on these accounts modify many accepted principles of the students of the laws of storms, unless,, indeed, the new interest in the spots on the sun's disc can explain,, by their number and their degree of magnitude, the exceptional variations in aii-currents which revolve about the earth in its whirlwind course around the sun. ' From the above enough is gathered to understand that the disturbance of 1892 was probably exceptional, and therefore that it was excusable on the part of the meteorologists of the island to telegraph on the evening of the 28th, in reply to an anxious query of mine own, that the wind having reach N.E. by E., and the barometer being higher than at the same hour on the 27th, there was nothing to be apprehended. 'Notwithstanding ihis consoling message it brought no com- fort, and the sense of impending evil kept gnawing at my heart, knowing and appreciating the dangers of even a full gale at a time when the cane crop could but severely sufiTer from a violent- shaking. 'At 8 a.m. on the 29th of April another anxious telegram 288 ADDENDUM. 'bpought no response, and surmising that communications between Le Reduit and the town and thence to the Observatory had been interrupted, though not yet anticipating what was to come, it became necessary to give up all intention of going to Port Louis in order to secure this old residence of the Governors of Mauritius, w^hich an Enghsh Governor once called a barn between two ditches, in total disrespect of its natural beauties. ' But as these had to fight nature as best they could, the barn with its 240 doors, windows, and shutters had to be preserved, and the work of closing ports to the N. and E. commenced at 8.30 a.m. 'Towards 10 a.m. broken branches were flying in the air like dust, and the merciless blasts, whenever they came, like guns pointed at the target they were to hit, remorselessly levelled the tallest and proudest trees. 'At eleven the summer benches, which on the verandahs around the house had been i-apidly secured against any ordinary storm, became the toys of furious gusts, and were lifted in the air and dashed to pieces some sixteen yards away over a hedge of rose-trees on the gravel path beyond. ' Till then, between the gusts there had ever been those silent moments, more terrible than the gusts themselves, which characterise a cyclonic storm, as if the wind gathered its Strength in earnest to strike each blow more deadly than the last, but at noon the intervals of quiet were filled in by a roar and a seething noise, such as the sea alone produces when lashed to fury, and an ominous thud, but of scarcely preceptible sound, announced that a portion of the roof had been carried away. All •eff'orts then were directed inside, and the lights were lighted, while the remaining hurricatie shutters were being closed to the south and the west. The clanking of doors that would not close or were burst open, the hissing of the tempest through every chink ; the cracking of glass panes and crashing of glass upon the floor, and the sea of waters that flooded the rooms beneath the loof-shorn wing of the house; the still falling, falling barometer, and the booming of the blast against the building, as if enraged as its withstanding any pressure at all — constitute a recollection not to be forgotten by the two occupants of Le Reduit and their three ■servants on that day. 'Suddenly the roar ceased, the hissing sank to a whisper, a •calm succeeded the storm, and a haze like a November fog filled the air. Cautiously a door was opened, we issued with difficulty into the oj^en, looked round, and one exclaimed, "This is the ■centre ! " and the other, " Mind what follows ! " ' At four, as the last hurricane shutter Avas with difficulty liailed and secured, a boom like that of a ball from a 100-ton CYCLONE OF APRIL 29, 1892. * 289 gun resounded, and we knew that the battle raged anew though the centre had passed. Should we pass with it ? Could the house resist this tremendous force ? What should our next step be ? Already two-thirds of the big barn was hors de combaU and our only refuge was the ball-room, which was still intact. For an hour the noise was stupendous, deafening, sickening, but the glass was going up ; and our lives were still what they are worth. Would it be the same elsewhere in the island ? The course of the hurricane must have saved some parts of it, probably Port Louis, which lay some 1000 feet below, behind the signal- mountain and the " Pouce," which hides it from this elevation. Let us hope. Presently the great guns in the horrible fight ceased their roar, and we were proof against the arms of smaller calibre. They, too, were silenced soon, and at 8 p.m. done mentally and physically, we sat down for the first time that day " by Babylon's waters," to weep or to sleep, but to wake at daybreak with expecta- tions of the worst. 'Never did a more glorious day shine upon Mauritius than on the morrow of the 29th of April. It was awe-striking ; it was magnificent ; it was horrible. Winter, cold snowy winter, from the northern hemisphere, had come upon the tropics, upon this emerald sunny isle. Forests had been fighting, and were white with peeled-off bark ; stumps of trees, mere broomsticks, were everywhere lording over fallen giants ; the alleys, avenues, and roads were littered with rubbish and broken branches ; gaping wounds in the house where a rivet had proved untrue and allowed the onslaught of the wind upon the roof. With difficulty could way be made to the camps, and servants' houses and stables. Everywhere the roofs had been similarily lifted bodily, tiles and all, and deposited yards away, upon the prongs of what had been trees once. 'No means of riding or driving, yet to town one must. Was the town safe ? Three hours' journey there on foot the greater part of the way revealed everywhere the same horrible spectacle of devastation ; but it increased in horror as it was proceeded with, with an inward fever haste to know the worst and be about doing after the forced inaction of black Friday last. The cane-fields that on the Thursday had looked so fine, so promising of wealth, and so consoling, lay flat upon the soil where they had not been broken in two, and their gone leaves revealed how full of sugar were the sticks. Would it be lost for the time of cutting ? The canes looked like so many bodies shorn of their clothing and lying dead in life. 'Presently Rose Hill came in view, houses down, crushed, fallen, ruined. Where there human beings beneath ? Yes ; a report came that at the mill of Bassin a hundred people were U 290 ADDENDUM. buried under its wrecked remains. Impossible ! Onwards to town. Railway gauges obstructed by fallen carriages ; general manager working like a navvy to hurry the clearance of the line. When would it be cleared ? Impossible to tell ; it was being scoured by an engine, but the line was littered with fallen trees and telegraph posts : he could not say. Again on : right and left wide gaping houses ; roofs sunk through the floor, destroying at one fell swoop furniture, clothing, the resources of a whole family, if not the family itself ; tenements shorn of a whole side ; vei'andahs on the roofs, and roofs in neighbouring gardens ; not a single Indian hut to be seen — all blown away — but an Indian woman at work seeking out a piece of linen out of the soaked rubbish and drying it in the cold sun, for the little mites by her side in the open field. Is this the case throughout ? What about the food, and the shops, and the rice-magazines ? ^ Further onwards : a church down literally smashed to match- wood ; benches crushed and altar gone, only a plaster statue stands up in the ruins ; no one about. Is everybody dead ? At last ! the outskirt of Port Louis : nothing much in the out- lying w^estern suburb ; but the noise increases. What is it ? It sounds like a demoniac medley of wrangling, and moaning, and screaming, but it