Kenya

municable Disease Control, Dr. Itotia, Director of the The geomedical monograph on Kenya continues the National Public Health Laboratories, Dr. J. M. D. Ro series of Regional Studies in Geographical Medicine berts, Head of the Division of Vector-Borne Diseases, founded by Ernst Rodenwaldt in 1965, which may be considered as supplementing the World Atlas of Epidem and to Mr. Ted Abukuse, Chief Statistician at the Minis ic Diseases of the Heidelberg Academy of Sciences. Since try of Health, Nairobi. The authors offer their particular thanks for support the appearance of the first volume in 1967 the series has and valuable suggestions to Dr. 1. C. Vogel, formerly been edited by Helmut]. Jusatz under the aegis of the Professor of Community Health in the Medical Faculty Mathematical and Natural Sciences Class of the Heidel berg Academy of Sciences. at the University of Nairobi and member of the Royal The authors wish to express their thanks to the edi Tropical Institute, Amsterdam. Thanks are due to the Survey of Kenya for their willingness to allow the au tor for his suggestion that they should undertake this thors to reproduce some maps in the National Atlas of kind of teamwork, and to acknowledge with gratitude Kenya. The authors extend their thanks to their col the manner in which Professor Jusatz ensured the most league, Professor S. H.

Contenu
Methodological Considerations.- A. The Land and its Inhabitants.- I. Fundamentals of Physical Geography.- II. Demographic Basis.- III. Fundamentals of Settlement Geography.- IV. Fundamentals of Economic Geography.- V. Transport and Tourism.- B. Health Services in Kenya.- C. The Diseases of the Country.- Introduction: Source, Material, and Methods.- D. Economic and Socio-geographical Classification and the Patterns of Health Services and of Disease Occurrence.- 1. African Peasant and Pastoral Societies.- 2. Class Societies.- Conclusions.- Annex.- References.- Illustrations.- Annex: Tables.- Table I: Population according to tribes.- Table II: Small farms and settlement schemes Estimated crop areas by rains cycle.- Table III: Large farms Land utilization 1974.- Table IV: Quantiry and value of fish landed selected years 1966 1972 and projected for 1978 .- Table V: Visitor days in Kenya by country of residence of visitors and purpose of visit, 1971, 1972, 1978.- Table VI: Details on Estimates of Recurrent Expenditures on Health by the Ministry of Health.- Table VII: Estimates of Recurrent Expenditures of the Governmen t of Kenya 1968/69 1973/74.- Table VIII: Hospital and hospital-bed-ratio per province in relation to areas and population to be covered, Kenya, 1970.- Table IX: Health centres and dispensaries by operating agency and province, 1970, and health centre dispensary population ratio per province.- Table X: The present strength of medical officers in Government hospitals, 1974.- Table XI: Relative frequency of 4 helminths from stool examinations in 54 hospital laboratories in Kenya from Annual Laboratory Returns 1958 1973 (cumulative) grouped by hospitals with similar frequency distribution pattern.- Table XII:Schistosoma haematobium findings from urine examinations in 54 hospital laboratories in Kenya from Annual Laboratory Returns 1958 1973, cumulative, grouped by hospitals with similar frequency distribution pattern of intestinal helmin ths.- Table XIII: Summary of results of examinations of school children in some districts of Kenya.- Table XIV: Gross domestic product by industrial origin for 1964 and 1974.- Figures.- Fig. 2. Population of Nairobi by sex and tribe, 1969.- Fig. 3. Population of Mombasa by sex and tribe, 1969.- Fig. 4. Hospital catchment area after.- Fig. 5. Trypanosomiasis, 1950 1972.- Fig. 6. Kala azar, 1945 1972.- Fig. 7. Tick ryphus, 1950 1970.- Fig. 8. Relapsing fever, 1950 1972.- Fig. 9. Tuberculosis vaccinations, 1962 1973.- Fig. 10. Smallpox, 1942 1972.- Fig. 11. Meningococcal meningitis, 1951 1972.- Fig. 12. Poliomyelitis, 1945 1972.- Fig. 13. Typhoid fever, 1945 1972.- Fig. 14. Anthrax, 1950 1972.- 1 Clinical Malaria.- 2 Meningococcal Meningitis.- 3 Hepatitis.- 4 Brucellosis.- 5 Pulmonary Tuberculosis.- 6 Acute Poliomyelitis.- 7 Tetanus.- 8 Anthrax.- Maps.- Map No. 1 Topography 1 : 2,000,000.- Map No. 2 Mean Annual Precipitation.- Map No. 3 Climatology.- Map No. 3a Ecological Zones.- Map No. 4 Distribution of Population.- Map No. 4a Ethnic Differentiation.- Map No. 5 Economic and Socio-Geographical Classification.- Map No. 6 Health Facilities.- Map No. 6a Health Services Density.- Map No. 7 Vector-borne Diseases: Bancroftian Filariasis Leishmaniasis Malaria Onchocerciasis Sleeping Sickness.- Map No. 8 Intestinal Helminths Relative Frequency and Geographical Distribution of Intestinal Helminths.- Map No. 9a Kwashiorkor, Measles, and Anaemias.