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June 29, 2001 - July 29, 2001

Genes, peoples, and languages
Posted: Sunday, July 29, 2001

The genetic history of a group of populations is usually analyzed by reconstructing a tree of their origins. Reliability of the reconstruction depends on the validity of the hypothesis that genetic differentiation of the populations is mostly due to population fissions followed by independent evolution. If necessary, adjustment for major population admixtures can be made. Dating the fissions requires comparisons with paleoanthropological and paleontological dates, which are few and uncertain.

A method of absolute genetic dating recently introduced uses mutation rates as molecular clocks; it was applied to human evolution using microsatellites, which have a sufficiently high mutation rate. Results are comparable with those of other methods and agree with a recent expansion of modern humans from Africa. An alternative method of analysis, useful when there is adequate geographic coverage of regions, is the geographic study of frequencies of alleles or haplotypes.

As in the case of trees, it is necessary to summarize data from many loci for conclusions to be acceptable. Results must be independent from the loci used. Multivariate analyses like principal components or multidimensional scaling reveal a number of hidden patterns and evaluate their relative importance. Most patterns found in the analysis of human living populations are likely to be consequences of demographic expansions, determined by technological developments affecting food availability, transportation, or military power.

During such expansions, both genes and languages are spread to potentially vast areas. In principle, this tends to create a correlation between the respective evolutionary trees. The correlation is usually positive and often remarkably high. It can be decreased or hidden by phenomena of language replacement and also of gene replacement, usually partial, due to gene flow. http://www.pnas.org/cgi/content/full/94/15/7719
 

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UK: We're racist, admits prosecution service chief
Posted: Friday, July 27, 2001

(Guardian UK) The director of public prosecutions, David Calvert-Smith, acknowledged yesterday that the crown prosecution service is institutionally racist and admitted that this could affect how decisions are taken in the prosecution process.

He made the embarrassing confession after the publication of two damning reports highlighting widespread racial discrimination in the CPS. An 18-month inquiry by Sylvia Denman, a leading academic lawyer, concluded: "Institutional racism has been, and continues to be, at work in the CPS."

A separate report by the commission for racial equality discovered that two distinct prosecuting teams, split on racial lines, were operating in the Croydon branch of the CPS and managers had failed to take action to stop this.

It said: "The level of organisational and management failure was such as would meet the test for institutional racism, as defined by the Stephen Lawrence inquiry report." [More]

Report on Racism in UK
 

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The San people or the Bushmen battle for Kalahari
Posted: Wednesday, July 25, 2001

(BBC) The modern world has barely touched the Kalahari desert, in the middle of Botswana. Nature, not man, governs the daily pattern of life.

It is as bare, remote and harsh as life can get - and yet there is a natural, undisturbed order that gives this land its own sense of beauty.

But yet people do live here, as they have done for nearly 30,000 years. This is home to the San people - or the Bushmen of the Kalahari.

They have lived here as hunter-gatherers. Only several hundred remain on their ancestral lands. But now they face a battle to cling on to their way of life.

The Botswanan Government is urging - some would say forcing - them to move. Huddled around fires outside their huts in the cold early morning the villagers told me about their plight.

"It's up to us, we will stay here even if they try to kill us", said 28-year-old Gakemothowasepe Molapong. "We know this land. We are as free as birds and we will live as we want."

It is a competition between the indigenous rights of the San people, and the economic interests of Botswana.

The government says it wants to protect the wildlife, but many believe that they are motivated by the huge mineral wealth the Kalahari is believed to possess, including diamonds and possible uranium. And so, the government wants to relocate the San communities. More on this Story

South Africa's indigenous people, known as Khoisan,
are demanding better treatment from the country's government.


Country profile: Botswana
 

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Attempts to legitimize the use of the 'N' word
Posted: Tuesday, July 24, 2001

(A Hotep) All attempts at legitimizing the use of the 'N' word are absurd.
The word was used to degrade Africans and reinforce white supremacy and when used by other Blacks/Africans in their idea of a friendly way, they are trying to assert their superiority to make a point.

People should examine how and when the term is used.

I also find it very disgusting to here people refer to females as Bitches and it is pitiful when females accept this disrespect all because they wish to maintain some 'ghetto' status or lack thereof or income from these males. The use of these obscene terms is still to reinforce inferior/superior status and is the same even when done among so called friends.

While my main focus is equal opportunity to enlightenment, I am quite aware that in this effort we must accept equal opportunity to remain foolish.

It is in this light I have no problem with people using these words other than to explain the evil use. I consider these people to be extremely ignorant and disrespectful and as such I would not associate with them other than to help them learn the errors of their ways.

Our problem today is not simply 'White People' but ignorance, which is an equal opportunity sickness. In our development to equal opportunity we must first align ourselves with people whom we respect who equally respects us.
 

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Color problems in Brazil
Posted: Saturday, July 21, 2001

Abstract: HUMAN RIGHTS ISSUES
Amnesty International reports on violence in Para out look under:
http://www.oneworld.org/sejup/
This issue is edited to point out the skin tone problem!

