Chapter 49 Disease Prevention and Control

December 7, 1866. Colonies of East Africa.

Great Lakes (Lake Victoria), Mwanza.

Today, the Great Lakes region is the second largest colony in East Africa after the Upper Prime-Sea in terms of immigrant population, and is located next to Mwanza Bay in the Great Lakes (Lake Victoria).

The Great Lakes region is rich in water, fertile and has a temperate climate, and the Great Lakes (Victoria) are formed by the basin of water and are the source of the Nile River. It is located between the Great Rift Valley, where the colonies now control the southern shores of the Great Lakes and the rest of the region is in indigenous hands.

It was also here that the first primitive fishing in the East African colonies began, in simple canoes, used to catch fish in the Great Lake (Lake Victoria) as a supplement for meat.

Today's Great Lake (Lake Victoria) is not as biodiverse as it was later due to the introduction of farmed Nile perch.

Therefore, the special freshwater fish in the large lake are relatively diverse, and the unpolluted lake water is also reassuring to eat.

The Great Lakes region is one of the wetter and rainiest regions of Africa, and the large area of the Great Lakes (Lake Victoria) has directly changed the local climate and environment.

In sub-Saharan Africa, humidity is not necessarily a good term, as in Nigeria and Congo, for example, were hotbeds of tropical diseases.

Mosquitoes are also very difficult in East Africa because the equator passes through the middle of Africa. In most parts of Africa, the temperature is basically maintained above 20 degrees, which is suitable for mosquitoes to breed all year round.

Malaria, dengue fever and a host of other infectious diseases are transmitted to humans by mosquitoes.

In later generations, East Africa was the hardest hit area by various diseases such as malaria, and in addition to the low level of medical care, the biggest problem was the infestation of mosquitoes.

In his previous life, Ernst worked in Tanzania, and although the protective measures were relatively good, there were so many mosquitoes in Africa that Ernst contracted malaria twice.

It was the 21st century, and Ernst, a modern man, was still tricked with the blessing of mosquito nets and mosquito coils, which can imagine the horror of Africa in the eyes of Europeans in this era.

Up to now, European colonies in Africa have mostly been narrow coastal plains, and they have not dared to go far inland.

The largest area of land in Africa was owned by the Ottoman Empire, mainly in North Africa and Ethiopia, the second by the Portuguese, who opened up the colonies of Angola and Mozambique, the third by France, which concentrated a small amount of land mainly in North and West Africa, and finally the Cape colony under the British, and the other countries, Spain, the Netherlands to be negligible.

So Ernst's East African colony was already unique in Africa, being the first colony to penetrate deep into the interior plateau of Africa.

The Portuguese colonies were also relatively large, but the Portuguese managed them crudely, using the means of controlling the indigenous tribes with the indigenous tribes, fanning the flames everywhere, and finally reaping the profits of the fishermen.

Although the East African colonies are as black as crows, Ernst does manage them as his own home, although at the expense of the interests of the natives, it can facilitate future immigration, which is to prepare for a long-term stay here.

The comparison between the Portuguese colonies and the East African colonies is not too much to say that they are exhausted and fishing, that is, the current environment is such that Portugal can get away with it, and after World War II, African countries will still be swept away by the natives under the instigation of the United States and the Soviet Union.

Of course, this is the history of the previous life, maybe this world will be annexed by the East African colonies, anyway, Ernst will not let Mozambique go, on the side of the couch, how can he allow others to snore.

The Portuguese have a criminal record, and they were thought about by the Sultanate of Zanzibar back then, and they were finally beaten by fat.

There are also areas of Zimbabwe and Zambia, which had also been entered by the Portuguese in previous years, and finally withdrew due to an outbreak of indigenous diseases.

Therefore, sooner or later, the greedy Portuguese will take action against the East African colonies, and Ernst must always keep an eye on them, and if the East African colonies develop well, it will be time for the Portuguese to worry about their colonies.

The annual temperature in the East is above 20 degrees, resulting in the wanton reproduction of mosquitoes and various viruses.

Disease is also the biggest threat to the survival of migrants, so the health problem in the East African colonies has always been a major priority.

