CHAPTER I.

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CLIMATE AND HEALTH

IN

HOT COUNTRIES

AND

THE OUTLINES OF TROPICAL CLIMATOLOGY

_A Popular Treatise on Personal Hygiene in the Hotter Parts

of the World, and on the Climates that will be

met with within them_

BY

LIEUT.-COL. G. M. GILES, M.B., F.R.C.S.

_Indian Medical Service (Retd.)_

AUTHOR OF

“A HANDBOOK OF THE GNATS OR MOSQUITOES,” “KALA AZAR,” AND

“BERI-BERI,” &C., &C.

NEW YORK

WILLIAM WOOD AND COMPANY

MDCCCCV

INTRODUCTION.

A hundred years ago a prolonged residence in the Tropics was regarded

with well-founded horror. The best the white settler in the lands of the

sun dared hope for was “a short life and a merry one,” but too often the

merriment was sadly lacking.

When Clive’s father made interest to get his son a writership under “Old

John Company,” and packed off the troublesome lad to India, he probably

regarded it as a last resource, and felt much as if he had signed the

youth’s doom; but an age that hanged for sheep-stealing, or less, was

like to be stern in its dealings with its children.

We know now that what the father took for vice was but evidence of the

superabundant vitality of a genius, and being one, Clive naturally

possessed the originality to modify his habits to his new surroundings,

and so survived to become an Empire-builder and hero. Nor was the case

exceptional, for looking back on the history of our great Indian

dependency, one cannot fail to be struck with the high average ability

of the few who survived to attain leading positions.

Furlough to Europe was almost impossible, and the hills were unknown,

but in spite of this, many of these seasoned veterans who had learned

their lesson lived, in the land of their adoption, to a green old age.

But the rank and file, who could not or would not learn, died off like

rotten sheep; and to this day it is the young and inexperienced, who

have as yet not learned to adapt and protect themselves, who fall the

readiest victims. At home it is, I believe, generally recognised that at

the age of 26 a man is rather past his best from the athletic point of

view, and it is hardly to be supposed that he is not equally at his

fittest before that age, simply because he has shifted his domicile a

couple of thousand miles to the south; but so fatal is the want of

caution and intolerance of precaution inherent in early manhood, that

most authorities recommend that, if possible, emigration to a hot

climate should be postponed till the age of 25. This obstinate

determination to carry to tropical parts habits of life suitable only to

the more temperate parts of Europe was carried in old times to an almost

incredible extent.

Now and again, in the guest-chamber of some native noble’s house, one

may come across quaint old paintings and engravings which show our great

grandfathers fighting or playing cricket in exactly the same costume as

their contemporaries at home. No alteration whatever was made in the

soldier’s dress, and his officers duelled, drank, and gambled in the

same old Ramillies wigs that led such portentous gravity to those

charming discussions with the enemy as to who should “fire first.” Even

the earlier files of the _Illustrated London News_ show the same things,

and looking at these old pictures, the wonder is not so much that many

succumbed as that any survived. Even in Europe the conditions of

military service were terribly unhealthy, and when transplanted to the

Tropics the mortality was such as to give to India and other hot

countries an evil reputation which they have not yet lived down.

The dire struggle of the Indian Mutiny led to the first attempts to

clothe and treat the soldier in a somewhat more rational fashion, and

since then great improvements have been effected; but a great deal more

remains to be done, especially in the matter of utilising our recently

gained knowledge of the causation of malaria, before our military

statistics can be expected to show how little this evil reputation is

due to the climate itself, and how much has really been caused by human

misdirection. No amount of sanitary improvement can be expected to

render Bombay a comfortable place of residence in the dog days, and

apart from localities at considerable elevations, where the climate is

really temperate, it is hopeless to expect that anything in the way of

actual colonisation can succeed in the climates with which we are

dealing; but with due care and attention to sanitary laws, as modified

by the altered conditions, there is no reason why the rates of sickness

and mortality should be much more formidable than elsewhere.

In the following pages the writer has endeavoured to put into popular

form the principal points of personal hygiene as applied to hot

countries, and as they are intended mainly for the non-professional

reader, all technical terms have been, as far as possible, avoided, and

words in popular use, such as germs, &c., have been substituted for the

more exact nomenclature of science. Should any of his medical colleagues

care to read a merely popular work, they can easily supply for

themselves, in place of these vague, popular words, the more precise

terminology in use amongst ourselves.

The climates of the hotter parts of the world vary even more widely than

those of the temperate zone, so that it is often impossible to offer

suggestions applicable to all of them; and on this account it is

extremely important that the intending resident or visitor to them

should be able to ascertain what is the exact nature of the climatic

conditions with which he will have to cope, so that it is absolutely

essential to include within the scope of a work like the present some

account of the climates of the various countries included in the

enormous area under consideration. On this account the little book has

been divided into two distinct parts, the first of which is devoted to

personal tropical hygiene, while the second, which deals with climate,

is necessarily mainly a dry mass of tabulated information, of which only

the few pages devoted to the country he proposes to visit is likely to

interest the individual reader.

The inclusion of information of the sort is, however, quite essential,

as it is by no means easily accessible, and, as a matter of fact,

scarcely exists, except in the form of the official records of the

various meteorological observatories, so that when collecting data for

the compilation of this second part, or appendix, on tropical climates,

the writer was a good deal surprised to find that he was engaged in the

preparation of what is really a pioneer work on the subject in the

English language.

This being the case, it has been thought well to publish these outlines

of tropical climatology also in a separate form for the use of the

professional reader who may not care to be burdened with a booklet on

health treated from the popular point of view; a step which has further

necessitated that the paging and indexing of the two parts should be

kept separate from each other, a plan which, in view of the moderate

dimensions of the book, might otherwise have appeared rather

superfluous.

LIST OF DRUGS, &c., MENTIONED IN THE TEXT.

_Bicarbonate of soda._

_Bismuthi salicyl._, in tabuloids of grains x. each.

_Book of litmus_ paper.

_Boracic acid_, in powder.

_Calomel_, in tabuloids of ¹⁄₂ grain each.

_Carbolic acid_, with sufficient glycerine added to keep it in a fluid

condition.

_Castor oil._

_Castor oil with resorcin_:--

℞ Ol. ricini ℥viii.

Resorcin ʒii.

Mix, and dissolve the resorcin by standing the bottle in hot water.

_Citrate of potash._

_Easton’s syrup_, put up in a bottle marked to its dosage.

_Ether sulphuric._ This drug is too volatile for storage in the

ordinary way in the Tropics and so should be put up in glass capsules

each holding a drachm.

_“Fever” or diaphoretic mixture_:--

℞ Liq. ammon. acetatis fortior, B.P., 1885 ʒss.

Sp. eth. nitrosi ♏xx.

Potas. nitratis gr. i.

Water to ʒii for each dose.

Dose.--To be put up in a bottle graduated to that dosage containing 8

oz. of the mixture, and taken diluted with four or five times its

quantity of water.

_Goa ointment_:--

Goa powder } āā ʒss.

Acid salicylic }

Lanolin ad ℥i.

_Gregory’s powder._

_Hydrochloric acid_, preferably in the dilute form.

_Opium_, in tabuloids of 1 grain each.

The “Patna” drug is preferable as a sedative before the administration

of ipecacuanha.

_Paint for “Dhobi’s itch”_:--

Liquor iodi fortior }

Pure carbolic acid } _partes æquales ad_ ℥ii.

Glycerine }

_Perchloride of mercury_, in tabuloids:--

¹⁄₄₀ grain } for internal administration.

¹⁄₆₄ grain }

2¹⁄₂ grain “soloids” for compounding an antiseptic solution.

_Permanganate of potash_, put up in packets of 2 oz. each, wrapped in

waterproof paper, for disinfecting wells.

_Phenacetin_; tabuloids of grains v. each.

_Phenyle_, “Little’s soluble.”

_Pills for hill diarrhœa_ and similar disturbances of the bowel:--

℞ Euonymini }

Pil. hydrargyri } āā grain i.

Pulv. ipecac. }

_Pulv. hydrargyri cum creta_, popularly known as grey powder.

_Pulv. ipecacuanhæ_, in tabuloids of 5 grains each.

_Quinine sulphate_ (or hydrochloride) _in powder_. The cork should be

fitted with a small wooden cup, to measure 5 grains approximately.

_Resorcin_, in tabuloids of grains v. each.