is pleasant in its dolefulness ; it is human ; it is a group of people imploring an Indian policeman to hurry and save a whole family of ten who are under a crumbled house. He hurries at a word, and as the western part of the town is reached the town of the dead is i-eached ; long convoys of litters wherein mangled bodies and the dving, the livins^ who are wounded, and orphans who w^ere not orphans yesterday, are being carried to the hospitals. But the Civil Hospital cannot contain them all ? No, but the Protestant Cathedral of St. James has been converted into a hospital since last night, and there too they are being con- veyed. What has happened ? Wind, flood, and fire, four hundred dead, as many wounded, more under the ruins. How^ fire ? It broke out during the last hour of the storm and slowly made its w^ay through the whole of a quarter, burning and destroying property and life : women burnt beside a dead corpse of relatives they would not leave, preferring to be charred than desert their own ; others stunned, paralysed by fear, and riveted to their burning homes. Still onward, to the Municipality, a refuge for hundreds of wounded, houseless, dazed, and horror- stricken people, whom a legion of doctors, attendants, and chari- table souls are powerless to succour in the measure of their wants. Farther to the great thoroughfares ; but where are they ? Whole houses litter the roads, houses bodily removed and deposited with one loud crash on the streets, in front and over which are now travelling the little army of gallant soldiers in fatigue-party CYCLONE OF APRIL 29, 1892. 291 detachments, bringing to their distressing task of recovering bodies all the gentleness of woman with the rough energy of men of will and purpose. ' The air is foul with human decomposition. The streets resound with moans and half-whispered tones. A black pall hangs over the city. Government House has escaped the fury of the storm, but is invaded by a crowd of inquirerS. How are the bodies to be buried ? How are the people to be fed ? How are we to escape famine or pestilence, or both ? Almost all in authority are away. How so ? Unable to go to their homes on the previous night, they slept as best they could, in the train which was to start at 1 p.m. on Friday, and could only be despatched at 7 a.m. this morning on a portion of its course. Nearly 600 people were at the station during the storm, the most noted and important persons of the colony, planters, merchants, men of business, clamouring to get away, anxions about their people and their possessions, and preserved from death by the iron will of the manager of railways. Onward again to the principal hospital. It is crowded, besieged, and presents a ghastly sight of old and young, men and women and children, the victims of a relentless storm that drove into their sides and bodies the very walls and stones and rafters on which they relied for protection ; it is a charnel-house, where admittance is asked in order to die, and where human charity, greater even than the disaster, is almost powerless in its efforts to save life. ' Farther, and the docks have ttu'ned into ambulances and sheltering houses, where further marks of devotion, heroism, and suffering come to the fore. ' How is this gigantic misery to be ever relieved ? How can so much harm have come in such short few hours ? It is heart- rending, desperate. ' In the harbour tall ships right and left silently ask pity and help in their stranded condition. Others have been jammed together in a frightful fraternal embrace which has pierced their sides. Even the ponderous ladders of the sea-dredger have been twisted and curved as if their weight of iron was of no account to the destroying wind. ' Is nothing saved ? The streets near the harbour are littered with clumsy, heavy lighters full of damaged rice, which the sea would hot swallow, but carried into the town upon the rising surf. The Arab quarter seems safe. It is the granary of the island, and one shudders at the thought of famine, which must have followed upon its destruction. It is safe, and hope rises as the Mussulman merchants, grateful to Allah in this hour of distress, assure their Christian brother man that the price of rice will not be raised, 292 ADDENDUM. ' Back to the western portion of the town, on to the Royal College. Foundered, crushed, ruined ; no one dead, and yet how near his end was its sole occupant at the time of its collapse ! Walls swaying to and fro, columns jerking out of their foundation : mad with fear and powerless, the wind that blew the building down enabled him to save himself through the very opening it had rammeS. On again to the Convent of Bon Secours, a mass of rubbish, where heroic deeds were done last night. Children and nuns and old invalids were the buried inmates. The storm spared neither ; but at the call for help the young scions of old Mauritian stock, who with their elders were waiting at the railway station for the signal to leave the town, rushed to the spot and worked all night to rescue the dead ; but they could not give life to the eleven children and the one poor nun who were killed, pulverised under the heap of stones. ' Enough for the day. If thus in town, what will it be in the districts ? They must be visited, for when the heart is full of sorrow even the realisation of the worst dispels the apprehension of a greater evil, and the means must be at once devised how to help this generous and kindly people in their great hour of distress. ' The dead must be decently buried, the wounded properly attended ; the people must be fed, clothed, housed, and Govern- ment must not stint its help at this time, for this is an industrious people and a trustful one ; the possessors of a soil so rich, so recuperative that nature will return to it with interest what it has taken, and at no distant time ; a people indeed who have weathered many storms and many reverses, and who may still live to find that He who ruled this frightful visitation will turn it in all likelihood into a merciful dispensation. ' Till then help is necessary ; they must be helped, and they shall. * Hubert E. H. Jeeningham, Lieutenant-Governor.^ GOVERNORS OF MAURITIUS UNDER THE BUTCH AND FRENCH. First landing of Dutch in Mauritius under the orders of Admiral Wybrandt Van Warwyck ... ... ... 20 September 1598 Sailing of the Squadron of Wybrandt Van Warwyck ... 2 October 1598 Landing of the Squadron of Hermansen at Morne Brabant... 28 September 1601 Meeting of Admirals Matelief de Jonge and Van der Hagen at Port North West ... ... ... ... 1 January 1606 Wreck of ' Pieter Both ' of Amersfort ... ... ... February 1615 First Settlement of the Dutch in Mauritius. List of Goveenors and Commanders. Cornelius Simonsz Gooyer ... ... ... Adrian Van der Stel Jacob Van der Meersch Keinier Por (Died on 7 January, 1653) Maximiliaan de Jongh J . , . Joost Van der Woutbeek I ^^^^^^ Maximiliaan de Jongh .. . Abraham Evertsz First abandonment of the Island by the Dutch Second Settlement. Jacobus Nieuwland Dirk Jansz Smient George Frederick Wreeden (Died on 29 February, 1672) Peter Wabrandt (Acting) Swen Felleson (Acting) elected by the inhabitants Philip Col (Acting) Hubert Hugo (titular) ... Issac Johannes Lamotius (suspended 22 October, 1692) Eoelof Deodati Abraham Member Van de Velde Final abandonment of the Island by the Dutch ... For the French East India Company. M. Duronguet le Toullec, Major, nomm^ par le gouverneur de Bourbon M. Beauvollier de Courchant en attendant le titulaire, le Chevalier de Nyon Le Chevalier de Nyon, Colonel d'Infanterie, Chevalier de St. Louis... M. de Brousse, Lieutenant du Roi (par interim) ... M. Benoit Dumas, Directeur general du Commerce des deux lies M. de Maupin, Commandant de I'lle de France M. de St. Martin, Directeur general du Commerce a I'lle de France (p. i.) 7 May 1638 8 October 1639 20 May 1645 11 April 1648 7 January 1653 1654 August 1656 16 July 1658 27 July 1664 1664 31 December 1669 29 February 1672 5 March 1672 8 July 1672 13 February 1673 4 October 1677 22 October 1692 25 September 1703 17 February 1710 1 Decembre 1721 Janvier Decembre 1722 1725 19 Aout 31 Aoiit 1727 1729 20 Octobre 1734 294 ADDENDUM. M. Mahe de Labourdonnais, Chevalier de St. Louis, Gouver- neur general des lies de France et de Bourbon M. Didier de St. Martin (par interim) M. Mahe de Labourdonnais M. Didier de St. Martin (par interim) M. Barthelemy David, Gouverneur general des lies de France et de Bourbon M. de Lozier Bouvet, Chef d'Escadre, Chevalier de St. Louis, Gouverneur General M. Eene Magon de la Villebague, Gouverneur des lies de France et de Bourbon M. Desforges Boucher, Commandear de I'Ordre du Christ du Portugal, Chevalier de St. Louis For the King of Fbance. M. Desforges Boucher ... ... ... 