expedition, three
vessels were employed, of which the 'Albert' stayed the longest time in
the river, namely two months and two days. Her English crew consisted of
62 men; of these, 55 caught fever in the river, and 23 died. Of the
remaining seven, only two ultimately escaped scot-free; the others
suffering, more or less severely, on their return to England. In Dr.
McWilliams's Medical History of this expedition, it is laid down that the
Niger fever, which may be considered as a type of pestilential fever
generally, usually sets in sixteen days after exposure to the malaria;
and that one attack, instead of acclimatising the patient, seems to
render him all the more liable to a second. Every conceivable precaution
known in those days, had been taken to ensure the health of the crew of
the 'Albert.' A great discovery of modern days is the power of quinine to
keep off many types of fever. A person would, now, have little to fear in
taking a passage in a Niger steamer; supposing that vessels ran regularly
up that river. The quinine he would take, beginning at the coast, would
render him proof against fever, until he had passed the delta; but
nothing would remove the risk of a long sojourn in the delta itself.
However, I should add that Dr. Livingstone's experience on the zambesi
throws doubt on the power of quinine to keep off the type of fever that
prevails upon that river.
Precautions in unhealthy Places.--There are certain precautions which
should be borne in mind in unhealthy places, besides that which I have
just mentioned of regularly taking small doses of quinine, such as never
to encamp to the leeward of a marsh; to sleep close in between large
fires, with a handkerchief gathered round your face (natural instinct
will teach this); to avoid starting too early in the morning; and to
beware of unnecessary hunger, hardship, and exposure. It is a
widely-corroborated fact that the banks of a river and adjacent plains
are often less affected by malaria than the low hills that overlook them.
Diarrhoea.--With a bad diarrhoea, take nothing but broth, rice water, and
it may be rice, in very small quantities at a meal, until you are quite
restored. The least piece of bread or meat causes an immediate relapse.
Ophthalmia'.--Sulphate of zinc is invaluable as an eyewash: for
ophthalmia is a scourge in parts of North and South Africa, in Australia,
and in many other countries. The taste of the solution which should be
strongly
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