_Thymol_, in tabuloids of grains x. each.

_Tinct. camphoræ composita_, popularly known as “paregoric elixir.”

INDEX TO PART I., CLIMATE AND HEALTH IN HOT COUNTRIES.

[_For Index to Part II., “Outlines of Tropical Climatology,” see end of

volume._]

Abdominal chills, danger of, and methods of protection from, 28, 32,

144-146, 149; infantile, 153

Aerated waters--

Cholera, safety of drinking, in outbreak of, 136; manufacture of,

neglect of necessary precautions in, 45-47; home manufacture of,

47-48

Africa, _Bilharzia_ prevalent in, 184

Africa, South--

Camping out in, 83

Clothing in, 25; suitable head-dress, 170

Sleeping sickness of, 164, 165

Sunstroke rare in, 166

mentioned, 113

Air, disinfecting powers of, 162

Aladdin’s Palace, 8

Alcohol, 62, 147

Allahabad, water supply of, 37

Alum--

Drinking water purified by, 43, 137, 138

Injuriousness of, in baking powder, 59

Rice, cooking of, used in, 60-61

America--

Head-dress in, 29, 171

North, mosquitoes in, 101

“American” cotton drill--

Tent manufacture, for, 85

Unsuitability of, for hot climates, 26

“Anglo-Indian gauze,” 23

Animals infected by plague, 156; sacredness of, in India, 156

Ankles, protection of, against mosquito bites, 117

_Anopheles_ mosquitoes--

Characteristics of, 102-104

Eggs of, figure of, 95

Larvæ of, 4, 97-99

Nets protecting against, 124

Antipyrin, use of, in malaria, 128

Ants, white, 6, 14, 18

Apples, avoidance of, during hot weather, 58

Assam, 182; plan of houses in, 5; protection against leeches in

riding, 29

Asses’ milk for feeding infants, 50, 152-153

Australia--

Bladder worm disease in, 184

Head covering in, 29

Tape worm parasites in meat in, 55

Bacon fat, nutritive value of, 79

Baids, or native doctors, 126

Baking powders, ingredients of, 59

Bamboo matting, use of, for building purposes, 5

Bancroft, Dr., 100

Barracks in India, advisability of protecting against mosquitoes, 122

Basel Mission, Cannanore, fabrics manufactured by, 27, 28

Beef tea, 62

Bengali, 14, 145

Benger’s food, 149, 154

Bhindi, the, 58

_Bhisti_ (Mahomedan water carriers) unclean methods of, 38-39;

character of, 39-40

Bhraman, 138

Bile, functions of, and relation to dysentery, 143

_Bilharzia_, 184

Bismuth, salicylate of, administration of, in infantile diarrhœa, 151

Blackwater fever, 127

Bladder worm, 183-184

Blood-worm disease, 90, 93, 97, 183

Blue pill, 150

Boer felt hats, 170-171

Boils--

Perchloride of mercury lotion a preventive against, 178

Prickly heat as sequelæ of, 177

Bombay, 12

Bottle feeding of infants, danger of, in the tropics, 151

Brand’s extract, 142

Bread, 59

_British Medical Journal_ cited, 74

Buffalo milk, butter made from, 52

Bugs, 115

Bungalow, Indian, _see under_ India.

Burglars, precautions against, 68-69

Burmah, 114; plan of houses in, 5; protection against leeches in

riding, 29

Bushire, Subsabad Residency at, 8

Butter, danger of germs in, 51-52; making at home, 52; buffalo milk

for, 52; tinned, 52

Calcutta, 12, 65, 123

Calomel, administration of, in heatstroke, 176

Campagna, Italian, 119

Camps, choice of site for, 87; difficulties as to conservancy, 87-88;

water supply for, 88

Canal irrigation--

Dangers of, 109

Officials of, Government, protection of houses of, against

mosquitoes, suggested, 122

Cancer, 109

Cannanore, Basel Mission at, fabrics manufactured by, 27, 28

Cape Colony--

Sunstroke in, rarity of, 29

Tape-worm parasites in meat at, 55

Ticks, protection against, in riding, 28

Carbonic acid--

Action of, on cholera germs, 48, 133

Compressed, supply of, in steel cylinders, 47

Castor oil, administration of, in malaria, 127-128; in dysentery, 147;

in infantile diarrhœa, 151, 154

Castor oil shrub, antipathy of mosquitoes to, 116

Cawnpore--

Tent manufacture at, 84

“Twilled lining” manufactured at, 27

Water supply of, 37

“Cawnpore tent club hat,” 30, 169

Ceilings, lath and plaster, non-employment of, in India, 17

Ceiling cloths, defects of, 16-17

Celli, Prof. A., plan of, for wire gauze protection against

mosquitoes, 118-121

Centipedes, 22, 115

Cgaleka campaign, 57

_Chang_ houses, 5-6

Charcoal, properties of, as fuel for cooking purposes, 64

Cheese, 52-53, 79

Children in the Tropics--

Clothing of, 33-34, 117

Feeding of, 76 _et seq._

Hill stations, advisability of sending to, 79-81

House accommodation of, 6, 10

Infants, _see that title_

Treatment of, 81-82, 171

China, washing of clothes in, 24

Chittagong--

Health of European residents in, 2

Houses in, 2

Chloral hydrate, subcutaneous injection of, in cholera cases, 141

Chlorodyne, danger of, in dysentery, 146

Cholera--

Contraction of, through food fouled by flies, 48

Conveyance of, 35-36

Discharges in, infection from, 142

Germ of, destruction of, in wells, 42; prolonged action of CO₂, on,

48; conditions of development of, 132; killing, by boiling water,

133

Infection, risk of, 132, 140, 142

Melons causing, popular fallacy as to, 58-59

Nursing of cases, precautions to be taken in, 140

Preventive measures against, 134-139

Symptoms of, 140-141

Treatment, 141-142

“Cholera belt,” 144, 145

Chrysanthemum, unopened flowers of, mosquitoes destroyed by burning,

114

Clay, beaten, as roofing material, 18

Clerestory windows, 8

Climate, influence of, in development of mosquitoes, 99

Clothing in the Tropics--

Children, of, 33-34

European, 25

Evening dress in India, 28; arranging, to protect against

mosquitoes, 117-118

Foot-wear, 31-32

Head-dress, suitable, 29-30

Principles of, 22

Protection against mosquitoes, arranging as, 117-118

Riding dress, 28-29

Starched materials, unsuitability of, for hot climates, 26

Underclothes, 22-23, 27-28

Washing of, 23-25

Women’s, 33

Cod-liver oil, 79

Cold baths, 67-68

“Comforters,” baby’s, danger of, 74

Conservancy--

Difficulties as to, in camp life, 87-88

Oriental plans of, 134; round worm disease due to lack of, 182

Constipation, danger of, in tropical climates, 175

Consumption, 74, 109

Cooking, need for, and economy of good cooking, 62-63

Cork as material for hats in India, 169

Cornices, 15

Corsets, inappropriateness of, in hot climates, 33

Corrugated iron as roofing material, 6, 17-18

Cows--

Condition of, in Indian villages, 50

Milk, drawback of, as infants’ food in India, 153

Cucumbers, 58, 136

_Culex_--

Breathing arrangements of, 96

Characteristics of, 102-103

Eggs of, figure of, 95

Larvæ of, 98

“Culinary Jottings from Madras” (Wyvern), 54; _quoted_, 55

Curry as food for children, 76

Daniels _cited_, 95

“Dhobi’s itch,” 24, 178-179

Diarrhœa--

Hill, 149-150

Infantile, 150-155

Relation to dysentery, 149

Tomato skin, due to, 58

Diet in dysentery, 148-149

Digestion, partial suspension of, in malaria, 127-128

Dill water, undesirability of administering, to infants, 74-75

Dog, bladder worm in, 183-184

Drainage, surface, plan to be followed near houses, 4

Dress, _see_ Clothing

Drinking-water, _see_ Water

“Dungaree” material, 26

Dysentery--

Causation of, 33, 143, 141

Characteristics of, 142-143

Conveyance of, 35

Germ of, 142

Pathology of, 143

Relation to diarrhœa, 149

Treatment, 146-149

Dyspepsia, 35

Egg albumen--

Infants, feeding, with, 154

Meat extracts, in, 61-62 _and notes_

Eggs, 56

Egypt--

_Bilharzia_ prevalent in, 184

Head covering in, 29

“Elgin” helmet, 169

“Equatorial Rowing Club,” 25

Eucalyptus plant, antipathy of mosquitoes to, 116

Euonymin, 150

Europeans in tropical climates, immunity of, from native diseases, 180

Fainting, 167-168

Feet, swelling of, in hot countries, 32; footwear in the Tropics,

31-32

Felt for hats in India, 169

“Fever mixture,” 128

“Field officer’s Kabul” tent, 85

Filariasis, 93, 183

Filters, danger of ordinary form of, 135

Fish as food in hot climates, 56; tinned, 61; killed by mosquitoes, 94

Fisher. Dr. T., _cited_, 74

Flannel, wearing, next the skin, 22-23

Fleas, 94, 115

Flies--

Danger of, to food supplies, 48

Method of freeing tents from, 86-87; of freeing houses, 115

Ophthalmia introduced through, 34

Sleeping sickness, concerned in, 164-165

Flukes, 184

Foods (for particular foods, _see_ their names, as milk, bread, meat,

&c.)