27 Juin 1767 M. Jean Daniel Dumas, Colonel, Gouverneur General des lies de France et Bourbon M. de Steinauer, Brigadier General (par interim) ... Le Chevalier des Eoches, Chef d'Escadre, Gouverneur General des lies de France et de Bourbon Le Chevalier d'Arzac de Ternay, Chef d'Escadre, Chevalier de St. Jean de Jerusalem, Chevalier de St. Louis Le Chevalier Guiran de la Brillanne, Chef d'Escadre, Com- mandant General des deux lies Le Vicomte de Souillac, Capitaine de Vaisseau, Chevalier de St. Louis (par interim) Le Vicomte de Souillac, Gouverneur General Le Vicomte de Souillac, Gouverneur General des Etablisse- ments Fran^ais a I'Est du Cap de Bonne Esperance ... Le Chevalier de Fresne, Colonel du Regiment de Bourbon (par interim) Le Chevalier de Fleury TeyssMre, Colonel du Regiment de Pondichery (par interim) ... Le Vicomte de Souillac, Gouverneur General, Chef d'Escadre Le Chevalier Bruny d'Entrecasteaux, Capitaine de Vaisseau, Gouverneur des lies de France et de Bourbon... 5 Juin Fevrier 14 Aout 24 Mars 8 Octobre 10 Fevrier 3 Janvier 8 Novembre a 13 Juillet 14 Juillet 27 Novembre 6 Juin 24 Aout 2 Decembre 3 Mai 4 Juillet 15 Fevrier 5 Avril 28 Juin 9 Novembre The Republic. Le Comte de Conway, Lieutenant General, Commandant General des lies de France et de Bourbon Le Chevalier de Chermont, Colonel du Regiment de I'lle de France (par interim) M. David Charpentier de Cossigny, Marechal de Camp (par interim), Gouverneur General des Etablissements Franpais a I'Est du Cap de Bonne Esperance... Le Comte de Malartic, Lieutenant General, Chevalier de St. Louis et de Cincinnatus, Gouverneur General des Etabhssements Fran9ais a I'Est du Cap de Bonne Esperance Le Comte de Magallon de la Morli^re, General de Division (par interim) The Empire. Le Comte Decaen, General de Division, Grand Officier de la Legion d'honneur, Capitaine G^n^ral des Etablissements Fran^ais h I'Est du Cap de Bonne Esperance ... 1735 1740 1741 1746 1746 1753 1756 1759 1767 1767 1768 1769 1772 1776 1779 1781 1785 1785 1785 1785 5 Novembre 1787 14 Novembre 29 Juillet 26 Aout 17 Juin 29 Juillet 1789 1790 1790 1792 1800 26 Septembre 1803 GOVERNORS OF MAURITIUS. 295 Intend ANTS. M. Poivre M. Maillard du Mesle ... M. de Foucault M. Chevreau ... M. Motais de Narbonne M. Dupuy M. Thibaud de Chauvallon M. Leger, Prefet Colonial 17 Juillet 1767 22 Aoiit 1772 17 Novembre 1777 4 Juillet 1781 12 Octobre 1785 17 Aout 1789 6 Novembre 1798 26 Septembre 1806 GOYERNOIIS OF MAURITIUS UNDER THE BRITISH ADMINISTRATION. K. T. Farquhar Major-Gencral H. Warde — acting ... K. T. Farquhar Major-General J. Gage Hall Colonel Dalrymple Major-General R. Darling — icting Sir R. T. Farquhar, Bart. Major-General Sir R. Darling — acting Hon. Sir Lowry Cole ... Hon, Sir Charles Colville, k.cb. Major-General Sir W. Nicolay, c.b. Colonel J. Power, e.a. — acting Sir Lionel Smith, Bart., K.CB. ... Colonel W. Stavely— acting Lieut. -Colonel Sir W. Maynand Gomm, k.cb. Lieut. -Colonel T. Blanchard — acting Lleut.-Colonel H. L. Sweeting— ac^tw^r Sir George William Anderson, c b, Major-General W. Sutherland — acting James Macaujay Higgin son, C.B. Major-General W. Sutherland— acfm^f Major-General CM. Hay — acting,.. Sir J. M. Higginson, k.cb. Major-General C. M. Hay — acting... Sir William Stevenson, k.cb. ... Major-General M. C, Johnson — aciiw^ Sir Henry Barkly, k.cb. Major-General E. S. Smyth — acting Hon. Sir Arthur Hamilton Gordon, c.m.g. Major-General E. S. Bmjih— acting Hon. Sir Arthur Hamilton Gordon, k. c.m.g. Edward Newton, CM. o.—ac/.mr; ... Hon. Sir Arthur Hamilton Gordon, k. c.m.g. Edward Newton, C.M.G — acting ... Hon. Sir Arthur Hamilton Gordon, k. c.m.g. Edward Newton, C.M.G. — acting ... Lieut. -Colonel Sir Arthur Purves Phayre, k. c.m.g., k.c.s C.B. F. Napier Broome, Esq. — acting ... Sir John Ferguson Bowen, K. C.M.G. F. Napier Broome, Esq., cm.g., Lieut. -Governor ... C. Bruce, Esq., c.m.g. — acting 3 December 1810 9 April 1811 12 July 1811 19 November 1817 10 December 1818 6 February 1819 6 July 1820 20 May 1823 12 June 1823 17 June 1828 31 January 1833 20 February 1840 16 July 1840 3 January 1842 21 November 1842 5 May 1849 21 May 1849 8 June 1849 19 October 1850 8 January 1851 14 April 1854 18 January 1855 12 June 1855 11 September 1857 21 September 1857 10 January 1863 22 August 1863 4 June 1870 21 February 1871 19 August 1871 29 September 1871 21 October 1872 28 October 1872 20 January 1873 20 October 1873 30 September 1874 21 November 1874 31 December 1878 4 April 1879 9 December 1880 5 May 1883 296 ADDENDUM. Sir John Pope Hennessy, k.c.m.g. H. N. D. Beyts, cm.o.— acting ... Sir John Pope Hennessy, k.c.m.g. H. N. D. Beyts, c.m.g. — acting Sir Hercules Kobinson, p. c, K.C.M.G. Major-General W. H. Hawley — acting Francis Fleming, Esq., c.m.g. — acting Sir John Pope Hennessy, k.c.m.g. Colonel Thomas Erskine Arthur Hall — acting Sir Charles Cameron Lees, k.c.m.g. Hubert E. H. Jerningham — acting Sir Hubert E. H. Jerningham, k.c.m.g. ... Charles Anthony King-Harman, c.m.g. — acting Sir Hubett E. H. Jerningham, k.c.m.g. ... Charles Anthony King-Harman, c.m.g. — acting Sir Hubert E. H. Jerningham, k.c.m.g. ... Charles Anthony King-Harman, c.m.g. — acting Sir Charles Bruce, K.C.M.G. Sir Graham John Bower, k.c.m.g.— acting ... Sir Charles Bruce, K.C.M.G. Sir Graham John Bower, k.c.m.g. — acting ... Sir Cavendish Boyle, k.c.m.g. ... Sir Graham John Bower, k.c.m.g. — acting ... Sir Cavendish Boyle, K.C.M.G. ... Sir Graham John Bower, k.c.m.g. — acting ... Sir Cavendish Boyle, K.c M.G. ... George Smith, c.m.g. — acting Major John Eobert Chancellor, b.e., c.m.g., d.s.o. John Middleton — acting ... Sir Major John Kobert Chancellor, r.e., k.c.m.g., d.8;o. Sir Henry Goudou Hesketh Bell, k.c.m.g. 1 June 1883 24 September 1884 15 October 1884 30 September 1886 15 December 1886 18 December 1886 2 July 1887 '22 December 1888 17 December 1889 21 December 1889 12 March 1892 21 June 1893 17 January 1894 24 July 1894 2 March 1896 19 September 1896 15 January 1897 11 May 1897 12 July 1900 11 May 1901 10 November 1903 20 August 1904 14 April 1906 14 September 1906 17 October 1908 23 April 1909 10 April 1911 13 November 1911 10 March 1914 22 September 1914 February 1915 * Commission suspended by Sir Hercules H. R. Robinson on 14 December, 1886. Reinstated by Sir H. T. Holland, Secretary of State, on 12 July, 1887, and arrived in Mauritius on 22 December, 1888. LAUEEATES OF THE ROYAL COLLEGE FEOM 1818 TO 1914. Year. Names. Remarks. 1818 Bigot, A. Faduilhe, Felix 1821 Barrister-at-Law, Procureur du Roi. 1822 Dupont, E. Barrister-at-Law. 1823 Geffroy, H. Barrister-at-Law. 1839 Soubrie, Joseph 1840 Koenig, Alfred Barrister-at-Law. 1841 Garreau, V. Barrister-at-Law and District Magistrate. 1842 Fressanges, H. F. Doctor in Medicine. 1843 Meistre, A, Longueville, A. D'Emmerez de Charmoy, Notary Public. 1844 Barrister-at-Law, was Registrar Supreme P. F. 0. Court. 1845 Colin, Jules do. was Procureur General. 1846 Barbeau, A. Doctor in Medicine. 1847 Tourrette, C. do. " Dick, Charles Joined the Army — Director of Prisons, England. 1848 Dupuy, A. Barrister-at-Law, 1849 Bardet, T. Roman Catholic Priest. 