Efu Nyaki is a Maryknoll sister who works with the Black Movement in Joao Pessoa, Paraiba .......In reality however, race in Brazil is a complex and difficult issue. Although most of Brazilians claim a mixed African, European and Indigenous ancestry, the weight of racism causes many to "whiten" themselves. Many "morenos" straighten their hair and search for lighter-skinned marriage partners. They often identify themselves and each other with terms that indicate a lighter skin tone, such as: moreninho, café, mulatto, bronziado, chocolate, jambu, moreno claro, moreno escuro, etc. Rarely do they describe themselves as "negro" (black). Even those who call themselves black often have a hard time convincing other Brazilians not to identify them as "moreno" or "mulatto". For many people, to be black is still an insult.

Skin color profoundly influences life's chances. According to a 1992 study by Carlos Hasenbalg and Nelson do Valle Silva, non-white Brazilians are three times more likely than whites to be illiterate. The numbers deteriorate even further at higher educational level: whites are five times more likely than people of mixed ancestry and nine times more likely than blacks to obtain university degrees. The patterns repeats itself in the work force, where, according to the government statistics, whites have access to the highest-paying jobs, earning up to 75% more that blacks and 50% more that people of mixed ancestry. Other socio-economic indicators are no less grim. Infant mortality statistics are almost twice as high for non-white children, and the vast majority of detainees in the country's crowded prison system are non-whites.

Not all of the consequences of racism can be neatly packed into statistics and charts. Effects on self-esteem are not so easily measured. At a recent reflection group of Afro-Brazilian women in João Pessoa, the capital of Paraíba, a woman named Cida painfully recounted the end of her relationship with Chico, a lighter-skinned black. The two had dated for several years without their color difference seeming to create any difficulties. When they got engaged however, Chico s family exploded; "This little blackie is going to pollute our blood. Go and find someone who will purify it," Chico s mother raged. Chico caved in and broke off the engagement within days. Two years latter, Cida painfully asked the group, "How can you tell me not to feel inferior because of my color?"

There are many examples and stories like Cida's. We could go on and on to show just how complex the question of racism is in Brazil.
 

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The African Background of Medical Science
Posted: Thursday, July 19, 2001

January 05 2000

A special feature by Charles Finch, M.D. Chairman, Dept. of International Medicine, The Morehouse School of Medicine

It has become increasingly clear that traditional African cultures and civilizations knew and accomplished much more than has traditionally been assumed. Even after we've "restored" ancient Egypt - a civilization that was the fountainhead of science - to its true and natural place on African soil as an African creation, there is yet a profound reluctance to admit that Africa contributed anything of substance to world science.

In this article, the author hopes to show that traditional African physicians evolved effective - even sophisticated - diagnostic and therapeutic modalities in medicine which belie the notion that Africa was without a medical science.

Just as any discussion of the achievements of Western medicine harkens back to Hippocrates and Galen, so any discussion of African medical achievements harkens back to ancient Egypt. Newsome, among others, has shown what a debt Greek medicine owed to the priest-physicians of Egypt.(1) Not only was the most important Greek healing deity, Asclepios, identified with the legendary Egyptian physician-architect-aphorist Imhotep but Hippocratic therapeutics had direct antecedents in Egyptian medicine. The city-state of Athens used to import Egyptian physicians, as did most of the kingdoms of the Near East, and in the Odyssey, Homer says, "In medical knowledge, Egypt leaves the rest of the world behind."(2)

Like all African medicine, Egyptian medicine has baffled scholars because of the complete interpenetration of "magico-spiritual" and "rational" elements. Mostly, this magico-spiritual aspect has been downplayed or belittled. However, at least one researcher concedes that healing, being a complicated psychic as well as physical process, may be amenable to an approach that touches that hidden area of the psyche beyond the reach of rational therapy.(3) Even modern medicine concedes that as much as 60% of illness has a psychic base and indeed, the well-known "placebo" effect of modern pharmaco-medicine arises from this.(4) We moderns like to deride this magico-spiritual medicine but it can and does produce startling results that we do not understand.

The Egyptians were writing medical textbooks as early as 5,000 years ago.(5) This indicates not only a mature civilization but also a long period of medical development. Out of the hundreds and thousands of medical papyri that must have been written, only 10 have come down to us, the most important being the Ebers and Edwin Smith Papyri. These 10 papyri form the basis of most of what Egyptologists know about Egyptian medicine. It has been affirmed, however, that much of the training and instruction of the healing priests must have been orally transmitted, as it is in the rest of Africa.(6) It is likely, therefore, that we have only a partial grasp of the true scope of Egyptian medical knowledge. Moreover, like their counterparts in the rest of Africa, the Egyptian priest-physicians often kept their best knowledge secret.

Egyptian physicians were instructed in the "per ankh" or "house of life" which served as a university, library, medical school, clinic, temple, and seminary. The numerous Greek philosophers who studied in Egypt, such as Pythagorous, Thales, and Plato, must have spent their time in a per ankh. In these centers of learning, there was no sharp demarcation between the fields of study; religion, philosophy, science, astronomy, mathematics, music, and hieroglyphics were all part of the same species of knowledge and were reflected in one another.

