SHORT REPORT
A Note on the Demographic and Health
Pattern of a Historical Sleeping Sickness
Cemetery at Letsholathebe Memorial
Hospital, Maun, Botswana
M. N. MOSOTHWANE*
Archaeology Unit, History Department, University of Botswana, Gaborone, Botswana
ABSTRACT A part of a historical cemetery used to bury victims of sleeping sickness in Maun, Botswana, was recently un-
covered by a water supply improvement construction project. The cemetery had become obliterated from the
surface and from the memories of the people resulting in the use of the land for residential purposes. Twelve
skeletons were excavated along the water supply trench and have since been buried at one of the new village
cemeteries. There were eight males, two females and two individuals of unknown sex. They were young
adults ranging in age from 18 to 35 years at the time of death. Dental modifications were used to estimate
the cultural identities of two individuals. Some of the remains had been buried with body clothing such as
belts and necklaces. Poor dental health was most probably associated with poor nutrition and poor oral
hygiene among the population. Copyright © 2015 John Wiley & Sons, Ltd.
Key words: Botswana; historic cemetery; Maun Hospital; Sleeping sickness
Introduction
Maun is a large town located just along the southern
edges of the Okavango Delta in Botswana (Figure 1).
The town was established as a capital of the Batawana
people and a colonial administration centre, which
served the far north western corner of the protectorate,
in the 1920s. In its early days, the village was sparsely
populated by a few hundred people from various com-
munities with the Batawana as the dominant group.
Population and economic growth was extremely slow
compared with other parts of the protectorate. This
was largely because of remoteness and inaccessibility
coupled with numerous disease outbreaks as a result of
proximity to the delta. The colonial government
insisted on establishing Maun as a centre of trade in
wildlife for British businessmen (Tlou, 1985).
The delta provided wildlife for human consumption
and other recreational opportunities, but it also
provided habitat for various organisms harmful to hu-
man and animal health. As a result, Maun and its
associated Ngamiland region is the only area in
Botswana that has been hit by all major southern
African epidemics and pandemics of the colonial and
post-colonial period (Potten, 1976). These include
malaria, smallpox, bubonic plague, sleeping sickness,
influenza and bilharzia epidemics (Wilson et al., 1963;
Heinz, 1968; Potten, 1976; Tlou, 1985; Molefi 1996,
2001, 2003; Schmitt, 2006). Likewise, livestock in the
area has been affected by rinderpest, nagana and foot
mouth disease. In some instances, there were single dis-
ease epidemics such as the 1912 influenza bout, and
sometimes, the epidemics co-existed such as the
1940s smallpox, bubonic plague, malaria, syphilis and
sleeping sickness (Botswna National Archives, Annual
report, Maun Medical Mission (1943) File No. 101/3;
Molefi, 2001, 2003; Schmitt, 2006). The early history,
development and prevalence of sleeping sickness in
Ngamiland are not fully known. Local communities in
the region were fully aware of ‘kotsela’ long before the
disease was officially recorded by the colonial adminis-
trators in the 1930s. Kotsela is a Setswana name
* Correspondence to: Morongwa Nancy Mosothwane, Archaeology Unit,
University of Botswana, Gaborone, Botswana.
e-mail: morongwa.mosothwane@mopipi.ub.bw; morongwa@hotmail.com
Copyright © 2015 John Wiley & Sons, Ltd. Received 2 August 2014
Revised 21 January 2015
Accepted 19 March 2015
International Journal of Osteoarchaeology
Int. J. Osteoarchaeol. 26: 337–344 (2016)
Published online 15 May 2015 in Wiley Online Library
(wileyonlinelibrary.com) DOI: 10.1002/oa.2452