1850 Leclezio, Eugene (Sir) Barrister-at-Law, was Chief Judge of Mauritius. >> Beaugeard, On^sipho Doctor in Medicine. 1851 Alias, Leonce do. 1852 Brunet, Fulcher Barrister-at-Law. 1853 Rouillard, John do. was Judge Supreme Court. 1854 Barraut, A. Rodrigues Doctor in Medicine. »» Roger, Henry P. do. 1855 Beaugeard, Horace do. 1855 Mayer, George Barrister-at-Law, was District Magistrate. 1856 Pellereau, Etienne (Sir) ... do. was Procureur General. »> Laconfourque, N. do. 1857 Cox, George Doctor in Medicine. M Coignet, Charles do. 1858 Leclezio, Henri (Sir) Did not avail himself of the privilege — Is Member for Moka. ,^ Rogers, William Doctor in Medicine. 1859 Guibert, George Barrister-at-Law. 1860 Didier, St. Amand do. was Judge Supreme Court. II Chastellier, Evenor Doctor in Medicine, was Director in Med. and Health Dept. 1) Newton, William (Sir) ... Barrister-at-Law. 1861 Trouche, William do. 11 Dick, George Royer do. was Auditor General. 298 ADDENDUM Year. Names. , Remarks. 1861 Jenkins, T. L. Barrister-at-Law. 1862 Co., Lionel (Sir) do. is Chief Judge Straits Settlements. ,, Legrand, Louis Did not return to Mauritius. 1863 Galea, Henri Barrister-at-Law. ?> Forder, Joshua Doctor in Medicine. 1864 Hermans, Jean Barrister-at-Law. 5) Lemiere, Hippolyte do. was District Magistrate. Dubois, Victor Doctor in Medicine. J5 Anderson, Samuel H. 1st in Modern Department, Minister of Congregational Church, Mauritius and Paris. 1865 Hobbs, William Was Professor at the Eoyal College. 5 J Le Bobinnec, F. Doctor in Medicine. 1866 Brown, Eichard Myles Barrister-at-Law, was Judge SupremeCourt. »> Pellereau, Elie Doctor in Medicin^' — practising in Paris. 1867 Forget, Arthur Barrister-at-Law. ,, Thibaud, A. L. do. was Judge Supreme Court. 1868 * Anderson, David J. Superintendent of the Government Schools. ,, *Virieux, — Lawyer. 1869 McDonald, Peter Passed into the Civil Service of India. 1869 Hullard, Jean Arthur .... Doctor in Medicine. >> Cretin, Eugene do. was Lieut. -Colonel 1st Bengal Infantry. 1871 Dick, Frederick C. V. de G. Professor and Examiner, London. >» Boucliet, Louis V. Geo. ... Doctor in Medicine, was Member for Flacq. 1872 * Joachim, — Head of the Eailway Department. »» *Papillon, — Professor in the Eoyal College. 1873 Paddle. James Issac Doctor in Medicine in charge of Lunatic Asylum. >> Anderson, Daniel Elie Doctor, Scientist, Author and Traveller. Lecturer in Medicine at Mansfield Col- lege, Oxford, and to the Missionary Board of Studies at King's College, London. J5 Jean Louis, Nemours Doctor in Medicine. J> Cantin, Louis Alfred do. 1875 Bell, Herbert Irving Was Assistant Director of the Observatory. ; J Whornitz, Ferd. B. Doctor in Medicine. 1876 Laurent, Eugene do. Senior Member of Port Louis. Doctor in Medicine. j> Hullard, George 1877 K/Vern, Victor F. G. Barrister-at-Law. )i Eohan, Virgile Doctor in Medicine. J5 Newton, Charles Barrister-at-Law— Editor of newspaper. 1878 Boucherat, Julien Professor, Eoyal College. ;; Suzor, Jean Kenaud Doctor in Medicine — practising in Paris. » J Dumat, Frank C. Barrister-at-Law, Natal. 1879 Bell, John Ackroyd Dor-tor in Medicine, Hong Kong. >j Desple ssis, Louis Henri ... Civil Engineer, South Africa. No scholarship thrnup;h want of funds. LAUREATES OF THE ROYAL COLLEGE. 299 Year. Names. Remarks. 1880 Bonnefin, Henri Doctor in Medicine, Australia. Laurent, Octave Barrister-at-Law, 1881 Despleissis, Anthony Civil Engineer, B.W.D. India. J J Kcenig, Etienne Barrister-at-Law- Brocureur General. 1882 Bonnin, Louis Agricultural Chemist. j> Croft, James Died whilst studying at Cooper's Hill. 1883 Eouillard, John Doctor in Medicine, Natal. »> Eouget, Auguste do. Medical Supt.Civil Hospital. 1884 Serret, Eugene Barrister-at-Law, Add. Substitute Bro- cureur General. »> Bitot, L. Emile Civil Engineer, General Manager of Mauri- tius Eailways. 1885 Herchenroder, Alfred (Sir) Barrister-at-Law, Chief Judge, Mauritius. 1885 Cocheme, A. E. Civil Engineer, B. W. D. India. 1886 Standley, A. Civil Engineer. jj Eouillard, Louis Barrister-at-Law. 1887 Barbeau, Gabriel Doctor in Medicine, Asst. Med. Director. ,, Lejuge de Segrais, Paul ... Civil Engineer, Director of Public Works. 1888 Martin, Charles Doctor in Medicine. ,, Jacques, L, V. do. 1889 De Chazal, Eene Civil Engineer, B. W. D. India. I > Chastellier, Gustave Barrister-at-Law. 1890 Bitot, Ch. A. Eobert Barrister-at-Law. 1890 Koenig, Paul Agricultural Chemist, Director of Forests and Gardens. 1891 . Momple, E. Eobert Doctor in Medicine, Sanitary Warden. >» Berdreau, J. A. do. In Europe. 1892 Giraud, B. L. Agricultural Chemist. ,, Duelos, Joseph A. Barrister-at-Law, Member for Flacq. 1893 Melotte, J. B. D. Barrister-at-Law. 1893 Eowell, Bercy Fitz Batrick... Merchant's Clerk, London. 1894 Louis, Jean Leon Doctor in Medicine. ,, D'Avray, Edouard Alfred ... Civil Engineer, Brofessor at Eoyal College. 1895 Nairac, Edouard Barrister-at-Law, Junior Member for Bort Louis. ,, Desenne, Henri Civil Engineer, B. W. D. India. 1896 Bolton, John Douglas Doctor in Medicine, Mauritius. ,, Masson, Castnn Doctor in Medicine. 1897 Galea, Bhilippe Brofessor and Journalist, Mauritius. ,j Savrimootoo, N. Civil Engineer, Mauritius. 1898 Ferriere, J. Anthony Doctor in Medicine. ^j Felix, J. Eaoul do. 1899 Esnouf, Auguste Civil Engineer, Mauritius. ,, Cantin, B. Leon Civil Engineer, B. W. D. India. 1900 Le Comte, Louis Barrister-at-Law, Magistrate. »» Eampal, Maxime Civil Engineer. 1901 Mayer, Cliford Doctor in Medicine, in India. ,, Vandermefrch, A. Civil Engineer. 1902 Thompson, Bercy Civil Engineer, B. W. D. India. >» Baissac, Maurice Civil Engineer. 1903 Giraud, George Brofessor of Mathematics in England. >? Berdreau, Eene Medicine. 300 ADDENDUM. Year. Names. Remarks. 1904 Duvivier, Emile Doctor in Medicine. > ) Catto, William Henry do. 1905 Geneve, H. Civil Engineer. ) ) Pezzani, Roger Barrister-at-Law. 1906 Perdreau, Raoul do. 5) Geneve, Antoine Civil Engineer. 1907 MaiDgard, Fernand Barrister-at;Law. ) J Barnard, E.G. Law Student. Cure, Maurice Student in Medicine. 1908 Mayer, Norman Reading for the Civil Service. >> Morau, Jules Engineer. 1909 D'Avray, Alex. D. Medicine. ,) Leblanc, Gaston do. 1910 Herchenroder, Philippe . . . Law Student. Obtained the studentship of 100 guineas a 3'ear tenable for three years, at the General examination of students at the Inns of Court, held in December, 1913. ,, Bayliss, Joseph Anno Engineering Student. 1911 Mayer, Frank Chazal Croix de G- erre. Slain in France in the prf sent War. >> Celestin, Louis Abel Student in Medicine. 1912 Dyson, J. D. do. ) « Leblanc, J. do. 1913 Eavet, Raymond ,, Barnes, George 1914 Cantin Medicine. 5» Pitot. Maurice Engineer. CASES OF MALARIA, PLAGUE, AND ENTERIC FEVER IN THE ISLAND, 1915-16. Malaria Plague Enteric 1915. 3534 5 55 Deaths. 47 3 10 1916. Deaths 2463 25 8 5 85 19 POPULATION OF THE ISLAND. General Indian ... 1915. 84,538 260,882 1916. 