It is of interest that the Egyptians were alone among the nations of antiquity in the development of specialty medicine. In the Old Kingdom, the diseases of each organ were under the care of a specialist. In the later epochs, the specialists disappeared as the Egyptian physician began to function as a generalist. However, during Ptolemaic times, specialization came back into the vogue, probably as a result of renewed interest in the archaic culture. Not until the 20th century did anything comparable in the sphere of medicine develop. Contemporary doctors are accustomed to believing that modern specialty medicine resulted from a progressive evolution of medical techniques and knowledge, hardly realizing that it is a throw back to the earliest form of Egyptian medical practice.

A study of ancient Egyptian diagnostic methods reads disconcertingly like a modern textbook on physical diagnosis. A physician summoned to examine a patient would begin with a careful appraisal of the patient's general appearance. This would be followed by a series of questions to elicit a description of the complaint. The color of the face and eyes, the quality of nasal secretions, the presence of perspiration, the stiffness of the limbs or abdomen, and the condition of the skin were all carefully noted. The physician was also at pains to take cognizance of the smell of the body, sweat, breath, and wounds. The urine and feces were inspected, the pulse palpated and measured, and the abdomen, swellings, and wounds probed and palpated. The pulse taking is worth noting because it indicates that the Egyptians knew of its circulatory and hemodynamic significance. Percussion of the abdomen and chest was performed and certain functional tests we still use today were done, i.e., the coughing test for hernia detection; the extension-flexion maneuver of the legs to test for a dislocated lumbar vertebra. Sometimes, the case required more than one consultation and the physician might, as is done today, embark on a "therapeutic trial" to ascertain the efficacy of treatment. It also seems that the Egyptians practiced a form of socialized medicine. All physicians were employees of the state and medical care was available to everyone.(7)

The extant medical papyri show us that the Egyptians had quite an extensive knowledge of anatomy and physiology. They understood the importance of pulsation and - 4500 years before Harvey - knew something of the structure and function of the cardiovascular system. They knew that the heart was the center of this system, had names for all the major vessels, knew the relation between heart and lung, and knew the distribution of the vessels through the limbs.(8) They had names for the brain and meninges (the covering of the brain and spinal cord) and also seem to have known the relation between the nervous system and voluntary movements. In addition, the ureters (the connections between the kidneys and the bladder) were known and named. Most writers state that the Egyptians’ anatomical knowledge while relatively sophisticated, was, by modern standards, rudimentary. They aver, for example, that the Egyptians attached no special significance to the brain.(9) But at least one researcher, utilizing sources entirely different from the papyri, contradicts this notion, asserting that their knowledge of neuroanatomy in particular was as detailed and advanced as that in modern times.(10)

The Egyptians were well-versed in many pathological syndromes. The identification of a disease syndrome necessitates acute and painstaking clinical observation, often over many years, and many of the ones described in the medical papyri are known today. Egyptian physicians understood the origin of paraplegia and paralysis from spinal cord injuries and recognized the traumatic origin of neurological symptoms such as deafness, urinary incontinence, and priapism. They described many syndromes of cardiac origin. They knew that excess blood in the heart and lungs was pathological which is consistent with what we know about congestive heart failure today. They also seem to have recognized the significance of heart palpitations and arrhythmias and gave a rather precise definition of angina pectoris:

"If thou examinest a man for illness in his cardia and he has pains in his arms, in his breast, and on one side of his cardia...it is death threatening him."(ll)

The modern description of angina pectoris can hardly improve upon this. The phrase seen in the Ebers Papyrus, "belly too narrow for food," seems to indicate an esophageal or stomach stricture perhaps from an inflammatory or ulcerating process. Egyptian physicians also knew that a weak heart adversely affected the liver, calling to mind the pathological enlargement of the liver which we know to be due to heart failure. Faintness due to a "dumb heart" was described which seems to be an allusion to a Stokes-Adams attack.(12) It is evident that the ancient Egyptian physicians had a fundamental grasp of the pathophysiology of many of the syndromes we know today.

Perhaps the most remarkable document among the medical papyri is the surgical Edwin Smith Papyrus, a compendium of Egyptian anatomical knowledge and surgical methods. It is in this papyrus that the remarkable descriptions of the traumatic surgical lesions and their treatment are found. We also find that the priest-physicians also recognized the signs and symptoms of sciatica, the sharp pain radiating down the leg caused by nerve compression in the lower spinal cord. Like many other peoples in Africa and the rest of the world, the Egyptians practiced trephination. (13) This operation, the forerunner of neurosurgery, involves boring a hole through the skull to the outer covering of the brain. This was done to remove fragments from a skull fracture compressing the brain, to treat epilepsy, or to relieve chronic headache. Today in Africa there are people who have undergone this operation with no apparent ill effects and there are skulls from ancient Egyptian graves with definite signs of healing around the trephination site so it is clear that patients survived this operation.

