Abstract
The people here live on the border line of starvation . In a good year, they have a sufficient quantity to live on but suffer from the quality of the food which consists mainly of husked and ground Indian corn and millet. They use very little fat and vegetables, and get practically no proteins in their diet. In a bad year, they suffer in addition from lack of quantity. In many parts water is scarce or only obtainable from long distances thus making hygiene a difficult matter. No cattle can live in these areas on account of the glossina (tsetse fly) , so milk and butter are only obtained at prices beyond the means of the African. The result of all this is that the ordinary person is undernourished and presents an ideal habitat for any disease that may be prevalent. Chronic malaria, syphilis, gastro-intestinal diseases and internal parasites (especially hookworm) are universal . So here we have everything favourable to the spread of leprosy-poor physique, a bad diet, debilitating diseases, bad hygiene and overcrowding. Above all, there is free and unrestricted movement of highly-infected cases of leprosy. They live and eat with their families who have no fear of them.
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