122,801 261,452 345,420 384,253 INDEX. AcKROYD, Assistant Commissary-Gen- eral, cholera in fannily of, in 1854, 149 death of, from cholera, 149 Adrenalin, in dengue fever, 218 Africa, natives of, introduced into Mauritius for labour purposes, 42 Agriculture in Mauritius, promotion of, by Mahe de la Bourdonnais, 42 Air, poison in, formerly believed cause of cholera, 112 Alcohol in cholera, 134 Aloe industry in Mauritius, 31 Aloes, growth of. in Mauritius, 17 Amaurosis, quinine causing, 171 Amblyopia, quinine causing, 171 Ammonia, aromatic stimulants of, as cardiac stimulant in plague, 248 Amyl, nitrate of, in beri-beri, 223 inhalation of, in beri-beri, 225 Anderson, John, biographical details relating to, 79, 80 Descriptive Account of Mauritius, 16 educational work of, in Mauritius, 78, 79 Animals, domestic, liability of, to pneumonic plague, 246 Anjouanese, beri-beri epidemic among, 235-237 Anophelinee and Culicinfe, difference between, 165 drawings showing, 163 table indicating, 164 extermination in Panoma, effects, 165 season of infection by malarial parasite, 165 Anophelines, infection by landing of malaria-infected Coolies in Mauri- tius, 176 — — in prevention of malaria, 187, 188 parasites carried by, description of, 167 — — reduction of, cost of, 189 Antimony ointment, local application to phagedsenic ulcer, 261 tartrate in phagedaenic ulcer, 260 Antiplague sera (Yersin's or Lud- wig's), 248, 254 vaccine (Haffkine's), 248, 254 Antiserum in cholera, 134, 135 Arsenic in combination with quinine in malarial fever, 171 Asiatic labour, substitution of African labour for, in Mauritius, 55 Aspidiotus (sugar-cane), attacks of, on sugar-cane, 27 control, 27 Aspirin, in dengue fever, 218 Atmospheric changes, formerly be- lieved cause of cholera, 112 disturbance, spread of small-pox attributed to, 155 Bacilli of diphtheria, 243 Bacillus diphtherice, long life of, 24,2 rapid propagation of, 242 Bardet, Abbe, exile of, for Protestant views, 82 Barley sugar, manufacture of, 23 Bassin Blanc, 10 Baths, warm alcoholic and stimula- ting, employed in cholera epidemic (1819), 115 Beau Plan Estate, overgrowth of vege- tation in, as cause of malaria, 193 Belladonna, glycerine of, for unbroken buboes in plague, 248 Beri-beri, diagnosis, 225 epidemic at Diego Garcia (1901), report on, 235 among Anjouanese (1901), 235-237 etiology, 222 in Mauritius, 228 divided opinions as to, 233 etiology, 230 fish-eating as factor in caus- ation, 232 post-mortem appearances, 224, 280 spread by contagion, 230 symptoms, 229 treatment, 230 measures of disinfection, 224 mortality, 224 302 INDEX. Beri-beri, pathology, 225 post-mortem appearances, 22 1 symptoms, 224 treatment, 223, 225 dietetic, 226, 230, 233 Besant, Sir Walter, educational work of, in Mauritius, 69, 72, 73 influence of Mauritius on novels of, 73 Bibliography of Works on Mauritius, 277 Blackburn, Eev. Charles, missionary work of, in Mauritius, 284 Black Eiver, epidemic of cholera in 1856, 140 reasons of low mortality in epi- demic of cholera in (1854), 124 Black Eiver district, 10 malaria endemic in, 11 Blackwater fever, quinine as preventa- tive of, 170 Blindness in leprosy, 97 Blood, circulation, cerebral, how blocked in malarial fever, 162 Blood-corpuscles, destruction by ma- larial parasite, 162 Blue pill in dengue fever, 221 Bolton, Dr. J., on malarial fever in Mauritius, 179, 193 report on beri-beri epidemic at Diego Garcia (1901), 235 on pollution of rivers in Mauritius, 208 Bonaparte, Prince Eoland, monograph, quoted, 39 Botanic Gardens of Mauritius, estab- lishment of, 44 British Administration, Governors of Mauritius under, 298 conquest of Mauritius (1810), 8, 9 Bruce, Sir Charles, G.C.M.G., the evolution of the Crown Colony of Mauritius, 37-67 value of, as educationist, 68, 70 ' Bubo ' in bubonic plague, 247 Bucket system of drainage in Mau- ritius, 85 night soil service in St. Louis, 86 Bugs, infected, phagedsenic ulcers carried by, 259 Burke, Dr., treatment adopted by, in cholera epidemic (1819), 114, 115 Cahagnet, Prof., educational work at Mauritius, 75 Calcium, permanganate of, in cholera, 133 Calomel in epidemic of cholera at Savanne (1854), 127 Camp Malabar and Camp Yoloff, sub- urbs of St. Louis, 3 Camphor and sorrel leaves, powdered, application to phagedasnic ulcer, 264 powdered, dressing of ulcer with, in phagedasnic ulceration, 264 Cane fly, attacks of, on sugar cane, 27 control, 27 Caramel, manufacture of, 23 Carbolic acid, cauterisation of phage- daenic ulcer with, 264 pure, Manson's cauterisation of ulcer in phagedenic epidemic, 264 Carbon dioxide, application to phage- dasnic ulcer, 261 Castor oil in epidemic of cholera at Black Eiver (1854), 125 Ceratophyllus fasciatus (rat flea of temperate climates), 250 Cerne, Portuguese name for Mauritius, 37 Cbaulmoogra oil in leprosy, 97, 105 de Chazal, Dr., views on etiology of beri-beri in Mauritius, 232, 234 Children, diphtheritic, infectivity of, long lasting, 242 periodical census of, on schools and estates as preventive measure against malaria, 189 with enlarged spleen in Port Louis, 179 Chinese immigrants, beri-beri brought by, to Mauritius, 228 in Mauritius, 60 plague among, 256 Cholera, appearance of, in country districts (1854), 120, 121 capricious character of, 126 contagiousness of, want of belief in, in epidemic of Mauritius of 1854, 130 diagnosis, 109 epidemic (1819), drugs employed in, 115 prophylactic measures, 115 spread of, 114 treatment adopted, 114, 115 (1854) in Port Louis, 118 spread in gaol, 118 116 mode of introduction. mortality among gar- rison of Mauritius, 119 r spread of, 118 INDEX. 303 Cholera epidemic at Plain es Wilhems (1854-56), 14 in Mauritius of 1854 and 1856, comparison between, 141 of 1856, 138 1856, causes of, 138 comparative low mortality, 142 — ■ history of invasion, 139 of 1859, low mortality in, 145 of 1859, and 1862, 144 in 1862, coolies probable im- porters of, 145 1862, virulence of, 145 epidemics, 1854, 1856, regions affected by, 8 extracts from reports of medical commission on (1819), 148 former beliefs as to cause of, 112, 113 former ignorance as to incidence of, 111, 112 histology, 108 in Mauritius, 108 |strict quarantine laws for prevention of, 146 1854, treatment, 129 period of quarantine for, in Mau- ritius, 85 post-mortem examination, 110 prognosis, 110 reappearance of, in epidemic of 1854, 127 remedies for, 135 rules during prevalenceof, 135,136 symptoms, 108 varieties, 109 Christianity, influence of, in Mauritius, 59 Civil Hospital, escape of, in cholera epidemics of 1854, 1856, 143 Clairfond, outbreak of malaria in, 191 Clayton's apparatus for disinfecting by sulphur, need of, in Mauritius, 244 Climate of Curepipe, 33 of Port Louis, 33 Code Decaen, establishment in Mau- ritius, 49 Coffee production in Mauritius, 32 Coffee-seeds, mouldy, gastritis pro- duced by, 233 Colonial assembly of Mauritius, atti- tude of, towards slavery, 47 Commander-in-Chief of Mauritius, seat of, 45 Commission of inquiry on leprosy report and resolutions, 101, 102 Conchology of Mauritius, 275 Constitution of Mauritius, 61 Coolie camps, sanitation of, 91 Coolies, Indian, dengue fever intro- duced into Mauritius by, 218 immigration of, to Mauri- tius, 55, 56 malarial, landing of, in Mau- ritius, infection of anophelines by, 176 Cotton industry in Mauritius, 31 Cow pear, ploughing under crop of, for production of nitrogen in soil, 22 Creoles in Mauritius, prevalence of malaria among, 200 Crown, English, influence of, on Mauritius, 66 Cryogenin, in dengue fever, 218 Culicinffi, 163, 164 See also Anophelina Curepipe, climate of, 14, 33 Curtin, Abbe, 82 Cyclones in Mauritius, 33, 34 — (April 29, 1892) description of, 285-292 effects of, on cane production, 17 Decaen, General, influence of, upon Mauritius, 48, 49 Deforestation in Mauritius, droughts owing to, 20 Dengue fever, 217 diagnosis, 217 etiology, 219 introduced into Mauritius, by Indian Coolies, 218 pain in, 219 question of propagation, 219 secondary fever and pruritus in, 220 sequelffi and complications (nil) in, 221 symptoms, 217, 219 treatment, 218, 220 Diego Garcia, btri-beri epidemic at (1901), report on, 235 Diet and beri-beri, relation between, 222 in ben-beri, 226, 230 in cholera, 134 Dietetic treatment in beri-beri, 223, 226, 230 Digue reservoir, contaminated with enteric fever bacilli, 12 Diphtheria in Mauritius, epidemic of, in 1878, 239 epidemic of 1878, symptoms, 246 epidemic of, in 1907, 246 304 INDEX. Diphtheria in 1907, 1908 ; disinfectants used in, 244 treatment by anti-diphtheritic serum, 243 of 1908 and 1909, 241 Diphtheria, secret herbal i emedy for ; success of, 238 suspected, bacteriological exami- nation in, technique, 242 unaccompanied by fever ; neglect of, in epidemic of 1878, 239 Disease flora of Mauritius, 271 Dispensaries of Mauritius, 93 Diuretics com>ined with iron in acute anasmic dropsy (? beri-bcri) in Mauritius, 227 Douche, cold-water, in cholera epi- demic in Mauiitius in 1854, 129 Doyen, Professor, educational work of, in Mauritius, 75 Drainage, underground, of Port Louis, 86 Drainage works in Mauritius for pre- vention of malaria, cost of, 201 Drains in Mauritius, rats swarming in, 256 Dropsy, acute anaemic (beri-beri) epi- demic of, in Mauritius, 226 (? beri-beri) in Mauritius ; symp- toms, 226 ■ epidemic, and beri-beri, differen- tiation between. 