As is seen very commonly in Africa, there was a separate guild of bonesetters in Egypt who treated fractures and dislocations. These specialists devised a completely effective method for reducing collar bone fractures which Hippocrates later used. (14) The Edwin Smith Papyrus also describes maneuvers for reducing dislocated jaws and shoulders. Long bone fractures were immobilized with tight splints and nasal fractures were treated by the insertion of stiff nasal packings into the affected nostril, a method also used today for uncomplicated nasal fractures.

The Egyptians had perhaps 3-4 thousand years of experience dissecting and bandaging mummies and this must have had beneficial effects on surgical technique. They had an array of knives and scalpels to excise tumors and drain abscesses. They used red-hot metal instruments to seal off bleeding points and closed clean wounds with sutures or adhesive tape. They were unsurpassed as "bandagists" and used their techniques to control bleeding. Fresh meat was also used to stop oozing hemorrhage from surgical wounds. Like the ancient Chinese, they used molds from bread or cereals to treat wound infections. Modern penicillin was extracted from a mold so the priest-physicians must also have been aware of its bacteriacidal properties. (15)

Like all African peoples, the Egyptians had a large materia medica, using as many as 1000 animal, plant, and mineral products in the treatment of illness. Night blindness, caused by vitamin A deficiency, was treated with ox livers, known to be rich in vitamin A. Poppy extract - the source of opium - was used to treat colicky babies. Modern physicians use paregoric - whose active ingredient is opium - for exactly the same purpose. Patients with scurvy - caused by vitamin C deficiency - were fed onions, a known source of vitamin C. Castor seeds, the source of castor oil, were used to make cathartic preparations. Mandrake and henbane, sources of belladonna alkaloids, were also known and used. The belladonnas possess properties that stimulate the heart, decrease stomach motility, dilate the pupils, and cause sedation. The Egyptians dispensed their prescriptions as pills, enemas, suppositories, infusions, and elixirs in accurate, standardized doses causing some to wonder if they had separate pharmacies and pharmacists. (16)

The Egyptians were also quite knowledgeable in handling obstetric and gynecological problems. They knew and treated uterine prolapse. They had means of inducing abortions and preventing conception. They even had an effective pregnancy test! A sample of a woman's urine was sprinkled on growing cereals; if the cereals did not grow the woman was considered not pregnant; if they did grow she was declared pregnant. Modern experiments have shown that a pregnant woman's urine has a permissive effect on the growth of barley in about 40% of the case, demonstrating that there must have been some validity in the world's first pregnancy test. (17)

Our glimpse of the medical system of this ancient African civilization shows that it deserves its reputation as the best and most advanced of antiquity. Indeed, medicine as we know it today began in Egypt rather than Greece. A study of other African systems of medicine is more problematic, however, because of the absence of surviving written records. Thus, most of what we know comes from the testimony of European missionaries whose contemptuous view of traditional culture was most pointed when writing about traditional medical practices. Nonetheless, it can be shown that the best of the traditional healers in various parts of Africa acquired a startling level of proficiency and, contrary to contemporary opinion, were not without a medical science.

It is pertinent to remember that Africa has been subjected to centuries of almost continuous political, social, and cultural disruption and that - among cultures that rely heavily on oral transmission of knowledge - a tremendous amount of knowledge has been lost. Thus, the state of traditional medicine today does not reflect the best of what the traditional doctors knew and surviving fragments of eye-witness reports - as shall be shown - indicate that they knew quite a lot.

Like ancient Egypt, all traditional African cultures had a magico-spiritual conception of disease. Thus in this setting, moral, social, or spiritual transgressions are likely to lead to illness because they create both individual and communal disharmony. Without the psycho-spiritual cure - without re-establishing this sensitive harmony - the medicinal cure is considered useless. The traditional practitioner is intimately acquainted with the psychic, social, and cultural nuances of his people and more than one commentator has acknowledged that the traditional doctor is often an expert psychotherapist, achieving results with his patients that conventional Western psychotherapy cannot.

Though there is no single paradigm of medical practice that applies to all of Africa, many of the essential features of the various traditional systems are comparable and even identical. Among the Mano of Liberia, for example, all children's diseases, all obstetrics, all of the "everyday" complaints are handled by women, particularly the elderly women; surgery, bonesetting, and special diagnostic and therapeutic problems are handled almost exclusively by men. This is a pattern that repeats itself throughout Africa.

