Blackwater fever (BWF) is a clinical entity well known only in long-term residents in Plasmodium falciparum-endemic areas who take quinine irregularly.
The Mark Johnston bandwagon continued to roll merrily along when
Blackwater Fever added his name to the list of Kingsley House winners when opening his account in the ten-furlong seller.
But when Lapsley suddenly dies from
blackwater fever, a potent form of malaria, a devastated Sheppard goes it alone to become the leader of one of the only all-black missions in Africa.
Under the heading "1815-1885--The Time Before Medical Missions Came In," he gives a general description of the state of health among the Basel missionaries, their families, and the Ghanaian congregations, followed by a medical chapter on "Quinine and
Blackwater Fever" and a descriptive one on "Medical Work in the Missions" 9pp.