225 Drugs employed in cholera epidemic (1819), 115 . Dutch (The), annexation and coloni- sation of Mauritius by, 38, 39 Educational work in Mauritius, 68-79 Egypt, measures for abolishing mos- quitoes in, 166 Emetics and purgatives in cholera epidemic in Mauritius (1854), 130 in epidemic of cholera at Black Kiver(18o4), 125 English, small population of, in Mauri- tius, 59 Enteric fever in Mauritius (1915-16), cases and deaths, 302 bacilli contaminating water- supply of Port Louis, 12 Fats, deficiency of, causing beri-beri, 222 Fauna of Mauritius, 5, 6, 269 Fear, cause of spread of cholera, 141, 142 Fertilisers for sugar-cane growing, 22 Fever, commencement of ' tubercular leprosy,' 96 Financial crisis in Mauritius, 63 policy of Mauritius, 65 Fire in Mauritius (1893), 63 Fish of Mauritius, 271 off coast of Mauritius, 32 Fish-eating as factor. in causation of beri-beri in Mauritius, 232 Flacq district, sanitary works neces- sary in, to prevent malaria, 195, 196, 198 epidemic of cholera in (1854), 122; (1856), 140 reappearance in, of cholera epidemic of 1854, 127 Keport of Commission of Inquiry on, 129 soldiers stationed at, mortality from cholera (1854), 119 surroundings of, 7 Fleas, entomology of, 249 liniment as protection against, 250 Flies of Mauritius, 270 Flora of Mauritius, 274 Food-stuffs, inspection of, in Port Louis, 87 Fort Hendrik, construction of, by the Dutch, 38, 39 France, Mauritius made a Crown colony of (1766), 44 French in Mauritius, 41 French East India Company, Gover- nors of Mauritius under, 295 bankruptcy of (1764), 43 grant of Mauritius by charter to (1719), 41 French Empire, first Governor of Mauritius under, 297 French Monarchy, Governors of Mau- ritius under, 296 French Republic, first Governors of Mauritius under, 296 Fruit production in Mauritius, 32 Fungi, attacks of, on sugar cane, 24 Gastritis, produced by mouldy coffee- seeds, 233 General Board of Health and Sanitary Staff in Mauritius previous to 1904, 84 Gentrac, simple herbal remedy of, for diphtheria, 239 Geology of Mauritius, 1, 2, 10 Gin in acute ansemic dropsy (? beri- beri) in Mauritius, 227 INDEX. 305 Glucose in bilious remittent fever (malarial), 171 Golden syrup, manufacture of, 23 Grand Bassin lake, 9, 10 Grand Port, 8 low mortality from plague in epidemic of 1856, 140 malarial fever endemic at, 9 Grand Kiver S.E., 8 Grand Kiver district, scenery of, 11, 12 Grasshopper, attacks of, on sugar cane, 27 control, 28 Great Britain, capitulation of Mau- ritius to, 50 naval and military service of Mauritius to, 51 Great Port, epidemic of cholera in (1854), 125 Gumming Disease, sugar cane attacked by, 28 Gunny-bags, spread of plague by, in Mauritius, 257 Hayti, influences of French Revolu- tion upon, 47 Heart failure in bubonic plague, 253 Hectine, injection into phagedsenic ulcer, 260 Hennessy, Sir John Pope, Governor of Mauritius, indiscretions of, 81 Hophopsijllus anomalus (ground squirrel flea), 250 Hospitals, estate, in Mauritius, 93 public, of Mauritius, 93 Houses, diphtheritic infection of, after eight years, 241 Hurricane, destructive, in Mauritius, 1892, 62 Hyperpyrexia in cholera, copious iced- water rectal saline injections in, 133 Ile de la Passe, naval battle of, 1810, 49 Indian community in Mauritius, 60 labourers in agriculture and commerce in Mauritius, 57 natives of Mauritius, idea as to cause of small-pox epidemic (1891- 92), 155 Indians, acute anaemic dropsy (? beri- beri) among, in Mauritius, 228 in Mauritius, prevalence of malaria among, 200 Infectious disease, medical men as carriers of, 242 Insects, attacks of, on sugar cane, 24 Insomnia, quinine causing, 172 Iodine, tincture of, injection of, in neighbourhood of buboes in plague, 248 Isle of France, French name for Mauritius, 41 Jacobin Clubs in Mauritius in 1787- 1797, 46 Jerningham, Sir Hubert, description of cyclone in Mauritius (1892), 285- 292 Koch's comma bacillus, cause of cholera. 111 Labouk, supply of, in Mauritius, how promoted by Mahe de la Bourdon- nais, 42 Labouring population, imported by Dutch into Mauritius, trouble caused by, 40 Lafont, Dr., director of laboratory in Mauritius, 240 Laureates of the Royal College, 297 of Royal College of Mauritius, professions followed by, 297 Laval, M., devotion of, to black lower classes in Mauritius, 81 fatal mistake of, 81 Le Brun, Rev. Jean (senior), religious work of, in Mauritius, 80 Leishman parasites, 260 Lepers in Mauritius, 38, 111 Leprosy, ' anaesthetic,' 96 diagnosis, 97 symptoms at onset of, 97 causes of death in, 97 contagiousness of, 103 diagnosis of, 95 exciting causes of, 95 heredity, 104 history, 98 in Mauritius, commission of in- quiry, 100, 101 statistics, 99-103 ' mixed,' 96 treatment, 97, 104 , ' tubercular,' 96 diagnosis, 96 ' Leroy, purgative,' in epidemic of cholera in Savanne (1854), 127 L'Homme, L6oville, litterateur and journalist of Mauritius, 282 poem of, quoted, 282 Local Government in Mauritius, 62 306 INDEX. Loeftler's bacilli, absence of, in some false membranes, 243 McIrvine, Eev. George, Presbyterian divine in Mauritius, 80 Madagascar, plague introduced into Mauritius from, 1899, 251 Mahe de la Bourdonnais, labours as governor of Mauritius, 41, 42 Maison Blanche, malaria at, 195 Malaria, endemic at Grand Port, 9 at Savanne. 10 in Black Kiver district, 11 epidemic (1866), regions affected by, 8 of (1866-68), 13 of, in Mauritius, in 1866, 14 in Mauritius, cost of, to com- munity, 188 means of prevention, 187, 189 prevention of, expenditure on, 188 summary of facts regarding amount of, from report of Sir Eonald Boss, 185 Malarial fever, 160 at Maison Blanche, 195 cachexia, cause of, 162 chronic, prescription for, 171 comparative freedom of Moka district from, 196, 199 condition of spleen in, 162 epidemic in Mauritius (1865), in- troduction, 173 etiology, 160, 164 in Mauritius, 1915-16, cases and deaths, 300 deaths from, 202, 203 peculiar type of, 173 ravages of, 173 reduction of population caused by, 173, 178, 179 treatment, 183 works for prevention of, exe- cution and cost, 199 length of time of inoculation, 167 parasite of, 160, 162 destruction of red blood cor- puscles by, 162 table of differences between, 167 pathology, 162 precautions against, 172 prevalence among Indians and Creoles in Mauritius, 200 in Savanne district, 196 quartan, 160 parasite of, 167 Malarial fever, subtertian, cause of de- lirium and coma in, 162 malignant, 160 symptoms, 160 temperature in, 162 tertian, benign, 160 parasite of, 167 malii^nant, parasite of, life history, 169 treatment, 170 by quinine injection, effect on blocked circulation of blood, 162 Malleson, Colonel, on the loss of Mau- ritius to France, 50 Mare aux Vacoas waterworks, 14 ' Marmite' in beri-beri, 225 Maroon population of Mauritius, 40, 42 Marshes, drainage of, in prevention of malaria, 191-199 in Mauritius, cost of, 200 in Mauritius and propagation of parasite of malarial fever, connec- tion between, 176 Mauritius, annexation and colonisa- tion by the Dutch, 38, 39 an unit in the French Empire, 49 blue-book of, giving statistics as to epidemics, 206, 207 British conquest of (1810), 8, 9 capitulation of, to Great Britain, 50 — — cause of transfer to British dominion, 52 characteristics of Old France in, 45 cholera epidemic (1819;, 114; (1854), 116 conchology of, 275 constitution of, 61 Crown colony of, evolution (Sir C. Bruce), 37-67 cyclones in, 33, 34 dengue fever, epidemic in (1873), 218 disease flora of, 271 elements of disorder in, in 1787- ■ 1797, 45 of order in 1787-1797, 45 fauna of, 5, 6, 269 favourable site in, for habitat of Pyrotopliorus costalis, 178 fish of, 271 flies of, 270 flora of, 274 freedom from outbreak of epi- demic disease (1819-54), 116 geographical description, 1 INDEX. 