Bad, consequence of, 35

Changes in, producing infantile diarrhœa, 150, 151

Cooking of, disease germs destroyed by, 48

Dealing with, precautions necessary, 48-49; unclean methods of

natives, 51, 59

Infants, of, rapid deterioration of, in tropical countries, 150

Tinned, 61-62

Forest officials, government protection of houses of, suggested, 122

Fruit, 58-59; tinned fruits, 61

Gardens, danger of, in malarious places, 2-3, 109; watering of, in

India, 109-112

Gauze, metallic, protection of houses by means of, 68-69, 118-123, 166

Gauze bags, mosquitoes destroyed in, 113

_Ghi_, 111

Gnats, _see_ mosquitoes

“Gnats or mosquitoes,” 114

Goa powder, application of, in Dhobi’s itch, 179

Goat’s milk for feeding infants, 152-153

Gram, tops of, as a substitute for spinach, 57

_Graphic_, 170

Grassi, Prof., 90

Gregory’s powder, administration of, in infantile diarrhœa, 151, 154

Guinea worm, 183

Haffkine’s plague protective emulsion, 160

Hands, swelling of, in hot climates, 32

Hankin, 131, 137

Haqims, or “native doctors,” 126

Heat stroke, 174-176

Hill diarrhœa, 149-150

Hill stations--

Children, advisability of sending, to, 79-81

Sickness in, prevalence of, 81

Himalayas, prevalence of diarrhœa in, 149

Hindu repugnance for meat, 60

Hindu _kahar_, reasons for employment of, 38-39

Honduras, plan of houses in, 5

Hookworm, 181-182

Hornets, 115

Horse sickness, prevention of, Mr. Power’s experiments, 113

Hospitals, plague, 160

Houses in tropical countries--

_Chang_ houses, 5-6

Cooling, after heat of the day, methods of, 69-70

Flooring, materials suitable for, 15

Indian bungalow, ground plan of, showing well placed doors and

windows, 7; sketch of common type, 10; plan showing adaptation of

Celli method of wire gauze protection, 121, 122

Light, question of, 9-10, 60, 69

Materials appropriate for building, 14-15

Plan, suggested, for house of moderate dimensions, 20-21

Plinth, construction of, 3-5

Principles of building, epitome of, 19-20

Roofing materials, 15-18

Rooms, height of, necessary, 11-12

Site, suitable, choice of, 1-3

Storeys, number of, desirable, 4-5, 12

Ventilation of, 6-9, 13, 68-69

Verandahs, function of and building of, 10-11

Wire gauze protection of openings, method of, 118-123, 166

Hutchison, Robert, M.D., on “Patented Food and Patent Medicines,”

_quoted_, 61-62, _notes_

Hydrochloric acid, 161

_Illustrated London News_, 170

Incense, mosquitoes driven from houses by burning, 114

India (_see also_ names of places)--

Animal life in, sacredness of, 156

Bhistis, the, character of, 39-40

Bungalows in, ground plan of, showing doors and windows well placed,

7; sketch of common type of, 10; plan of, showing Celli method of

wire gauze protection, 121, 122

Calls, hours for paying, 172

Children in, reason for frequent feebleness of, 10

Clothing in (_see also title_ Clothing)--

Evening dress, 28, 117, 118

Tussur serge outer garments, 29

Cotton fabrics manufactured in, 27

Gardens, method of watering, 109-112

Head-dress, suitable, in, 29, 169-173

Houses in, non-employment of lath and plaster ceilings in, 17

Infants in, 73

Kitchens in, appliances for and superintendence of, 63-64

Meat in, tape-worm parasite found in, 55

“Mutton Clubs,” 54

Natives, tact required for management of, 158-162

Outfit for, obtaining, in England, 26

Plague in, 155 _et seq._

Prisons, medical officers of, 148

Sleeping sickness, fly concerned in, found in, 165

Swimming baths in, disuse of, 67

Tent life in, 83-88

Tent making industry in, 84

Washing of clothes in, 24

Water supply--

Carriers, Mahomedan and Hindu, methods of, 38-39

Precautions to ensure purity, _see under_ Wells

Infants--

“Comforters,” dangers of, 74

Death-rate high in Tropical Climates, 150

Diarrhœa among, 150-155

Dill water, danger of, to, 74-75

Disorders of, treatment of, 74-5

Feeding of, 75-76, 150-154

Fresh air, need for, 73-74

Hot climates for, advantages of, 73

Milk for, 50; on voyages, 51

“Infants’ Food,” 74, 75

Inoculations, protective, against plague, 158, 160

Insect pests, destruction of, 115

Internal worms, 179 _et seq._

Ipecacuanha, administration of, in dysentery, 147-148; in diarrhœa,

150

Ismailia, malaria at, 107

Italy--

Children of, diet of, 79

Malaria in, prevention of, 118-119

Mosquitoes in, survival of larvæ of, during winter months, 100

Villas in, “ideal models for tropical climates,” 113

Jæger materials, 23

Jellies, disease germs cultivated in, 43

Jungle, avoidance of, in choice of dwelling site, 2

“Kabul Tent,” 85

“Kamarband,” 144-145

Kidneys--

Function of, suspended in cholera attacks, 141

Strain on, from excessive meat eating, 60

Kitchens, Indian, appliances for and superintendence of, 63-64

Koch, 131

“La Martinière,” Lucknow, 80

Lablab bean, 57

Lahore, tent manufacture at, 84

Lamb, unsatisfactoriness of, in hot countries, 54

Larvæ, wintering, breeding of, 101

Laurence Military Asylum, 80

Laveran, malaria research work of, 90

Lentils, 60

Lettuces, avoidance of, during cholera outbreaks, 135

Light--

Disinfecting powers of, 162

Exclusion of, in tropical houses, 9-10

Plague germs destroyed by, 156

Protection against mosquitoes, as, 100-101, 116-117

Lime, clearing of water supplies by, 43, 137, 138

Lime not to be used in combination with perchloride of mercury, 162

_Liquor ammoniæ acetatis_, administration of, in malaria, 128

Liver functions, disturbance of, in dysentery, 143, 146

_Lobán_, 114

London, business hours in, 65

Lucknow--

Historical residency ruins at, 14

“La Martinière,” 80

Water supply of, 37

_Lumbrici_, 180

Macaroni and cheese, children’s dietary, in, 79

Maclean, Prof., _cited_, 89-90

Madras, 64

Mahomedan countries, water carrying in, 38

Maize cobs, mosquitoes driven out of houses by burning, 114

Malaria--

Causation, early theories and research work as to, 89-91

Cold baths, relapse induced by, 67-68

Parasite of, life history of, 91-92, 105-106

Prevention of, 28, 106 _et seq._

Quinine, value of, in treating, 104, 125-129

Seasonal prevalence of, 104, 105

Site of houses in reference to, 1-3

Spread of, danger of single case in helping, 104-105, 125

Temperature, influence of, in development of, 92

Treatment of, 125-129

Malay, house materials in, 14

Malay Archipelago, 114

Manson, Sir Patrick (F.R.S.), research work as to malaria causation,

90

_Mashak_, 38-39

Massage in relief of cholera cramps, 141

Meat (_see also_ mutton, veal, &c.)