Among them, the water source near the place of residence is strictly managed, and the act of polluting the water source is strictly prohibited.

Shrubs, puddles and other environments suitable for mosquito breeding are cleaned up by fire and burial.

In large waters, some mosquito larvae are stocked with natural predator fish to control their racial size.

In the East African colonies, diseases such as malaria were like lotteries, drawing the unlucky among immigrants, but fortunately quinine had already appeared in this era.

ERNST also specially introduced cinchona tree species from South America to be cultivated in suitable places in East Africa, as well as various Chinese herbal medicines.

Western medicine is still relatively metaphysical and has not yet matured, and bloodletting is still the mainstream treatment method of contemporary doctors, and in 1833 alone, France still imported more than 40 million leeches.

Fortunately, more and more scholars are now questioning theories against traditional Western medicine, and Ernst is in the midst of the transition from traditional Western medicine to modern medicine.

The 19th century was the beginning of the rapid development of Western medicine. In 1816, Merck (United States), Pfizer (United States) in 1849, Novartis (Switzerland) in 1859, Bayer (Germany) in 1863, Glaxo (United Kingdom) in 1873, SmithKline (United Kingdom) in 1875, Abbott (United States) in 1888, Roche (Switzerland) and other Western pharmaceutical companies were established one after another, and mankind entered the era of Western medicine.

It is undeniable that in some of the current European and American medical laboratories, there may be countless crystallization of medical wisdom, which will completely replace the status of traditional medicine in the next few decades.

But this process was long, and it was not until the 20th century that the edifice of modern medicine was fully established.

Although cutting-edge medicine has advanced by leaps and bounds, the mainstream clinical medicine in the current era is still operated by traditional "old Western medicine".

The cognition of diseases, bacteria and viruses by these "old Western doctors" who have not yet been eliminated is still stuck in the previous era, and there is no concept of anesthesia, hemostasis and disinfection in surgery. Therefore, there are often outrageous medical accidents.

Ernst didn't dare to gamble with them, so it was more reassuring to have a proven prescription with few side effects.

In addition to obtaining some local herbs from the indigenous people of East Africa, I also look for some proven and reliable medicines from traditional Chinese medicine and Western medicine.

For example, cinchona, artemisia annua, and other drugs that are effective against malaria, but Ernst is not a medical student and does not know how to deal with these drugs.

But it is better to have medicine in hand than to have myrrh, if the colonial immigrants are unfortunate enough to get malaria.

I can only use these two kinds of boiling water to drink, not that I don't want to use the extracted medicine, but the cost is too high, the colony is so large, the population is also quite large, and the expenses in all aspects are not small, and there is almost no additional cost for planting drugs except for labor costs.

The land is ready-made, and as long as the environment is suitable, you can plant as much as you want, and the price of ordering drugs from Europe is high.

At present, the most effective means of preventing infectious diseases in the East African colonies is to isolate, and once a problem is discovered, it is isolated separately.

The immunity is good, and if you can't survive, you can only die in pain.

Of course, Ernst also procured some medicines, but due to traffic reasons, most of them were in the Upper Marina, the closest to the harbour.

The interior lagged behind in terms of supplies and medicines, so this required the inland colonial strongholds to exert greater initiative than the upper coastal area.

Migrant workers are organized to carry out sanitation and cleaning activities, concentrate on the planning and management of garbage and excreta, eradicate mosquito habitats, and plant mosquito repellent plants (pyrethrum is produced in East Africa......

In order to prevent the spread of infectious diseases to the greatest extent, it can be said that immigrants from the East African colonies are world leaders in the concept of hygiene.

They may not know what hygiene is, but they know that they are asked by their superiors not to litter, eat food, or defecate in the open......

These were enforced by the colonial management, otherwise those who violated the rules would be severely punished.

The colonial management did not actually have much of a sense of hygiene, but Ernst forced the colony to follow his instructions, and Ernst righteously told the colonial management that these were the conclusions reached by European experts.

Believe it or not, the colony officials did follow Ernst's word and the disease in the East African colonies was kept under control.

Compared with other colonies, the effect is remarkable, even better than some developed regions and countries, such as Mozambique next door and India in South Asia.