307 Mauritius, geology, 1, 2, 10 Governor of, under the Dutch, 293 under the French East India Company, 293 under the French Monarchy, 294 under the First French Ke- public, 294 under the First French Em- pire, 295 under British Administra- tion, 296 grant by charter to French East India Company (1719), 41 influences of French Kevolution upon, 47, 48 leading personages of, 82, 83 made a Crown colony of France (1766), 44 malarial fever in, 172 mountain ranges of, 1, 4 naval and military services of, to Great Britain, 51 plague in, 251 population, 1915 and 1916, 302 reduction due to malarial fever, 173, 178, 179 Portuguese in, 37 Portuguese name for, 37 protozoa of, 270 resemblance to West Indian islands, 1 revenue in, from sugar cane pro- • ducticn, 16 river systems of, in relation to cultivation of sugar cane, 17, 18 rivers of, 8, 9 small-pox epidemic in 1856 and 1891-92, 154 transport system of, 54 tribute to beauty of, 100 years ago, 284, 285 typho-malarial fever in, 183 unanimity of races composing population of, 35 volcanic origin, 1, 2 Mealy-bug, grey sugar-cane ; attacks of, on sugar cane, 27 control, 27 pink ; attacks of on sugar cane, 27 control, 27 Medical practitioners carriers of in- fectious disease, 242 Meldrum, Dr. Charles, F.R.S., on in- troduction of malarial fever into Mauritius, 173 Meldrum, Dr. Charles, F.R.S., work at Royal Alfred Observatory, Mauri- tius, 52 Mercury, intramuscular injections of, in leprosy, 98 Meurin, Archbishop ; attempt of, to bring education in Mauritius under control of Roman Catholic Church, 81 Military services of Mauritius to Great Britain, 51 Moka, 11 district, comparative freedom from malaria, 196, 199 epidemic of cholera in (1854), 123 of plague in 1856 swiftness of rivers in preventing severe epidemic of cholera ^1854), 124 (1856), 140 Molasses (treacle) ; constituents of, 23 Morphia, as hypnotic and cardiac stimulant in plague, 248 Mortality in dengue fever nil, 220 Mosquito, Anopheline, carrier, of ma- larial fever, 164 female, alone bites, 165 Mosquitoes, breeding places of, 165 measures for abolition of, in West Indies, Egypt, and Siam, 166 measures for extermination of, in Mauritius, 180 smoking-out method adopted by natives, 180, 181 Moth-borer, attacks of, on sugar cane, 24 control, 25 larger, attacks of on sugar cane, 25 control, 25 Mountain ranges of Mauritius, 1, 4 Music, vocal, in Mauritius, influence of Sir Walter Besant upon, 73 Mus Norvegiciis, or plague rat, 246 Mus rattus, or plague rat, 246 Mustard foot-baths (hot) in dengue fever, 221 sinapisms in beri-beri, 223 Naphthalene to keep away fleas in plague, 248 Nastin, intramuscular injections of, in leprosy, 98 Natives, ignorance, superstition, and stubbornness of, cause of spread of small-pox in Mauritius (1891-92), 155 308 INDEX Naval services of Mauritius to Great Britain, 51 Navigation, uses of Koyal Alfred Ob- servatory, Mauritius, for, 62, 53 Neosalvarsan, intravenous injections in treatment of phagedaenic ulcer, 260 Nerves, affection of, in anaesthetic leprosy, 97 Night blindness, quinine causing, 171 Nitrogen, method of production in fertilisation of soil for sugar-cane production, 22 Nitro-glycerine in beri-beri, 223 inhalation of, in beri-beri, 225 Observator-x of Mauritius, uses of, for navigation, 52, 53 Ointments, application to phagedenic ulcer, 261 Opium, employment in cholera epi- demic (1819), 115 in cholera epidemic in Mauritius (1854), 130, 131 Over-crowding and beri-beri, relation between, 222 Pacitic Ocean, islands of, poisonous properties of potato in, 239 Pamplemousses, epidemic of cholera in (1854), 121 ; (1856), 140 district, drainage works necessary at, 193, 197 overgrowth of vegetation in, as cause of malaria, 193 river, breeding ground of malaria, 208 unsanitary condition of, 209 necessity for clearance of, 209 reserves of, dangers of, 210 Panama, extermination of anophelinee and Stegomyia fasciata in, good effects from, 165 Pangola, SS., introduction of small- pox into Mauritius by (1891-92), 155 Parasite, malarial, season of infection of anophelinse by, 165 of malarial fever, 160, 164 carried by anophelines ; de- scription of, 167 carrier of, 164 development of, 168 segmentation of (schizo- gony), 168 Pesteriue to keep away fleas in plague, 248 Phagedeenic ulcer, diagnosis, 260 Phagedffinic ulcer epidemic in Mauri- tius, 259 bacteriology discussed, 264, 265 origin, 262 prophylaxis, 261 spread of, 262 statistics, 263 symptoms, 262 treatment, 264 histology, 259 in Mauritius, etiology discussed, 264-266 period of incubation, 259 treatment, 260, 264 by local applications, 260, 261 Phenacetin, in dengue fever, 218 Phlebotomus midge, parasite of phagedaenic ulcers carried by, 259 transmission of dengue fever by, 221 Pinta in Mauritius, 107 Pituitary extract to raise blood pressure in cholera, 133, 134 Plague bacilli, 249 bubonic, commonest form in Mauritius, 253 • conveyed by Xenopsylla cheopis (rat flea), 246 rats, carriers of, 38 symptoms, 247 diagnosis, 248 in Mauritius, 63 (1915-16) cases and deaths, 300 criticism concerning, 253 difficulty of carrying out preventive measures, 255 factors in furthering spread of, 252 statistics, 253 treatment, preventive and curative, 254 types of, 253 morbid anatomy, 248 period of isolation in, 249 of quarantine for, in Mauri- tius, 85 pneumonic, conveyed by Xeno- ])sylla cheopis (rat flea), 246 symptoms, 247 - — septic, 246 septicaemic, fatality of, 247 symptoms, 247 symptoms, 247 treatment, 248 Plaines Wilhems, 11 INDEX. 309 •Plaines Wilhems, cholera epidemic at (1854-56), 14 epidemic of cholera (1854), 121 ; (1856), 140 healthiness of, no prevention of cholera epidemic (1854), 121 Planters, Indian, of Mauritius, non- chalance of, as regards sugar-cane production, 19 resources of, 19 Plants, different properties of, accord- ing to soil, 239 economic, extensive growth of, in Mauritius, 54 Population of Mauritius in 1901, 57, 58 in 1915 and 1916, 302 Port Louis, children with enlarged spleen in, 179 cholera epidemic in (1854), 118 mortalit}' from, 120 prevalence among civilians, 120 climate of, 33 death rate of, increase due to malarial fever, 179 deficiencies of water-pipes in, 88 description of, 3 dilapidated tenements of, 88, 90 founding of, 42, 43 greatest number of lepers in, 103 history of outbreak of cholera in (1856), 139 inspection of food-stuffs in, 87 lighting of, 88 malaria in, preventive mea- sures, 189 malarial fever in, causes, 174 markets of, 87 nuisances in, 88, 89 old sewers of, 89 rats in, suggested means of de- struction, 255 rats in Avooden houses of, 255, 256 sanitary works of, 85, 90 sewerage of, antiquated, 89 small-pox epidemic (1891-92), cause of abatement, 156, 157 spread of, in, 156 system of drainage in, 86 water supply of, 87 cause of impurity, 87-89 ■ contaminated, 12 Portuguese in Cerne (Mauritius), 37 Potassium, permanganate, dusting on phagedenic sore, 261 use of, in wells during cholera epidemics, 135 Potassium, permanganate, in cholera, 133 Potato, poisonous properties of, in islands of Pacific Ocean, 239 Poupinel, Dr., Report of, on leprosy, 1882, 102 treatment of leprosy, 106 Privateers, refuge lor, in Mauritius, 50 Professors, French, of Eoyal College in Mauritius, 75 Proteids, deficiency of, resulting in beri-beri, 222 Protozoa of Mauritius, 270 Pruritus in dengue fever, 220 Pulex irritans (human flea), 250 Pulv. jalapffi CO., in acute anemic dropsy (? beri-beri) in Mauritius, 227 Purgatives, employment in cholera epidemic (1819), 114, 115 in malarial fever, 183 Pijrotophorus costalis, abounding on coast of Mauritius, 175 Quarantine Stations of Mauritius, 84 Quinine, administration of. followed by visual disturbances, 171 as preventative of blackwater fever, 170 bihydrochloride of , intramuscular injections of, in malarial fever, 170, 171 injection by infected needles