Cooking, need for thoroughness in, 55-56

Extracts, nutritive value of, 61, _and note_, 62

Hanging of, 54

Indian “mutton clubs,” 53-54

Preservation of, by sulphur fumes, 55

Quality of, obtainable in hot countries, 53-4

Tinned, 61

Meat juice, feeding infants with, 154

Melons, 53, 59, 136

Mercury, perchloride of, administration of, in dysentery, 147, 148;

in infantile diarrhœa, 151; lotion, application of, in prickly heat,

178

Mexican _sombrero_, 171

“Miasma,” 89

Midges, mosquitoes distinguished from, 93

Milk--

Asses’, for feeding infants, 50, 152-3

Boiled, digestibility of, 49-50

Children’s diet, in, 77

Cholera conveyed by, 132

Cows’, as food for infants in India, 50, 75, 153; sterilisation of,

and need for, native ignorance and frauds as to, &c., 49, 51

Disease transmitted by, 49

Dysentery, in, 146, 149

Goats’, as food for infants, 50, 75-76, 152-153

Puddings of, disease germs cultivated in, 48

Quality of, testing, 51

Sterilisation of, 49

Minced food for children, 77-78

“Moon-blindness,” 13

Mosquitoes--

_Anopheles_, _see that title_

Biting animals, method of, 94

Breeding, situations favouring, 101-102

_Culex_, _see that title_

Danger of encouraging, near dwellings, 2-3

Disease carriers, as, 22, 93

Eggs, depositing of, 94-95; diagram of various forms of, 95

Food of, distinction between male and female as to, 94

Geographical distribution of, 101

Habits of, 93-94

Larval existence, duration of period of, 98, 99

Life history of, 94 _et seq._

Light and heat, tolerance of, 100-101, 116, 117

Malaria, relation to, 90, 92, 93

Midges distinguished from, 93

_Myzorrhynchus sinensis_, figure of larvæ of, 97

Nets, patterns of, 87, 123-125

_Panoplites_, figure of eggs of, 95

Perpetuation of the species, maintenance of, during winter months,

99-100

Protection against--

Breeding places, destruction of, 108-112

Dress, modifying, as a protection, 117-118

Gauze bags, by means of, 115

Houses, precautions to be taken in, 113-115

Italian method of protecting houses, 118-123

Light--a protective agent, 100-101, 116-117

Ointments, &c., by means of, 116

Rainy season, prevalence during, 102, 104, 125

_Stegomyia_, _see that title_

Travelling, incapability of, 100

Mutton, 54

_Myzorrhynchus sinensis_, figure of larva of, 97

Naini Thal, water supply of, 37

Naphthol β, administration of, in infantile diarrhœa, 151

Natal, head covering in, 29

Natives of tropical countries, unclean habits of, 63-64, 181

_Neem_ tree, leaves of, mosquitoes destroyed by burning, 114

Negroes, 145

Nettle-rash, 77

Nuttall _cited_, 95

Oatmeal porridge, 79

Onions, 58

Ophthalmia, protection of children from, 34

Opium, administration of, in dysentery, 146, 148

“Pandemic waves,” 131

_Panoplites_, diagram of eggs of, 95

Paraffin, use of, in destroying mosquitoes, 108, 110-112

Paregoric, administration of, in infantile diarrhœa, 151

“Patent Foods and Patent Medicines,” Robert Hutchison, M.D., _quoted_,

61-62, _notes_

Persia--

Ankle boots in, 31

Houses, system of ventilation of, 8-9; ground plan of European

Bungalow, 9; double verandahs for, 11

Persian Gulf, clothing in, 25

Phenacetin, use of, in malaria, 128

Phenyl for disinfecting against plague, 161

Pith, suitability of, for Indian sun hats, 29

Plague--

Animals affected by, 156, 157

Conditions favouring spread of, 155-156

Evacuation of infected sites, 159-160

Infection from, 157, 163

Low civilisation, a disease of, 155

Prophylaxis against, personal, 156-157; public, 157 _et seq._

_Pomfret_, Bombay, 56

Pork, ptomaine poisoning due to, in hot countries, 54

Potassium, permanganate of, water supplies purified by, 42, 137, 138,

139

Poultry, fattening of, in hot countries, 54

Power, Mr., 113

Prickly heat, 23, 34, 66, 177-179

Protective cordons, value of, in plague outbreak, 161

Ptomaine poisoning from eating pork, 54

Pugaree, 30

Pulses, food value of, 59-60

Pumpkins, 58

Punjab--

Houses in, plan of building, 9; sketch of common type of bungalow,

10; materials of native dwellings, 14

Northern, clothing in, 25

mentioned, 6

Punkahs--

Combining use of, with that of mosquito net, 123-124

Height of rooms giving adequate swing for, 11-12

Protection against mosquitoes afforded by, 123

Pulling, art of, 71

“Puttialla” breeches, 28-29

Pyjamas--danger of short coat, 28

Quarantine, value of, in plague outbreaks, 161

Quicklime, drinking water purified by, 137, 138

Quinine--

Disinfectant action of, 125-126

Malaria, in treatment of, 101, 125-129

Rain water, bathing in, for prickly heat, 177-178

Rainy seasons, prevalence of mosquitoes during, 102, 104, 125

Rajputana, 6

Rats attacked by plague, 156, 157; destruction of, as a protective

measure in plague outbreaks, 160-161

Resorcin, administration of, in infantile “wind” attacks, 75; in

diarrhœa, 151; in dysentery, 147

Rheumatism, 109

Rice, cooking of, 60-61

Rodents, _see_ Rats

Rome--

Business hours in, 65

University of, 118

Roofs--

Materials suitable for, 15-18

Sleeping places, as, 12-13

Ross, Major Ronald, F.R.S., research work on malaria causation, 90

Round worms, 180, 181

Salads, danger of, 58

Sambon _cited_, 95

Sand dunes as sites of houses, 2

Santonin, round worms expelled by, 181

Scandinavia, mosquitoes in, 101

_Science Siftings_ quoted, 74

Scorpions, 22, 115

Scurvy--

Infantile, due to sterilised milk, 49

Vegetable food, prevented by, 57

Sea water bathing for prickly heat, 177

Silk as wearing material in the tropics, 23

Singapore, 25

Sleeping arrangements in the tropics, 32; outdoor, 124

Sleeping sickness, 93, 164-166

Small-pox, 163-164

Smoke, mosquito destruction by means of, 113-115

Snakes, poisonous, 22

Solah hats, 29-30, 169-170

“Soothing Syrups,” 74

Soups--

Disease germs cultivated in, 48

Tinned, 61

Soy bean, 57

Spinach, 57

Spine, protection of, from sun’s rays, 30-31

Sprue, 150

Stagnant water, danger of, in malarial countries, 101, 102

Starched materials, unsuitability of, for hot climates, 26

Steel girders--

_Chang_ houses, for, 6

Substituting for wooden beams, advisability of, 15

_Stegomyia_--

Characteristics of, 102

Eggs of, figure of, 95

Family of, 97

Stimulants, use of, in malaria, 128-129

Straw, damp, mosquitoes driven out of houses by burning of, 114

Subterranean chambers in extreme heat, 13-14

Sugar in children’s diet, 77

Sulphur fumes--

Meat preserved by, 55

Mosquitoes destroyed by, 114-115

Plague, disinfection against, by, 161

Sulphuric acid, effect of, on the cholera germ, 137

Sun-dried bricks, properties of, as building material, 14-15

Sunshades, 33

Sunstroke, 29, 166-174

Swimming baths, disuse of, in India, 67

“Swiss Cottage Tent,” 85

Symes, Dr. J. O., _cited_, 74

Symmonds, Mr., of Rosa, 124

_Taikhana_, 13-14

Tape-worms--

Danger of, from uncooked meat, 55

Life history of, 183

“Tatties,” description and use of, 70

Tea for cleansing teeth, 45

Temperature limits within which malaria can be developed, 92

Tents--

Construction of, principles to be followed in, 84-86

English and Indian makes, 83-84, 86

Terraced roofs, suitability of, in tropical climates, 18

Thatch as roofing material, 15-16

Theobald, Mr., _cited_, 95

Thermantidote, description and use of, 70-71

Thread worms, 180-181

Thur dal, 60

Thymol as vermifuge, 182

Ticks, 94

Tiles as roofing material, 17

Timber, drawback to use of, in tropical buildings, 5-6, 15

Tinned provisions, 61-62

Tobacco, mosquitoes destroyed by fumes of, 114

Tomatoes, 58, 136

Total abstinence and health, 62

Train inspections, value of? in plague outbreaks, 161

Trees, avoidance of, in choice of dwelling sites, 2

Trousers, arranging, to protect against mosquitoes, 117, 118

_Trypanosomes_, 164, 165

Turban, the, 30

Tussur serge for outer garments, 29

“Twilled Lining” suitable for underwear in tropical climates, 27-28

Typhoid fever--

Contraction of, through fly-fouled food, 48

Conveyance of, 35

Hill stations, endemic in, 80

Vaccination, importance of revaccination, 163-164

Veal, unsatisfactoriness of, in hot countries, 54

Vegetables, 3, 56-57, 61

Ventilation--

Hats, of, 30

Persian Houses, in, 8-9

Tents, of, 85-86

Thatched roofs favouring, 15

Tropical houses, in, 6-8, 13, 68-69

Verandahs, roofing materials for, 17

Vermin, building materials harbouring, 15, 16

Voyage to the East, clothing for, 26

Water--

Aerated waters, _see that title_

Boiling of, for drinking purposes, need for, and for personal

superintendance of, 44-45, 133, 135

Contaminated, consequences of drinking--need for personal

supervision of supply, 35-37, 131, 132

Filtering, danger of, 44, 135

Hill diarrhœa due to mineral matter in, 149

Indian towns, supply to, 37-38

Sources of supply--

