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CHAPTER I HOW I CAME TO BE A DOCTOR IN THE FOREST. THE
LAND AND PEOPLE OF THE OGOWE

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I gave up my position of professor in the University of Strasbourg, my literary work, and my organ-playing, in order to go as a doctor to Equatorial Africa. How did that come about?

I had read about the physical miseries of the natives in the virgin forests; I had heard about them from missionaries, and the more I thought about it the stranger it seemed to me that we Europeans trouble ourselves so little about the great humanitarian task which offers itself to us in far-off lands. The parable of Dives and Lazarus seemed to me to have been spoken directly of us! We are Dives, for, through the advances of medical science, we now know a great deal about disease and pain, and have innumerable means of fighting them: yet we take as a matter of course the incalculable advantages which this new wealth gives us! Out there in the colonies, however, sits wretched Lazarus, the coloured folk, who suffers from illness and pain just as much as we do, nay, much more, and has absolutely no means of fighting them. And just as Dives sinned against the poor man at his gate because for want of thought he never put himself in his place and let his heart and conscience tell him what he ought to do, so do we sin against the poor man at our gate.

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The two or three hundred doctors whom the European States maintain as medical officers in the colonial world could undertake only a very small part (so I argued to myself) of the huge task, even if the majority of them were not there for the benefit, first of all, of the white colonists and the troops. Society in general must recognise this work of humanity to be its task, and there must come a time when doctors go out into the world of their own free will, but sent and supported by society and in numbers corresponding to the need, to work for the benefit of the natives. Then only shall we be recognising and beginning to act upon the responsibility in respect of the coloured races which lies upon us as inheritors of the world's civilisation.

The decision

Moved by these thoughts I resolved, when already thirty years old, to study medicine and to put my ideas to the test out there. At the beginning of 1913 I graduated as M.D. That same spring I started with my wife, who had qualified as a nurse, for the River Ogowe in Equatorial Africa, there to begin my active work.

I chose this locality because some Alsatian missionaries in the service of the Paris Evangelical Mission had told me that a doctor was badly needed there on account of the constantly spreading sleeping sickness. The mission was prepared also to place at my disposal one of the houses at their station at Lambarene, and to allow me to build a hospital in their grounds, promising further to give me help with the work.

The actual expenses of the undertaking, however, I had to provide myself, and to that I devoted what I had earned by giving organ concerts, together with the profits from my book on Bach, which had appeared in German, French, and English. In this way the old Thomas Cantor of Leipsig, Johann Sebastian himself, helped me in the provision of a hospital for negroes in the virgin forest, and kind friends in Germany, France, and Switzerland contributed money. When we left Europe, the undertaking was securely financed for two years, the expenses—apart from the journey out and back—being, as I reckoned, about 15,000 francs[1] a year, and this calculation proved to be very nearly correct.

[1] I.e., about £600 p.a. at the then normal rate of exchange.

The keeping of the accounts and the ordering of all the things needed had been undertaken by self-sacrificing friends in Strasbourg, and the cases, when packed, were sent to Africa by the mission with their own.

My work then lived—to use a scientific term—in symbiosis with the Paris Evangelical Mission, but it was, in itself, undenominational and international. It was, and is still, my conviction that the humanitarian work to be done in the world should, for its accomplishment, call upon us as men not as members of any particular nation or religious body.

The Ogowe district

Now for a word about the country which was the scene of our labours. The Ogowe district belongs to the Colony of Gaboon, and the Ogowe itself is a river, 700 to 800 miles long, north of, and roughly parallel to, the Congo. Although smaller than the latter, it is yet a magnificent river, and in the lower part of its course its width is from 1,200 to 2,200 yards. For the last 120 miles it divides into a number of arms which enter the Atlantic near Cape Lopez, but it is navigable for fairly large river steamers as far as N'Djôle, about 250 miles up stream. At that point begins the region of hills and mountains which leads up to the great plateau of Central Africa. Here also begins a series of rapids which alternate with stretches of ordinary open river, and these rapids can only be surmounted by small screw steamers, built for the purpose, and by native canoes.

While along the middle and upper course of the Ogowe the country is a mixture of prairie and wood, there is along the lower part of the river, from N'Djôle downwards, nothing but water and virgin forest. This damp, low-lying ground is admirably suited for the cultivation of coffee, pepper, cinnamon, vanilla, and cocoa; the oil palm also grows well in it. But the chief business of Europeans is neither the cultivation of these things, nor the collection of rubber in the forest, but the timber trade. Now on the west coast of Africa, which is very poor in harbours, especially in such as have rivers discharging into them, conditions are very seldom favourable for the loading of timber cargoes. But the Ogowe has the great advantage of discharging into an excellent roadstead without any bar; the huge rafts can lie alongside the steamers which are to take them away without danger of being broken up and scattered on a bar or by a heavy swell. The timber trade, therefore, is likely to be for an indefinite period the chief industry of the Ogowe district.

Cereals and potatoes it is, unfortunately, impossible to cultivate, since the warm, damp atmosphere makes them grow too fast. Cereals never produce the usual ear, and potato haulms shoot up without any tubers below. Rice, too, is for various reasons not cultivable. Cows cannot be kept along the lower Ogowe because they cannot eat the grass that grows there, though further inland, on the central plateau, they flourish splendidly. It is necessary, therefore, to import from Europe flour, rice, potatoes, and milk, a fact which makes living a complicated business and very expensive.