The approach to the patient can vary in different parts of Africa. In some societies, where the doctor is credited with paranormal insight, the physician may arrive at a diagnosis and prescribe treatment without questioning or examining the patient since he is supposed to know what is wrong by virtue of his special powers. However, other traditional doctors affect an approach toward physical diagnosis closer to our own:

"Many Western-trained doctors concede that the traditional medical experts have a profound knowledge of the human body and anatomy. This is demonstrated by a usually careful diagnosis beginning with a history of the disease followed by a thorough physical examination...He palpates the different parts and looks for tender spots. He feels the beating of the heart, the position of the inner organs, checks the eyes and ears, and smells the mouth for bad breath." (18)

Most commentators have disparaged the traditional doctor's knowledge of anatomy and physiology. The Mano, however, have names for most of the major organs and know the difference between normal and abnormal anatomy. (19) Another author notes that the Banyoro of Uganda, renowned in the last century for their surgical skill, had a wide knowledge of anatomy. (20) A Hausa maneuver to test for impotence has been described:

"An individual is stripped and placed on a mat lying on his back. A pin or thorn is lightly rubbed over the inside of his thigh. If the scrotum or testicles do not move, the individual is considered impotent."

There is a physiological basis for this procedure. The maneuver in effect tests the cremasteric reflex. The cremaster muscle contracts and pulls the testicles upward on stimulation of the inside of the thigh. (21) This passage belies the notion that African doctors were without a knowledge of some of the body's physiological processes. Moreover, Mano physicians - reputedly without an understanding of the body's cardiovascular system - knew that the conditions of anasarca and ascites were due to fluid overload and treated accordingly with diuretic preparations. These interesting fragments do not by themselves admit of a sophisticated anatomical or physiological knowledge but they hint at a greater degree of knowledge - perhaps in past ages - than has hitherto been recognized.

Some case studies of cultures in east-central Africa have brought to light some remarkable evidence revealing the presence of scientific medicine there. The practice of carrying out autopsies on patients dying of unknown causes among the Banyoro of Uganda and the Likundu of Central Africa has been described. Almost always these were carried out to detect a possible witchcraft etiology but may well have contributed to a more extensive knowledge of anatomy than previously supposed:

"The procedures for autopsying bodies under the Likundu culture have been reviewed, not for the purpose of considering the beliefs that impelled such procedures but to indicate that in some areas autopsies were frequently carried out and that they involved searching in the body, a search which might be casual and superficial but which in other cases might be prolonged and exacting and involved opening up and examining a variety of organs. These are precisely the circumstances under which considerable knowledge of anatomy and pathology could be acquired by persons who, for any purpose, might wish to do so. (22)

Further, there is a report of a Banyoro king who commissioned a traditional doctor to travel around the countryside to investigate, describe, and search for a cure for sleeping sickness, which was ravaging the country at the time.(23) This clearly indicates that a spirit of clinical investigation did exist among Banyoro physicians and probably among other traditional practitioners as well. In many parts of Africa, treatments were devised for new diseases like venereal disease and scrofula that were imported into Africa and this would presuppose some form of clinical investigation and experimentation.

In some parts of Africa, it would seem that the traditional doctor had a firm grasp of some fundamental public health principles. In Liberia, the Mano developed an admirable quarantine system for smallpox. They were well aware of its contagiousness and set aside a "sick bush" for affected patients. This was situated well away from the village and the patient was attended by only one person; no one else was allowed to approach the area. The patient was put on a careful diet and was rubbed with topical anesthetic medications to prevent scratching which could lead to infection. When the illness ran its course, the area wasburned. The "sick-bush" approach would do a modern epidemiologist proud. Of further interest is the centuries-old practice of small-pox variolation which is carried out all over Africa. During an epidemic, material from the pustule of a sick person is scratched into the skin of unaffected persons with a thorn. In the majority of instances, there is no reaction and the persons inoculated are protected against smallpox. In some cases, the inoculation will produce a mild, non-fatal form of the disease which will also confer permanent immunity.(24) Centuries before Jenner, Africans had devised an effective vaccination method against smallpox.

In the area of surgery, the best evidence indicates that some African surgeons attained a level of skill comparable, and in some respects superior, to that of Western surgeons up to the 20th century. As in ancient Egypt, the bonesetter guilds were separate from those of the traditional doctors and were renowned for their skill. Some commentators, observing the bonesetters of today, feel that this reputation was somewhat inflated and the bonesetters' results were less than optimum by Western standards.(25) Yet other reports cite techniques that led tohighly satisfactory results. Mano bonesetters treated a patient with a thigh fracture by placing him in the loft of a house allowing the affected leg to dangle free with a heavy stone attached. This was a very effective traction method and once the fracture was reduced, it was immobilized with a tight splint. (26) In addition, the patient was encouraged to exercise a fractured leg and we know today that new bone is laid down more rapidly over the fracture site when there is some exercise of the limb. Bonesetters in other parts of Africa would dig a deep pit for the purpose of exercising traction on a fractured limb and in East Africa, the bonesetters reduced fractures and dislocations by manual manipulation and traction. These examples indicate that the bonesetters' reputation was not entirely undeserved.

