
THE COURSE OF CHANGE
cattle plagues: foot-and-mouth, redwater, east-coast fever,
pleuropneumonia. And then came the culminating human disaster,
the influenza pandemic that was the last and worst consequence
of the conflict which the greed and stupidity of Europe's rulers
had wished upon the world. It may well be that
2
per cent or more
of Africa's population perished in 1918-19 from this cause alone.
Africa's peoples have great resilience, however, and there were
countervailing forces which gathered strength throughout the
colonial period. Even before 1914 the security of life had been
improved in some parts of Africa, and by no means all of it was
lethally affected (except through the influenza) by the European
war. Thereafter there were two decades of almost total peace. In
addition, the intruders were able to do something to combat the
diseases which their coming had helped to spread, and eventually
to produce a net gain in health. The scale and timing of the
improvement are hard to assess. Outside the towns — which were
actually healthier places than the countryside — skilled medical
help was very thinly spread; and in any case, apart from quinine,
certain remedies for dysentery and a very successful treatment for
yaws,
medical science had few specific remedies for Africa's ills
until after the Second World War. On the other hand the
administration did to some extent manage to curb the most lethal
epidemic diseases, vaccination playing some part in this, but
quarantines and destruction of plague-infected dwellings a greater
one.
Though epidemics of various sorts were reported year by
year by almost every territory throughout the period, mass
mortalities of the kind common in the previous half-century do
not seem to have occurred after 1920.
However, medicine and public health measures probably had
a less significant positive effect than a general improvement in the
standard of living that can be noticed in the more favoured
territories from the beginning of the period and in nearly all of
them by its half-way mark. Here again it is difficult to be very
specific. There was no general or radical change in housing or
other features of the economic environment. The rapid and
widespread increase in the use of washable cloth doubtless had
some effect on health; but the main improvement is likely to have
been in diet. After the early scandals and disasters, most labourers
in European employment were adequately and regularly, though
monotonously, fed. For those who stayed in the villages there
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