Rivers, 43

Springs, 43

Wells, _see that title_

Washing of clothes, 23-25

Wells--

Methods of becoming infected in India, 134

Purification of, methods of, 42, 43, 88, 134, 136-139

Reliability of, 40-41

Wet-nursing in the tropics, advisability of, 151-152

Women in hot climates, 71-72; suitable head-dress for, 171-178

Wood, _see_ Timber

Woollen materials, washing of, 23

Working hours in the tropics, 65-66

Worms, internal, prevention of diseases caused by, 179 _et seq._

Wyvern, “Culinary Jottings from Madras,” _quoted_, 54-55; _cited_, 64

Yellow fever, 93, 95, 97, 102

PART I.

CLIMATE AND HEALTH IN HOT

COUNTRIES.

CLIMATE AND HEALTH IN HOT COUNTRIES.

_PART I._

CHAPTER I.

On Housing and Domestic Architecture.

In hot climates, as elsewhere, people are rarely in a position to

exercise much choice in their selection of a habitation, as its site

must usually depend on considerations of business, and in the majority

of cases, the number of available dwellings is limited. Oftener still,

it is a matter of “Hobson’s choice,” and one must needs occupy the house

that has served one’s predecessors in the work in which one may happen

to be engaged. On this account it will be superfluous to do more than

generally indicate the general principles on which it is desirable, that

houses designed to afford shelter in hot climates, should be placed and

constructed.

In the matter of choice of site, the same general considerations as to

soil and configuration of the ground that determine our choice in

temperate climates, as a rule, hold good. A gravelly or sandy soil, and

gradients favourable to natural drainage, are even greater desiderata in

the Tropics than in Europe, and this is especially the case in climates

characterised by a heavy rainfall; but ideal sites are rare in all

countries, and as a rule, one must be content to make the best of less

favourably placed spots. In the countries which we are at present

considering, the especial danger against which we have to guard is

always that of malaria, and hence, in choosing the site for a house or

station, the great point is to select one, which is, as far as possible,

free from natural or artificial collections of water, within a radius of

a quarter of a mile; or at any rate, including such only as can be

easily filled in, drained, or otherwise dealt with. The site should also

be sufficiently raised above the level of some natural watercourse to

afford an adequate outfall for its surface drainage.

For a single house, no better position can be selected than the summit

of a mound, whether natural or artificial; and such situations are

generally to be preferred to the slope of a hill, even where the latter

affords a considerably greater elevation. On the sea coast, and not

unfrequently in the neighbourhood of some of the great rivers, sand

dunes, where sufficiently clad with vegetation to afford a sufficiently

stable foundation, form excellent sites for single houses, good examples

of which are to be found in Chittagong, where nearly every European

residence has its own little hill, on which it is perched by itself; and

it is doubtless to this circumstance that the comparative healthiness of

the European population of the town, under otherwise unfavourable

surroundings, is mainly due. The neighbourhood of jungle, and even of

trees, should be as far as possible avoided, for trees undoubtedly

harbour mosquitoes, and their presence is generally equivalent to that

of malaria: moreover, the appearance of coolness, associated with trees,

is deceptive rather than real. As a rule, even when numerous and thickly

set, they throw no actual shade on the walls of the house, which hence

receives as fully the power of the sun as it would in an open plain, and

added to this they obstruct the breeze and generally impede ventilation;

so that a house placed in the midst of a glaring, treeless space is

often really far cooler than one surrounded with fine timber. Even a

garden is by no means too desirable an adjunct to a tropical residence,

for unless there is abundant labour to keep it in a condition of perfect

neatness, and constant intelligent supervision to ensure that the

cultivation of flowers and vegetables be not associated with the

breeding of mosquitoes, it is only too likely to originate fever of a

luxuriance at least equalling that of its roses and salads.

It must not of course be forgotten, that the provision of a free supply

of good vegetables is everywhere an essential to health, and is in many

localities obtainable in no other way than by the maintenance of a

garden, and that under such circumstances, it is probably safest to keep

their cultivation under personal supervision; but where such an

accessory is indispensable, its attendant dangers should always be

carefully borne in mind, and care should be taken that the garden should

be so worked as to avoid its becoming a breeding place for mosquitoes. A

house for example, such as that shown in the subjoined sketch, makes,

doubtless, a very inviting picture, but when lived in, it would be found

that the fine trees almost completely cut off the breeze, that the

beautiful creepers render the verandahs and the rooms behind them

“stuffy,” and that the wealth of vegetation, combined with the

arrangements for irrigation, render it a veritable paradise of

mosquitoes.

[Illustration: FIG. 1.--A Regular Mosquito-trap Bungalow.]

Coming now to questions of general plan, one of the first essentials is

that the floor level should be well raised above that of the surrounding

ground. In most localities this object is attained by simply forming a

platform of earth dug from some situation hard by, so as to form a

plinth; and too often, the excavations for the purpose are made

absolutely without plan or method, and result in the production of a

number of irregular depressions, close by the habitation; which during

rainy weather are always full of water, and form ideal breeding places

for mosquitoes, besides too often serving as depositories for refuse.

The earth for forming the plinth should, however, never be allowed to be

obtained in this way, but previously to laying out the plan of the house

or station, a careful survey of the levels and contours of the site

should be made, and the alignment of a series of deep cuttings, so

designed as to form an efficient system of surface drains extending from

the site to the nearest natural effluent, should be laid out, so that

the spoil wherewith to form plinths should be taken in a systematic

manner in the digging of these cuttings, and from no other situations.

The cuttings should be made as deep and narrow as they can be without

expensive revetting of the sides, as experience has shown that the larvæ

of the really dangerous species of mosquitoes, the _Anopheletes_, avoid

collections of water shielded from the sun and light. As the station

develops, it may perhaps become possible to pave these channels with

some permanent material, such as brick or concrete, but as a rule the

expense of such a proceeding is prohibitory. When, however, a certain

amount of money is available for this purpose, it should be devoted to

paving the smaller shallow surface drains close to the dwelling, and the

deeper distant cuttings close to the effluent left to the last. No house

should ever be allowed to be constructed with a plinth of less than one

foot, and provided the material be obtainable without making undesirable

excavations, it cannot well be too high, a fact well understood by the

earlier European residents in India, whose fine old houses, however

wanting their work may be in the matter of finish, form an admirable

contrast, in this and many others of the essentials of a healthy

residence, to the cramped, low-lying heat traps of admirably pointed

brickwork in which the occupant of a “sealed pattern” government quarter

is now doomed to live.

The writer is personally strongly of opinion that all tropical

residences should be at least two storied, so that the sleeping

apartments should be raised at least some 12 or 15 feet above the

ground, and of course, where this is the case, the provision of a high

plinth is less essential, but in any case, the minimum of at least a

foot should be insisted upon.

In regions such as Assam and Burmah, where the rains are so heavy as to

reduce the entire country to a chronic condition of flooding, any

adequate plinth would be so costly that both natives and settlers build

their houses perched up on poles, and the numerous sanitary advantages

of the plan are undeniable; which is also, I understand, adopted in

Honduras.

