* This paper was read at the Medical Congress of the Association held at Cape Town in September 1949. This item was regrettably damaged in the online version of the journal. Sabinet Gateway encourages anyone with access to the full version of the article to contact the African Journal Archive (www.ajarchive.org) to enable us to restore the article to its original state.
*This paper was read at the Medical Congress of the Association held at Cape Town in September 1949. The pattern of health and disease in the Cape Coloured people of the Cape Town Municipal area has been discussed under five headings: 1. Life expectation, as revealed by the tables of the principal life insurance companies. 2. Mortality and population changes, as revealed by the Reports of the Medical Officer of Health for Cape Town. 3. Morbidity. 4. Physique and physical efficiency. 5. Socio-economic position, as revealed by the reports of the Cape Town Social Survey. From the figures presented, the conclusions are drawn: 1. That the overall morbidity and mortality of the Cape Coloured people is considerably greater than that of European residents in the Cape Peninsula. 2. That life expectation is considerably less at all ages, with the greatest discrepancy in infancy. 3. That the high morbidity and mortality are due particularly to the ' social diseases '. 4. There is no evidence that differences in the genotype play any important part in determining the observed differences in morbidity and mortality. 5. It follows that the differences could probably be abolished or greatly reduced by improving the social, economic and educational status of the Cape Coloured people.
1. The main articles published on malignant disease in the African are reviewed. 2. The author's findings on 2,000 autopsies (Table I) and 334 sections of malignant tumours (Table 11) are analysed and compared with the findings of others. 3. There is general agreement that carcinoma is more common than sarcoma, but sarcoma is relatively frequent. 4. Melanotic sarcoma is common and often arises on the foot. 5. Kaposi's tumour is an interesting and frequent finding in the Native of Africa. 6. Retinoblastoma is another prevalent tumour in the Bantu child and infant. 7. Skin epitheliomata are very common, especially those arising on the site of a chronic tropical ulcer in the leg. 8. Albinos are liable to develop malignancy of the skin. 9. Basal cell carcinoma is relatively rare in the Bantu. 10. Of the visceral growths, primary carcinoma of the liver is the most common. It almost always arises in a liver which is already cirrhotic, mostly in males and usually in those relatively young. 11. The incidence of carcinoma of the bladder, stomach, pancreas and bowel are discussed.