Lambarene lies a little south of the Equator, so that its seasons are those of the Southern hemisphere: winter when it is summer in Europe, and vice versâ. Its winter is characterised by its including the dry season, which lasts from the end of May to the beginning of October, and summer is the rainy season, the rain falling from early in October to the middle of December, and from the middle of January to the end of May. About Christmas one gets three to four weeks of continuous summer weather, and it is then that the thermometer record is highest.

The average shade temperature in the rainy season is 82°-86° F.,[2] in the dry season about 77°-82° F., the nights being always nearly as hot as the days. This circumstance, and the excessive moisture of the atmosphere, are the chief things which make the climate of the Ogowe lowlands such a trial for a European. After a year's residence fatigue and anæmia begin to make themselves disagreeably perceptible. At the end of two or three years he becomes incapable of real work, and does best to return to Europe for at least eight months in order to recruit.

[2] I.e., 28° to 30° and 25° to 28° C.

The mortality among the whites at Libreville, the capital of Gaboon, was, in 1903, 14 per cent.

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Before the war there lived in the Ogowe lowlands about two hundred whites: planters, timber merchants, storekeepers, officials, and missionaries. The number of the natives is hard to estimate, but, at any rate, the country is not thickly inhabited. We have at present merely the remains of eight once powerful tribes, so terribly has the population been thinned by three hundred years of alcohol and the slave trade. Of the Orungu tribe, which lived in the Ogowe delta, there are scarcely any left; of the Galoas, who belonged to the Lambarene district, there remain still 80,000 at most. Into the void thus created there swarmed from inland the cannibal Fans, called by the French Pahouins, who have never yet come into contact with civilisation, and but for the opportune arrival of the Europeans this warrior folk would by this time have eaten up the old tribes of the Ogowe lowlands. Lambarene forms in the river valley the boundary between the Pahouins and the old tribes.

The colonization of Ogowe and its missions.

Gaboon was discovered by the Portuguese at the end of the fifteenth century, and by 1521 there was a Catholic mission settlement on the coast between the mouths of the Congo and the Ogowe. Cape Lopez is named after one of them, Odoardo Lopez, who came out there in 1578. In the eighteenth century the Jesuits had extensive plantations on the coast, with thousands of slaves, but they were as far from penetrating to the hinterland as were the white traders.

When, in the middle of the nineteenth century, the French and the English combined to fight the slave trade on the west coast, they chose, in 1849, the bay which lies north of that of Cape Lopez for the headquarters of their fleet, establishing there also a settlement to which they could send the rescued slaves: hence the name Libreville. That the narrow channels which empty themselves here and there into Cape Lopez bay belonged to a great river, the whites did not yet know, for the natives inhabiting the coast had withheld the information in order to keep the inland trade in their own hands. It was not till 1862 that Lieut. Serval, while on an excursion to the south-east of Libreville, discovered the Ogowe in the neighbourhood of Lambarene. Then began the exploration, from Cape Lopez, of the lower course of the river, and the chiefs were gradually brought to acknowledge the French protectorate.

When in the eighties the need was felt of finding the most convenient route for trade from the coast up to the navigable parts of the Congo, de Brazza believed that it was to be found in the Ogowe, since this river rises only some 125 miles north-west of Stanley Pool, and is separated from the Alima, a navigable tributary of the Congo, only by a narrow watershed. He even succeeded in getting to the Congo by this route a steamer which could be taken to pieces and transported by land, but the route proved to be impracticable for trade on account of the difficulties caused by the rapids in the upper part of the Ogowe. The construction of the Belgian-Congo railway between Matadi and Brazzaville was finished in 1898, and this put a final end to any idea of making the Ogowe a way to the Congo. To-day the Ogowe is used only by the traffic which goes up to its own still comparatively unexplored hinterland.

The first Protestant missionaries on the Ogowe were Americans, who came there about 1860, but as they could not comply with the requirement of the French Government that they should give their school instruction in French, they resigned their work later on to the Paris Missionary Society.

To-day this society owns four stations: N'Gômô, Lambarene, Samkita, and Talagouga. N'Gômô is about 140 miles from the coast, and the others follow one another in that order at intervals of about 35 miles. Talagouga is situated on a picturesque island just in front of N'Djôle, which is the farthest point to which the river steamer goes.

At each Protestant mission station there are generally one unmarried and two married missionaries, and, as a rule, a woman teacher also, making five or six persons, without reckoning the children.

The Catholic mission has three stations in the same district: one in Lambarene, one in N'Djôle, and one near Samba, on the N'Gounje, the largest tributary of the Ogowe, and on each station there live about ten whites: usually three priests, two lay brothers, and five sisters.

The administrative officials of the district are stationed at Cape Lopez, at Lambarene, at Samba, and at N'Djôle, with about five hundred coloured soldiers distributed over it to act as a police force.

Such was the country, and such the people among whom for four and a half years I worked as the forest doctor. What I experienced during that time and the observations I made previous to the outbreak of the war, I shall now describe with the help of the reports which I wrote every six months in Lambarene and sent as printed letters to my friends and supporters. During the war such correspondence was, of course, impossible, and for that later period and for what is said about the religious and social problems treated of, I rely on memoranda which I made for my own use.


On the Edge of the Primeval Forest

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