In many areas, especially among warlike peoples, the traditional physician was particularly adept in treating traumatic wounds. One report describes the treatment of an open wound by the following method: plant juices with anti-septic properties were squeezed into the open wound, a red hot metal tip was used to cauterize bleeding points and burn away damaged tissue, the wound edges were closed with a tough thorn, an awl, and fibrous suture and a fiber mat was wrapped tightly around the wound to prevent bleeding. The wound was never closed until the bleeding had been stopped. (27) In another documented instance, a native surgeon successfully resected part of a patient's lung to remove a penetrating arrow-head.(28) In the Congo, a native surgeon was seen using stiff elephant hairs to probe for and successfully remove a bullet.(29) In Nigeria, a man who had had his abdomen ripped open by an elephant was treated by the doctor by replacing the intestines in the abdominal cavity, securing them in place with a calabash covering, and finally suturing together the overlying abdominal wall and skin. Not only did the man recover but was soon back working on a road gang. (30) In the testimony of one author:

"Witch doctors of many tribes perform operations for cataract. They squeeze the juice from the leaves of an alkaloid-containing plant directly into the eye to desensitize it, then push the cataract aside with a sharp stick. A surprising number of these cases turn out successfully."(31)

In East Africa, Masai surgeons were known to successfully treat pleurisy and pneumonitis by creating a partial collapse of the lung by drilling holes into the chest of the sufferer.(32)

It is pertinent to now consider one of the most remarkable examples of African surgery ever documented. This is an eye-witness account by a missionary doctor named Felkin of a Caesarean section performed by a Banyoro surgeon in Uganda in 1879:

"The patient was a healthy-looking primipara (lst pregnancy) of about twenty years of age and she lay on an inclined bed, the head of which rested against the side of the hut. She was half-intoxicated with banana wine, was quite naked and was tied down to the bed by bands of bark cloth over the thorax and thighs. Her ankles were held by a man...while another man stood on her right steadying her abdomen...the surgeon was standing on her left side holding the knife aloft and muttering an incantation. He then washed his hands and the patient's abdomen first with banana wine and then water. The surgeon made a quick cut upwards from just above the pubis to just below the umbilicus severing the whole abdominal wall and uterus so that amniotic fluid escaped. Some bleeding points in the abdominal wall were touched with red hot irons. The surgeon completed the uterine incision, the assistant helping by holding up the sides of the abdominal wall with his hand and hooking two fingers into the uterus. The child was removed, the cord cut, and the child was handed to an assistant." (33)

The report goes on to say that the surgeon squeezed the uterus until it contracted, dilated the cervix from inside with his fingers (to allow post-partum blood to escape), removed clots and the placenta from the uterus, and then sparingly used red hot irons to seal the bleeding points. A porous mat was tightly secured over the wound and the patient turned over to the edge of the bed to permit drainage of any remaining fluid. The peritoneum, the abdominal wall, and the skin were approximated back together and secured with seven sharp spikes. A root paste was applied over the wound and a bandage of cloth was tightly wrapped around it. Within six days, all the spikes were removed. Felkin observed the patient for 11 days and when he left, mother and child were alive and well. (34)

In Scotland, Lister had pioneered antiseptic surgery just two years prior to this event but universal application of his methods in the operating rooms of Europe was still years away. Caesarean sections were performed only under the most desperate circumstances and only to save the life of the infant. A Caesarean section to save the lives of both mother and child was unheard of in Europe nor are there records of such a procedure among the great civilizations of antiquity. As one commentator has said:

"The whole conduct of the operation as Felkin described it suggests a skilled, long-practiced surgical team at work conducting a well-tried and familiar operation with smooth efficiency and unhurried skill...Lister's team in London could hardly have performed with greater smoothness." (35)

Not only did the surgeon understand the sophisticated concepts of anesthesia and antisepsis but also demonstrated advanced surgical technique. In his sparing use of the cautery iron, for example, he showed that he knew tissue damage could result from its overuse. The operation was without question a landmark, reflecting the best in African surgery.

African midwives possessed a good understanding of some fundamental obstetric and pediatric principles. Mano midwives pulled repeatedly at the breasts of women in labor, a maneuver which induces the release of oxytocin - a stimulator of uterine contractions - from the pituitary gland. They sometimes took laboring mothers upon their backs walking around with and shaking them. This undoubtedly had the effect of causing the cervix to dilate and the head to engage, thus facilitating labor.(36) Some Bantu midwives were known to use Indian hemp during labor for its sedative properties. Newborn babes and infants were taken and exposed to the sun for a period each day "to make them strong." One author attributed the rare occurrence of rickets among Mano children to this practice.(37) In addition, these women healers recognized the causes of malnutrition and retarded development, putting such children on special diets high in vitamins and carbohydrates with favorable results.(38)

Traditional African cultures have an abundant materia medica. The Zulus, for example are reputed to know the medicinal uses of some 700 plants. (39) Ouabain, capsicum, physostigmine, kola, and calabar beans are just a few of the substances from the African materia medica that have made their way into the Western pharmacopeia.(40) The traditional midwives often have drugs that can induce abortion in the first three months of pregnancy and in Uganda, in an area where there is a high incidence of dystocia (retarded labor), the midwives have preparations which stimulate uterine contractions. "Fever-leaf" is used all over Africa to treat the recurring fevers of malaria. Certain Bantu-speaking peoples use the bark of Salix capensis (willow) to treat the musculoskeletal complaints of rheumatism.(41) This family of plants yields salicylic acid, the active ingredient in aspirin, a sovereign remedy the world over for musculoskeletal pains. Kaolin, the active ingredient in Kaopectate is used in Mali to combat diarrhea. Caffeine-containing kola nuts are chewed all over Africa for their stimulating and fatigue-combating properties. To combat snakebite, plants containing ouabain and strichnine are used. The former is a heart stimulant and therefore useful against cardiotoxic venoms and the latter is a nerve tonic, useful against neurotoxic venoms. In

