Malaria was a major scourge for colonial explorers in tropical Africa – as, indeed, it is today. Since the malady was unknown in northern Europe and the UK, treatments during the colonial era were hit-and-miss. Some of the concoctions were probably more dangerous than the disease, as the following passage from one of the works of Sir Richard Burton makes clear (reference at bottom – highlighting mine).
Under such media the disease, par excellence, of the Gaboon is the paroxysm which is variously called Coast, African, Guinea, and Bullom fever.
Dr. Ford, who has written a useful treatise upon the subject,7 finds hebdomadal periodicity in the attacks, and lays great stress upon this point of chronothermalism.
He recognizes the normal stages, preparatory, invasional, reactionary, and resolutionary. Like Drs. Livingstone and Hutchinson, he holds fever and quinine “incompatibles,” and he highly approves of the prophylactic adhibition of chinchona used by the unfortunate Douville in 1828.
Experience in his own person and in numerous patients “proves all theoretical objections to the use of six grains an hour, or fifty and sixty grains of quinine in one day or remission to be absolutely imaginary.” He is “convinced that it is not a stimulant,” and with many apologies he cautiously sanctions alcohol, which should often be the physician’s mainstay.
As he advocated ten-grain doses of calomel by way of preliminary cathartic, the American missionaries stationed on the River have adopted a treatment still more “severe”—quinine till deafness ensues, and half a handful of mercury, often continued till a passage opens through the palate, placing mouth and nose in directer communication.
Dr. Ford also recommends during the invasion or period of chills external friction of mustard or of fresh red pepper either in tincture or in powder, a good alleviator always procurable; and the internal use of pepper-tea, to bring on the stages of reaction and resolution.
Few will agree with him that gruels and farinaceous articles are advisable during intermissions, when the patient craves for port, essence of beef, and consomme; nor can we readily admit the dictum that in the tropics “the most wholesome diet, without doubt, is chiefly vegetable.”
Despite Jacquemont and all the rice-eaters, I cry beef and beer for ever and everywhere! Many can testify personally to the value of the unofficial prescription which he offers in cases of severe lichen (prickly heat), leading to impetigo. It is as follows, and it is valuable:—
Cold cream. . . . . . . . . . 3j.
Glycerine . . . . . . . . . . 3j.
Chloroform . . . . . . . . .3ij.
Oil of bitter almonds . . gtt. x.
7 “Observations on the Fevers of the West African Coast.” New York: Jenkins, 1856. A more valuable work is the “Medical Topography, &c. of West Africa,” by the late W.F. Daniell, M.D., 1849. Finally, Mr. Consul Hutchinson offered valuable suggestions in his work on the Niger Expedition of 1854–5 (Longmans, 1855, and republished in the “Traveller’s Library”).
Source: Richard Burton: Two Trips to Gorilla Land and the Cataracts of the Congo, vol. I, 1876
For unknown reasons – probably genetic – in all of my years in malaria-ridden areas of Africa (including here in Burundi) I have never had malaria. That has been a great blessing.