causing tetanus, 183, 184 in malarial fever, effect on blocked circulation of blood, 162 pills for children in Port Louis in prevention of malaria, 190 sulphate of, in malarial fever, 170 symptoms following treatment by, 171 Radium treatment of phagedasnic ulcer, 261 Rainfall, excessive, ill-effects on sugar cane production in Mauritius., 20 temperature and number of cases, chart showing relation between, in small-pox epidemic (1891-92), 158 Raspail's treatment in dengue fever, 221 Rats, carriers of bubonic plague, 38 Mauritius infested with, 255 mischief done by, in Mauritius, 38 suggested means of destruction of, in Port Louis, 255 swarming in drains in Mauritius, 256 Reddle, Mr., failure of, as rector of Royal College of Mauritius, 68 310 INDEX. Eetluit, situation and scenery of, 13 Keligious instruction in Mauritius, in- fluence of Sir Walter Besant upon, 74 Eice, decorticateJ; ealing of, resulting in beri-b ri, 223 Indian, spread of beri-beri in Mauritius not due to, 231 poisonous metabolism in, as cause of beri-beri, 233 polishings, extract of, in beri- beri, 225 superabundance of, resulting in beri-beri, 222 Kiver reserves of Mauritius cause of malaria, 213, 214 destruction within certain limits advocated, 215 question of, 211 systems of Mauritius, in relation to cultivatiou of sugar cane, 17, 18 Elvers of Mauritius, 8, 9 pollution of, in Mauritius, Go- vernment report on, 208 Eiviere du Eempart, epidemic of cholera in (1854), 123 (1856), 140 Eiviere du Eempart District, drainage works in, in prevention of malaria, 194, 197 Eogers, Sir L. , discoverer of efiScacious treatment of cholera, 132 preparation of, in cholera, 132 Eoot-borer, attacks of, on sugar cane, 26 control, 26 Eoss, Sir Eonald, F.E.S., decrease in population of Mauritius due to ma- larial fever, 178, 179 report on river reserves of Mau- ritius, 210-216 Eouget, Dr., phagedaenic ulcers, 264 report on phagedronio ulcer epi- demic in Mauritius, 262-266 Eoyal Alfred Observatory, 52 Eoyal College of Mauritius, Laureates, 297 Eum industry in Mauritius, 30 process of manufacture, 30 Eyan, Bishop, work of, 80 St. Louts, bucket system of night soil service in, 86 Salicylic acid; gargles of, in diphtheria, 244 Saline (iced- water), rectal injections of, in hyperpyrexia in cholera, J 33 Saline (isotonic), rectal injections of,' in uraemia in cholera, 133 solution, normal intravenous in- jection of in malarial fever, 171 Salvarsan, intravenous injections, in treatment of phagedsenic ulcer, 260 Sanitary works, Mauritius, 91, 93 of Port Louis, 90 principal, of Mauritius, 85 Sanitation in Mauritius, 84 Savanne, 9 epidemic of cholera in (1854), 126 ; (1856), 140 malaria endemic at, 10 Savanne district, drainage and clear- ance of vegetation necessary in, 198 malaria prevalent in, 196 Schizont, physiology of, 168 Scurvy, resemblance to beri-beri, 225 Septicaemia, death from, in severe cases of leprosy, 96 Serism in diphtheria ; accidents in, 244 rarity of, 244 Serum, anti-diphtheritic ; mortality rare in diphtheria after injection of, 240 Sewers, old, of Port Louis, 89 Ships, disinfection of, in plague, 249 Shot-borer, attacks of on sugar cane, 27 — - control, 27 Siam, measures for abolishing mos- quitoes in, 166 Simpson, Prof. W. J., C.M.G., pre- face, V Slavery, abolition of, ill-effects in Hayti, 47 in Mauritius, 1835, 55 Small-pox epidemic in Mauritius, (1866), 154 ; (1891-92), 155 cause of outbreak, 155 — chart showing relation be- tween temperature, rainfall, number of cases, and number of deaths, 158 — curve showing percentage of liability according to age periods, 159 factors operating in spread of, 155 stamping-out measures adopted, 156, 157 period of quarantine for, in Mau- ritius, 85 spread of, in Port Louis (1891- 92), 156 wrong ideas as to cause of, among natives of Mauritms, 155 INDEX 311 Sraoking-out method, for riddance of mosquitoes, adopted by natives, 180, 181 Sodium bromide, intravenous injection of, in cerebral cases of malarial fever, 171 Soils suitable for sugar-cane growing, 21 Soldiers garrisoned in Mauritius, mortality in cholera epidemic (1854), 119 South African War, V.C.'s gained by Mauritian soldiers in, 83 Spiritualism in Mauritius, 75, 76 Spleen, condition, in malarial fever, 162 enlarged, children in Port Louis with, 379 treatment of children with, in prevention of malaria, 189 rates in Mauritius, according to altitude, 205 summary, 204, 213 Stanley, Jacob, ghost story relating to, 77 reminiscences of, 76 Stegomyia fasciata, extermination in Panama, 165 Stevenson, Sir William, sanitary measures of, in Mauritius, 144 Stimulants and diuretics in cholera, 133 Streams, canalisation of, as preven- tive against malaria, 190 clearing and improving, in pre- vention of malaria in Mauritius, cost of, 200 Strophantus as cardiac stimulant in plague, 248 Strychnine and iron in acute anasmic dropsy (? beri-beri) in Mauritius, 227 as cardiac stimulant in plague, 248 in beri-beri, 225, 230 Suez Canal, opening of, effect on trade of Mauritius, 53 Sugar in Mauritius, great export of, 53 manufacture of, from cane, 22, 23 Sugar cane, best soils for, 21 cultivation of, in Mauritius, 16 description, 21 diseases of, 24 in West Indies, 21 production in Mauritius, effect of cyclone on, 17 revenue from, 16 Sugar cane, varieties in Mauritius, 28 Sugar estates in Mauritius, suppression of plague on, 256 Sugar factories in Mauritius, 18, 28 Suicidal mania, temporary, large doses of quinine causing, 171 Sulphuric acid and calomel combined with opium in cholera epidemic in Mauritius (1854), 130 (dilute) in epidemic of cholera at Black River (1854), 125 Sultany, immigrant ship, introduction of cholera into Mauritius by (1854), 116, 117 Surra in Mauritius, 1902, 64 Tabes doksalis, resemblance of, to beri-beri, 225 Tannin, glycerine of, in diphtheria, 244 Tartar emetic, intravenous injection, in treatment of phagedeenic ulcer, 260 Tea production in Mauritius, 32 Temperature, rainfall, and number of cases, chart showing relation be- tween in small-pox epidemic (1891- 92), 158 Termites (white ants), attacks of, on sugar cane, 28 control, 28 Tetanus, following injection of quinine, by infected needles, 183, 184 Tobacco industry in Mauritius, 31 Towns of Mauritius, sanitation of, 91 Trees, discrimination in destruction of, as anti-mosquito measure, 181, 182 fanatical reverence for, in district of Pamplemousses, 209 removal of, round houses in pre- vention of malaria, 192 Tricresol powder to keep away fleas in plague, 248 ' Trou aux Cerfs,' 15 extinct crater west of Curepipe, 15 Typho-malarial fever in Mauritius, 183 Union Vale Estate, sanitary works re- quired on, to prevent malaria, 195 Uraemia in cholera : rectal isotonic saline injections, 133 Vaccination, wholesale adoption, effect on small-pox epidemic in Port Louis and Mauritius (1891-92), 156, 15? 312 INDEX. Vaccine, anti-choleraic, length of im- munity conferred by, 134 length of time of immunity from cholera after inoculation .with, 134 preparation of, 134 insufficiency of, cause of spread of small-pox in Mauritius (1891-92), 155, 156 Vanilla industry in Mauritius, 31 Villages, country, of Mauritius, sani- tation of, 90, 91 Vision, disturbance of, following ad- ministration of quinine, 171 Volcanic origin of Mauritius, 1, 2 War, the Mauritian soldiers in, 83 Water-pipes, deficiencies of, in Port Louis, 88 Water-supply of Port Louis, 87 cause of impurity, 87-89 Water-supply contaminated, 12 Waterworks at Mare aux Vacoas, 14 Weevil-borer, attacks of, on sugar cane, 25 control, 26 West Indian Islands, resemblance of Mauritius to, 1 West Indies, measures for abolishing mosquitoes in, 166 sugar cane in, 21 Xenopsylla cheopis (rat-flea), conveyer of plague to man, 246 (tropical rat-flea), 250 Yeast, appearance of, on diphtheritic throats in Mauritius, 244 desiccated, in beri-beri, 225 Yellow fever, abolition in Panama, how effected, 165 PRINTED BY STRANGEWAVS AND SONS, TOWER STREET, CAMBRIDGE CIRCUS, W.C.2.