Nigeria in 1969, the rootbark Annona senegalensis was found to possess strong anti-cancer properties.(42) Even more recently in 1979, herbal preparations that were used in Nigeria to treat skin infections were found have definite bacteriocidal activity against gram-positive bacteria, the very organisms that cause skin infections. (43) There was an interesting case in 1925 of an eminent Nigerian in England who was suffering from severe psychotic episodes not amenable to treatment by English doctors. A traditional doctor from Nigeria was summoned who was able to relieve the patient of his symptoms with decoctions made from a rauwolfia root. (44) The Rauwolfia family of plants is the source of modern-day Reserpine, first used as a major tranquilizer to treat severe psychosis but now used mainly as an antihypertensive medication.

The list of effective drugs in the African pharmocopeia is too extensive to elucidate here but suffice to say that traditional doctors in Africa had and have effective remedies against intestinal parasites, vomiting, skin ulcers, rashes, catarrh, convulsions, tumors, venereal disease, bronchitis, conjunctivitis, urethral stricture and many other complaints.

There are at least two documented instances of Europeans benefiting from the ministrations of the traditional physician. In the last century, a Bushman doctor cured a European woman dying of sepsis that the European doctor could not treat. In Swaziland, a European doctor, dying of dysentery, was cured by a native physician. (45) Moreover, the native physicians in this area were so skilled at treating Typhoid Fever that the European doctors used their decoctions for the same purpose.

#

This article has attempted to show that the traditional doctors of Africa from the earliest times had a high level of medical and surgical skill, certainly much more than they have been given credit for. It is to be hoped that more substantive and careful investigations will be carried out among the traditional healers of Africa before Western-style medicine supplants them entirely.


Copyright (c)1998-1999:The Black Health Network.
 

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Has the Debt Been Paid?
Posted: Wednesday, July 18, 2001

The activist campaign demanding payment of "slavery reparations" to today's black Americans probably strikes some readers as too far-fetched to take seriously. Better stop and look afresh. I myself realized that the concept had moved beyond faculty lounges, radical salons, and afrocentric pamphlets and into the realm of serious political struggle when I looked over the roster of a legal group convened to plot practical strategy for winning such compensation. It included not only DreamTeamer Johnny Cochran, Harvard Law School professor Charles Ogletree, and other ideologically predictable backers, but also one Richard J. Scruggs. [More] 

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Impact of Eurocentric Thought Process
Posted: Tuesday, July 17, 2001

(Dr Kwame Nantambu) This writer argues that through their control of the global media apparatus and scholarship, Europeans have been able to portray themselves as the only creators of world history and to present themselves as the original peoples with original ideas.

In the process, the contributions and achievements of Afrikan people have been relegated to the ashheap of history. In reality then, HIS-STORY or His-Eurocentric version or interpretation of world events and history has been the prime mover in the thought process of the Eurocentric world view.

This analysis argues that since the 15th century, ethnocentrism (lack of tolerance of other cultures), etnocentrism (lack of tolerance of other races) and xenophobia (fear of other races) have conditioned, fashioned and determined the mind-set, attitude and thought process of Europeans towards Afrikan peoples. [More]
 

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Clarifying The Concept Of "Spirituality"
Posted: Monday, July 16, 2001

(Ras Jahaziel) As a people who have been THE WHITE MAN'S PROPERTY for so very long, we have grown accustomed to searching for "GOD" through other people's eyes. If it is not the white man's eyes, it has been the Arab's, the Chinese or the Indian's eyes. This idea that "spirituality" means soaking up the White man's, the Indian's, the Chinese or the Arab's ideas, is all part and parcel of our own degraded sense of self-hood.

When we rediscover and resurrect an appreciation for ourselves as THAT UNIQUE PEOPLE OF CREATION WHO HAVE BEEN BLESSED WITH THE WOOLEN CROWN OF HAIR, we will find a greater link with the God that we have been seeking so vainly for so very long. It is only within our own image that we as a people will find our God. Never through any other people's eyes. [More]
 

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Diversity Alone Won't Stop Police Violence
Posted: Sunday, July 15, 2001

(Washington Post) The recent Post series documenting Prince George's County police as among the most brutal in the nation exposes a long-hidden truth: A racially diverse police force under the command of black elected officials is no guarantee against police violence.

The notion that racial diversity is the key to fighting police brutality has deep historical roots. In the wake of riots across American inner-cities in the 1960s, the Kerner Commission called for "increased Negro participation in police departments" because "for police in a Negro community to be predominately white can serve as a dangerous irritant."