[Illustration: FIG. 2.--In the above sketch of an ordinary Anglo-Burman

bungalow, it will be noticed that the large projecting porch is raised

higher than the rest of the house so as to admit of a carriage being

driven beneath it to the foot of the steps to the platform of the house.

These porches form a sort of open-air sitting room, and are more usually

on the same level as the rest of the house. They form a most attractive

feature of most Burmese bungalows, but it would be very difficult to

protect them against mosquitoes by means of wire gauze.]

The general characteristics of these “_chang_” houses may be gathered

from the above sketch. In the cottages of the peasantry the “_chang_,”

or platform, is rarely raised more than 4 or 5 feet above the ground,

but 10, or even 15 feet is no uncommon height in the case of the houses

of people of means and position. Even in the case of houses occupied by

planters and officials, the walls are largely composed of bamboo

matting, while in those of the populace, the floor itself is formed of a

stouter variety of the same material; and on account of the growing cost

of timber of a class that will resist white ants, I have little doubt

that ere long steel girders will replace the wooden framework and

corrugated iron will take the place of the picturesque thatched roof, at

any rate in the coast towns. A _chang_ of concrete carried on stout

corrugated iron, 8-inch walls of the “Elizabethan” pattern, and a double

corrugated iron roof, with a large intervening air space, would form a

most comfortable, if not very beautiful, residence, for the combination

of heat and moisture with the evils of which the _chang_ house is

intended to cope; but walls of such flimsy materials would be of little

avail to withstand the furnace-heated air of hot dry climates, such as

are met with in the Punjab and the deserts of Rajputana.

One of the great sanitary advantages of the _chang_ house is the

circulation of air beneath the floors, and the comparative immunity from

vermin secured by its isolation on the top of high posts, and though

there is no objection to the storing beneath it of carriages and other

articles frequently moved, because in daily request, the covered space

beneath the house should on no account be allowed to degenerate into a

lumber room, as not only will lumber attract dangerous vermin, but with

the inevitable numerous native dependants, the lumber room will soon

develop into a refuse heap, or worse. Although there is no need to

construct a regular plinth, the ground below the _chang_ should always

be slightly raised by laying down a layer of gravel, as any collection

of water would be obviously unhealthy; besides which, if kept in proper

order, the large shady space forms an excellent playground for children,

where such charming encumbrances form part of the household.

In actually desert climates, a plinth is less essential, but there are

comparatively few countries in which heavy rain does not occur at some

time of the year, and any dampness of the soil immediately underlying a

house is always unhealthy.

[Illustration: FIG. 3.--Ground plan of an existing “up-country” Indian

Bungalow, in which the doors and windows are well placed. (The dotted

lines represent wire gauze screens.) Scale, 18′ = 1″]

The second great desideratum of a tropical house is free ventilation, to

secure which at least one, and preferably two, sides of each room should

be in free communication with the outer air by means of doors or

windows, and some at least of these should extend to the floor level or

near it. Many Indian houses are spoilt by want of attention to this

point, especially those of long standing; for though the original plan

may have been fairly sound, the desire for additional accommodation

generally, in course of time, leads to additions, and especially to the

enclosure of verandahs, whereby rooms, originally light and airy, are

quite cut off from all exterior ventilation. Many of these enclosed

rooms have small dormer or clerestory windows, close up to the roof; but

openings of this sort are no real substitute for proper windows and

doors in the usual position, and where choice can be exercised, a house

with inner rooms should be rejected in favour of one affording freer

ventilation.

The subjoined plan is a good example of an existing, well-planned

bungalow of one floor, in which every room has external doors and

windows, and several have them on two sides. It should be added that

every room has one or more clerestory windows to give exit to the heated

air that always finds its way to the top of any enclosed space.

In the best class of houses in Persia this principle of free external

ventilation is often carried to the extent of all four sides of the

rooms being provided with several openings--the different rooms being

separated from each other by open passages, running right across the

building from verandah to verandah.

As there are often several doors on each side, one easily realises that

Aladdin’s hundred-doored palace may have been no mere creation of the

fancy, but was probably based on some actual palace--indeed, as a matter

of fact, the Subsabad Residency at Bushire has, I believe, a good deal

over the allowance of doors assigned to Aladdin’s palace, and I know

that the room I occupied there had no less than nine doors, though two

of them gave access respectively to a dressing-room and bath-room.

The outline (fig. 4) will give some idea of the way in which the rooms

are arranged; but it is needless to say that the plan is a very

expensive one. It will be noticed that the southern verandahs are

double. Practically speaking, indeed, a Persian house is little else

than a series of colonnades, with the spaces between certain of the

pillars filled in with door frames, so that it would be an expensive

business to fortify one against the invasion of mosquitoes.

Houses of this type are well suited to climates usually blessed with a

good breeze, and in which the heat during the day does not reach such a

degree as to necessitate shutting it out, and are specially adapted to

places where, from scarcity of labour, there is a difficulty about the

pulling of punkahs. When, however, the midday heat reaches into the

nineties, such a plan of building becomes unsuitable, and it is

necessary to adopt the thick-walled type of house, with comparatively

few floor level openings; the object being to keep imprisoned the cooler

night air, so that the interior may never approach the maximum shade

temperature of the day. It is obvious that the adoption of this

principle quite precludes all proper ventilation, and that unless the

rooms are exceptionally large and lofty it must be positively unhealthy.

At the same time, heat beyond a certain degree induces such severe

nervous and physical prostration that the adoption of this course is

almost unavoidable during the worst hours of the day in such climates as

the Punjab; but the shorter the period the better, and as the same

reasons that render the house cooler than the outer air in the day, make

it hotter at night; it is always well to compensate for the lack of

ventilation during the day by sleeping absolutely in the open at night.

[Illustration: FIG. 4.--Rough ground plan of an European Bungalow in

Persia.]

Too often, not only the air, but the light is shut out, a course of

action which is as pernicious as it is futile, for unless the sun be

shining directly into the room its temperature will be in no way raised

by admitting an ample amount of light.

There can be no doubt that this baneful practice of keeping children

shut up in darkened rooms is one of the principal causes of the blanched

and enfeebled little ones so often met with in India; for they suffer

promptly from deprivation of light, though they are wonderfully tolerant

of heat, and if unchecked by their anxious mothers, will follow their

own wholesome instincts, and be found romping and tumbling about with

the servants and orderlies in the verandah, at temperatures that make

their parents devote anxious consideration to the question of crossing a

room.

[Illustration: FIG. 5.--Sketch of bungalow with terraced roof, of a type

very common in the Punjab and United Provinces in India. Speaking

generally, this bungalow is well planned. Its faults are that the

verandah is too low-pitched, leaving a needlessly large proportion of

the external walls exposed to the full power of the sun. The dormer or

ventilating windows also are too low down, as they leave several feet of

confined “dead” air at the top of the rooms. They should have been

placed close up to the cornice.]

The third important consideration in planning a good tropical house is

that the outer walls should, as far as possible, be shielded from the

direct rays of the sun by ample verandahs. Objects exposed to the full

glare of the sun soon become so hot that it is difficult to handle them,

reaching a temperature 40° or 50° F. higher than that of the air, and

though building materials conduct heat but slowly, they do so very

surely, so that the air within any building with extensive unshielded

sunward walls cannot fail to be considerably hotter than that of one so

planned that as small an area of wall as possible is directly exposed.

Within the true Tropics, the sun must necessarily come to the northward

of any localities for a longer or shorter portion of the year, and in

such low latitudes it is desirable that the verandah should extend all

round the house; but outside the equatorial zone the side looking away

from the noon-day sun may be left unprotected as far as the coolness of

the house is concerned; though a northern verandah is still desirable,

as affording the most eligible position for an open air lounge during

the day. Within practicable limits, a verandah can hardly be too wide,

and as one of its main functions is to shield the main wall, it is also

important that it should be high pitched, but this point is too often

lost sight of, although the additional cost of constructing a

higher-pitched verandah is very small, as the supports of these

structures cost but little, in comparison with the roof. Of course the

oblique rays of the sun will search into a high verandah for a longer

time than they can in a low one, but this defect is easily obviated by

closing the upper part of the colonade with wooden jalousies or with

mats, but in this case openings should be provided in the roof to give

exit to what must be almost dead air. Verandahs of less than six feet

width are of comparatively little use, and 10 feet may be considered to

be a fair average standard, but 15 feet is by no means excessive, if it

can be afforded, and as shown in the diagram on page 9, double

verandahs, consisting of two colonnades, each about 12 feet wide, are by

no means uncommon in Persia.

