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February 23, 1929, Vol 92, No. 8 >
ARTICLE | February 23, 1929

LONDON

JAMA. 1929;92(8):661-662. doi:10.1001/jama.1929.02700340061022.
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ABSTRACT

The Gold Coast Rendered Sanitary  A report to the Times by W. D. Innes, director of medical services, Gold Coast, shows the enormous improvement effected by modern sanitation in a region that at one time was regarded as "the white man's grave." The conditions of life in the days when West Africa earned its evil reputation were such that, in the light of our present knowledge, the wonder is not so much that the mortality was high but that there were any survivors at all. Europeans lived in ill designed houses and in close contact with an African population heavily infected with disease. There was no drainage or proper water supply; water was stored in open tanks and barrels, and mosquitoes bred in myriads. The food was atrocious. In the coast towns, where the majority resided, there were no cattle or sheep, and so— there being no cold storage—the European

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