But in Prince George's County, where the police force killed more people during the past decade than any police force in America, and where no officer during that time has been fired or demoted for shooting somebody, the police department is 41 percent African American. Moreover, the county that has become known as America's wealthiest black suburb has a black county executive and chief prosecutor. Nor is Prince George's alone: In recent years Los Angeles, Detroit and Washington all have suffered police misconduct scandals. Yet each of these cities has either significant black leadership or police force representation. [More]
 

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Columbus & the falsification of history
Posted: Friday, July 13, 2001

(Kwame Nantambu) At the outset, it must be stated quite clearly that we Afrikan people, are the original, majority people with original ideas. Europeans are only an inherited, transmitting global minority people. Europeans did not invent, create or discover culture nor civilisation; they just inherited them and in some cases, stole them. Afrikans never lived in caves and in the icebox during the Ice Age for 20,000 years.

The bottom line is that Afrikans are the ancestors of Europeans. We created them, according to scientific research of the modern-day Imhotep, Dr. Cheikh Anta Diop in terms of the origin of humankind. These Afrikans who left Mother Afrika with their melanin intact to populate the world and with Black skin, large nose, big/thick lips, Black wooly hair, large-broad nostrils etc, got caught in the ice and lost everything. As a result of having to adapt to this new cold glacial environment, their Black skin then became white, nostrils became small and narrow, lips became thin, etc; they became white. [More]
 

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What to the Slave is the Fourth of July?
Posted: Wednesday, July 4, 2001

Frederick Douglass || 5th July 1852
Mr. President, Friends and Fellow Citizens: He who could address this audience without a quailing sensation, has stronger nerves than I have. I do not remember ever to have appeared as a speaker before any assembly more shrinkingly, nor with greater distrust of my ability, than I do this day. A feeling has crept over me, quite unfavorable to the exercise of my limited powers of speech. The task before me is one which requires much previous thought and study for its proper performance. I know that apologies of this sort are generally considered flat and unmeaning. I trust, however, that mine will not be so considered. Should I seem at ease, my appearance would much misrepresent me. The little experience I have had in addressing public meetings, in country school houses, avails me nothing on the present occasion. More
 

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Bush Aide Promises To Seek $3 Million For U.N. Race Conference
Posted: Sunday, July 1, 2001

WASHINGTON (NNPA)--At a packed and heated forum that scorched two of her White House colleagues, a Black U.S. State Department official said she will ask the Bush administration for a $3 million allocation toward the World Conference Against Racism, Racial Discrimination, Xenophobia and Related Intolerance (WCAR) in Durban, South Africa from Aug. 31 to Sept. 7.

Debra Carr, chair of the U.S. Interagency Task Force on the conference, made the commitment during a heated Congressional Black Caucus roundtable last week, chaired by Rep. Cynthia McKinney (D-Ga.), who heads the CBC task force on WCAR. More
 

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Shades Of Identity Crisis
Posted: Friday, June 29, 2001

Response: Heather

(Self-Development Forum) It is not only Black people who are trying to look like the advertised image of White beauty. Contrary to popular belief, most Whites do not look like what is popularly portrayed in the media. Recently I saw them advertising White skin lighteners to White people, and lets not forget the phenomenal sales of blonde dye.
Also check how many of them are "dying" from bulimia and anorexia.
I guess White people are also "dying" to be "White".
 

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Shades Of Identity Crisis
Posted: Friday, June 29, 2001

Response: Renee

(Self-Development Forum) I truly understand that there are many different levels of self- hatred being displayed by many Africans and skin bleaching is one form of self-hatred that really begins to tell a story of how massive and wide spread the Europeans value system has infiltrated the African psyche. I am sure that many may not even be aware of the levels of self-hatred that many are obviously displaying and I can only say that they may not be aware, because I was not aware of some of the "false memories" which leads to "false attitudes" which keeps descending to "false behaviours" that I was/am displaying until more conscious individuals pointed them out. That is why it is of vital importance to dialogue and share different points of view so that all may have an opportunity to learn and grow.

Are all Africans that straighten their hair trying to be white…well we must all remember that Africans have various hair textures: from kinky (kingly), to curly, to wavy hair and also straight hair. Many Africans have made a choice to wear their hair natural…does this mean that because you wear your hair natural that you are the best example of what a true African is? What about the Clarence Thomas's and the Colin Powell's of this world, they wear their hair in its natural state and they have not decided to bleach their skins, however the conditions of their minds have been "white washed" and "bleached" I dare not make a comparison on who is in the worse or better state". Africans who choose to bleach externally or those who choose to bleach internally; it is a known fact that our very minds are in a state of disrepair and in need of an immediate upgrade.

And I have not lost sight of a persons right to choose to straighten or not to straighten their hair. People should do things that makes oneself happy, however I am sure when people obtain more information about a particular subject or a particular action (skin bleaching) then hopefully people will be able to make better choices.

The struggle continues...
 

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