To attain an equivalent standard of comfort, the rooms of a tropical

house require to be much higher pitched than is needful in temperate

climates, but it is quite possible to carry this to excess, as over a

certain height, the pendulum swing of the punkah is too slow; and it is

well known to students of ventilation that spaces of dead air,

unsearched by the currents normally circulating through the room, are

very apt to be found in too lofty apartments. From 16 to 18 feet is a

good average standard, and if the height be carried many feet above the

higher figure, it is desirable that a strong beam should be carried

across the room, at about that level, to carry the punkah. As far as

ventilation is concerned, there is probably little advantage in any

height of ceiling above 13 feet, but this does not give an adequate

swing for a punkah.

As already incidentally mentioned, the writer holds a strong preference

for houses of two or more floors. While residents of Calcutta or Bombay

will never, if they can avoid it, live on the ground floor, there is a

general but quite unfounded idea, amongst up-country residents in India,

that upper floors are necessarily hotter.

It is needless to say that the reverse is actually the case, and that

other things being equal, upper storey rooms are necessarily cooler and

more healthy, on account of their better exposure to the breeze and

their being to a great extent raised above dust and other more subtle

emanations from the soil. The reason for this misapprehension is that,

outside the Presidency towns, upper rooms are almost universally

makeshift additions, with no proper verandah protection, and often

flimsy roofs. Now it is obvious that to gain the full advantage of an

upper storey, all verandahs should be carried right up, so that except

in being elevated above the soil, the upper rooms are exact

reproductions of those below them. I cannot recall, however, a single

instance of a properly planned two-storied house “up-country,” and it is

absurd to expect that a room with thin brick walls, exposed directly to

the sun’s rays, can be as comfortable as one with massive walls and

broad verandahs. It may be admitted that during the day, when the doors

are shut to keep out the heat, the upper rooms of a two-storied house

will be hotter than the lower ones, because one has but a single roof

overhead in place of two, but they will be cooler than the lower ones

would be, assuming the upper story to be removed.

It is also extremely desirable that the plan of the house should include

a stair giving access to the roof, as during the hot dry season, there

can be no doubt that it is by far the healthiest plan to sleep there.

A small area of thatched roof supported on four pillars should be

erected on the roof to protect the sleeper from dew, and to prevent his

being worried by the glare of the moon, which to say the least of it

makes it very difficult to sleep. Whether there is any truth in the

belief that exposure to the moon’s rays may cause blindness or not, I

cannot say, but I certainly have met with a number of cases of temporary

blindness for which it was, to say the least of it, extremely difficult

to find any plausible explanation other than the popular one. Moreover,

as we are quite in the dark as to the _modus operandi_ of true

sunstroke, it seems unscientific to deny that over-stimulation of the

retina by the moon’s rays can be capable of producing the symptoms in

question, and at any rate it is preferable to act on the assumption that

“moon-blindness” may be a possible contingency.

It is, further, a matter of great importance that the upper limits of

the air-space included within a room should be ventilated by means of

openings placed close up to the ceiling, as otherwise a stratum of

impure, heated air will lodge there, which can only be removed by the

slow action of diffusion. In one-storied houses this is usually effected

by means of small windows, and in order to admit of a sufficient number

of these being provided, it is a common expedient to carry the walls of

rooms situated in the interior of the house above those of the lateral

rooms, as shown in fig. 4. There should, however, be no necessity for

doing this, as no room should be ever built with no external wall; and

though upper openings on more sides than one may be desirable, this is

not so essential as to warrant the large increase of cost involved in

building in this way. Where a house has an upper storey, the top

ventilation of the lower rooms is usually effected by openings into the

verandahs; but this is by no means a satisfactory outlet, and it would

be far preferable to effect the purpose by means of shafts carried up in

the thickness of the walls to the roof, the long column of air within

which would favour the production of a good current.

In certain parts of the East, subterranean chambers (_taikhana_) are

used as a refuge during periods of extreme heat, and are occasionally

to be met with in very old European bungalows, though I have never seen

one in actual use. Good examples are to be seen in the ruins of the

historical Residency at Lucknow; and it was within them that many of the

women and children were sheltered during the memorable siege. They can,

of course, be ventilated only from above; but there can be no doubt that

they are cooler than rooms above ground, and it is possible that the

principle might be adopted with advantage under certain extreme climatic

conditions.

The materials appropriate for house-building necessarily vary according

to the character of the climate, but it is desirable to consider briefly

the advantages and disadvantages of those in most common use. Taking

first the structure of the walls, it may be noted that in rainy climates

near the coast, where very high temperatures are seldom registered, the

materials can hardly be too flimsy and permeable; but as one recedes

from the coast and meets with the extreme climates characteristic of the

interior of continents, it will be found that the buildings become

progressively more massive; so that while the Bengali or Malay inhabits

a shanty formed of thatch and matting, the peasant of the Punjab

shelters himself within mud halls some two feet thick. These differences

in domestic architecture are the necessary outcome of differing

environment, and to be comfortable, European houses must be built of

very much the same materials as those of the natives around them.

In dry climates, sun-dried bricks make an excellent wall, which resists

heat even better than one of burnt brick, and provided it be protected

from rain, it is wonderfully permanent and much stronger than would be

expected; so that heavy, terraced roofs are easily carried by a two-feet

thickness of this material, and they are even quite adequate to sustain

a second story of lighter materials. The great drawback of the material

is that it forms a favourite haunt for white ants, which tunnel it in

all directions; but this can easily be obviated by introducing, just at

the floor level, a single course of some damp and insect-proof

material, such as burnt brick, laid on cement and tarred. Owing to its

extreme cheapness a large house can be built for the same expenditure as

a small one of burned brick, and as air space is of the greatest

importance in hot climates, it is unfortunate that this material is not

more utilised in Government buildings.

_Flooring._--The most suitable material is stone flagging, marble, of

course, being preferable. After these come hard tiles, brick on edge,

and cement, in order of desirability. Besides these there are, of

course, various special modern inventions, but they hardly come into

practical consideration, outside large seaports. Wooden floors should be

generally avoided, as owing to decay and the attacks of insects, they

are apt to become dangerous, and may give way unexpectedly at any time.

For upper floors, by far the most suitable material is the narrow brick

arch supported on steel girders, which are now so generally obtainable

and cheap, that they can be economically substituted for wooden beams in

any locality tolerably accessible from a railway.

One great advantage of this form of construction of flooring and

terraced roofs, is the entire absence of nooks and crannies which can

harbour vermin, for even the equally massive roofs of concrete, laid on

flat tiles supported by a system of beams and battens, afford most

dangerous refuges for disagreeable intruders, and I well remember an

inmate of my house being put to intense suffering on two successive

nights by vermin that fell from such a roof; the first disturber of our

rest being an enormous centipede, and the second a hornet. For the same

reason, all cornices and similar architectural adornments are distinctly

to be deprecated.

The roofing materials generally employed in tropical countries are

thatch, tiling, terraced constructions, and corrugated iron. Thatch is,

from many points of view, an excellent material, as while it favours

ventilation by being extremely pervious to air, it gives excellent

shelter from rain, and is quite unequalled as a protection against the

sun; in addition to which it does not, to any appreciable extent, throw

out into the house during the night the heat absorbed during the day.

With all this, it has great and, it is to be feared, preponderating

disadvantages, the principal of which is that it forms a perfectly ideal

refuge for vermin of all sorts, vertebrate and invertebrate. As a rule,

owing to the high pitch necessary in this form of roofing, the lower

edge of the roof is rarely more than a few feet from the ground, and

owing to the usual existence of creepers, trellises and similar

facilities, is usually easily accessible to any animal endowed with the

most moderate powers of climbing. Owing to this, such roofs are usually

honeycombed with the nests of squirrels, rats, civet cats, and half wild

domestic cats, to say nothing of snakes, and birds and other flying

things. The large empty space between the ceilings and the rafters is

usually alive with bats, and as all this extensive population is quite

without any system of conservancy, an old thatched roof is simply

permeated with guano; and the emanations from this necessarily find

their way into the house, and indeed are always plainly perceptible in a

thatched house that, for any reason, has been shut up for any length of

time.

Besides this, the substance of the thatching is always slowly

decomposing under the slow action of mildew, and this adds further musty

exhalations to the bouquet. Hence, if used at all, the thatch should be

completely renewed at frequent intervals, and its employment should be

confined to situations which cannot be scaled by large vertebrate

vermin.

Where it is used, the interior of the rooms should be completely cut off

from the cavity of the roof by some fairly impervious ceiling, such as

one formed of match-boarding, and not, as is commonly the case, by a

“ceiling cloth” of ill-stretched canvas.

These “ceiling cloths” are utter abominations, and, even when their

untidy appearance is ameliorated by subdividing the cloth into a number

of small panels, the improvement is purely one of appearance, and in no

way diminishes their sanitary defects, so that no effort should be

spared to induce landlords to replace them with match-boarding or any

material that will shut out the emanations from the thatch and its

inhabitants.

For some reason, the lath-and-plaster ceilings and partitions, so

commonly used in Europe, are never employed in Indian house-building. It

is difficult to understand why this is so, as the natives are skilful

plasterers, and there would be no difficulty whatever in teaching them

this particular application of their trade, which would be a valuable

and inexpensive expedient in this and a number of other cases.

Tiles of the old-fashioned sort present few of the advantages of thatch,

and most of its disadvantages, besides numerous special objections of

their own, but these remarks do not apply to roofs formed of large tiles

of European patterns laid on a properly graded framework of squared

battens. To these latter the only objection is that they let in too much

heat unless they are supplemented with a tolerably substantial ceiling;

and the same remarks apply even more to corrugated iron, but both these

materials, and especially tiles, are excellent materials for verandahs,

especially those of upper stories, where weight is a consideration.

Corrugated iron, however, is scarcely tolerable in extreme climates

unless it is actually doubled, and the most scientific way of doing this

is to form a ceiling of corrugated iron of a thin gauge screwed _up_ to

light joists and painted white below. On the upper surface, should be

spread about an inch of dry sand, to retain which it is necessary that

any ventilation openings should be protected with a wooden edging. The

outer roof should be of stouter gauge, and must of course be pitched at

an appropriate slope, and it is of the first importance that the space

between the two roofs should be freely ventilated by large openings

placed at the apices of the gables, but these openings should be secured

against the entry of birds and cats by means of wire netting, and all

other openings by which they can enter should be carefully closed with

plaster. The coolness of a roof so planned depends largely on the

thickness of the layer of dry sand, and, provided the joists that carry

the sheets are fairly strong, there is no difficulty in raising this to

even a couple of inches. The preceding materials all have the

disadvantage that they must be pitched at a considerable slope, and

hence cannot be used as a platform for sleeping on.

All considered, however, a terraced roof, formed of brick arches

supported on steel girders, covered with concrete, is by far the best

for most tropical climates. It forms an excellent protection against sun

and rain, and the smooth finish of both its upper and lower surfaces

offers absolutely no hiding place for even insects; besides which it

forms an excellent elevated platform on which to sleep during periods of

intense dry heat. Its one disadvantage is that a great deal of the heat

absorbed during the day is radiated into the rooms at night, and that it

generally is inferior as a non-conductor either to thatch, or to double

roofs of any description.

Another form of terraced roof commonly found in dry climates consists of

a considerable thickness of beaten clay, spread on mats supported on a

system of beams and battens.

Owing to their great thickness and the fact that the clay conducts heat

much less easily than burnt bricks, such roofs are very cool, and they

form a good sleeping platform; but they give endless trouble during

periods of rain, as they _always_ leak at the beginning of one, and

vermin are apt to harbour amongst the matting and battens that carry the

mud. Owing to their immense weight, too, they are not free from danger,

especially as they are usually found in combination with walls of

unburnt brick, which offer no obstacle whatever to the tunnelling of

white ants, which thus can readily reach the beams, the interior of

which may be entirely eaten away by these mischievous insects without

any sign of the mischief appearing externally.

All the above considerations appear at first sight tolerably obvious and

would, one would think, be adopted wherever not rendered impracticable

by consideration of cost, and yet it is perfectly wonderful to notice

how frequently every consideration of common-sense sanitation and

comfort is ignored in buildings, on which neither space nor expense have

been stinted.

Quite recently the writer halted in a large hotel which illustrated this

point in a most pitiable manner. The masonry was admirable, being worthy

almost of an Egyptian monument, and speaking generally, it was obvious

that expense had been almost disregarded by the enterprising

proprietors. The management showed every desire to secure the comfort of

their guests, and the cuisine was excellent. In spite of this the bulk

of the rooms were scarcely habitable, as they seemed contrived to give a

tropical sun the best possible chance to make itself felt. Save for a

verandah of paltry width to the magnificent dining-room, these

indispensable adjuncts of a tropical residence were absolutely wanting.

Moreover, this omission was clearly not due to any desire or necessity

for economising space, for the area absolutely wasted in the form of

corridors was astonishing, and could not have fallen short of half the

space occupied by the sleeping rooms, though these were exceptionally

spacious. Facing south-east, the full glare of the sun and the dazzling

reflection from the sea glared directly into the windows of the most

desirably placed rooms, without even the protection of an ordinary

“jalousie,” while the magnificent view was shut out by windows of

granulated greenish glass, the sashes being pivoted in such a way as to

make it difficult to enjoy either the breeze or the prospect, even when

they were opened. Apart from these latter details, the building would be

admirably adapted for the accommodation of winter visitors in Italy,

where the sun is made to do duty for artificial heat, and the whole is a

striking example of the way in which the most lavish expenditure may be

rendered futile by a want of due appreciation of the principles that

should govern tropical domestic architecture. I give this instance

mainly to show that, however self-evident the principles described above

may appear, they are far from being generally appreciated.

These principles may be briefly epitomised as follows:--

(1) Through ventilation of all rooms.

(2) The elevation of all rooms, and especially of sleeping chambers, to

as great a height as practicable above the ground.

(3) The selection of appropriate building materials which cannot harbour

vermin.

(4) The shielding of outer walls from becoming heated by the direct rays

of the sun by the provision of adequate verandahs.

(5) The application of the same principle to the construction of roofs

by planning them so as to secure a well-ventilated air space between the

actual roof and a fairly substantial ceiling, or by constructing them of

massive materials, if single.

(6) The admission of sufficient light.

In the case of a house of moderate dimensions, these principles might be

carried out as follows:--

Basement of brick arches ten feet high, including a low plinth and

thickness of floor. These arches would be utilised for the accommodation

of the kitchen, cook room, pantry, lamp room, store room, coach house,

and well house, the well being placed beneath the house, and so well

protected from any neighbouring fouling of the soil. The platform of the

house supported on these arches would be pierced only by a concealed

staircase for the use of the sweeper, but this would not be in

communication with the other offices, though a hand lift might

advantageously be arranged between kitchen and dining room. First floor

18 feet high-dining room, drawing room, office, and one or more bedrooms

with dressing and bathrooms communicating with them, if large

accommodation is required. Verandah all round not less than 10 feet

wide. Second floor, 17 feet in height--principal bedrooms with dressing

and bathrooms, some of the central rooms provided with terraced roof;

the rest, together with the verandahs, with tiles of good pattern, the

rooms having substantial ceilings. On terraced roof-large iron

water-tank, with windmill to work force pump from well; small sleeping

shelter, and protected with corrugated iron roof, supported on pillars.

It would be well to have the southern verandahs (in the northern

hemispheres) of greater width than the others, and to place in them the

stairs giving access to the second storey and to the roof.

The first floor would be reached by means of a flight of steps leading

from the carriage drive, which might, if desired, be protected by a

sloping porch. Such a house would, of course, be somewhat costly, but

not much more so than one of equal accommodation constructed on the

ordinary plan, and would undoubtedly be far more healthy than those of

the usual type.

It is needless to remark that this imaginary residence would be

completely protected against mosquitoes by means of metallic gauze, but

the point is not dealt with here, as it is fully considered in the

chapter on the prevention of malaria.

Climate and Health in Hot Countries and the Outlines of Tropical Climatology A Popular Treatise on Personal Hygiene in the Hotter Parts of the World, and on the Climates That Will Be Met Within Them. · 第 1 / 11 章