room in which I was lying. I was in the just-opened Mulago Hospital, one of its first patients. The girl was a nurse called Dora, and the Indian was a doctor, Patel. They told me that an ambulance called by Leo had brought me here the day before. Leo had gone to the north, seen Murchison Falls, and three days later returned to Kampala. He walked into my room and saw me lying there unconscious. He ran to the reception desk for help, but it was Uganda’s independence day, the entire town was dancing, singing, swimming in beer and palm wine, and poor Leo didn’t know what to do. Finally he drove to the hospital himself and arranged for an ambulance. And that is how I found myself here, in a private room, in which everything still smelled of freshness, peace, and order.
The first signal of an imminent malaria attack is a feeling of anxiety, which comes on suddenly and for no clear reason. Something has happened to you, something bad. If you believe in spirits, you know what it is: someone has pronounced a curse, and an evil spirit has entered you, disabling you and rooting you to the ground. Hence the dullness, the weakness, the heaviness that comes over you. Everything is irritating. First and foremost, the light; you hate the light. And others are irritating—their loud voices, their revolting smell, their rough touch.
But you don’t have a lot of time for these repugnances and loathings. For the attack arrives quickly, sometimes quite abruptly, with few preliminaries. It is a sudden, violent onset of cold. A polar, arctic cold. Someone has taken you, naked, toasted in the hellish heat of the Sahel and the Sahara, and thrown you straight into the icy highlands of Greenland or Spitsbergen, amid the snows, winds, and blizzards. What a shock! You feel the cold in a split second, a terrifying, piercing, ghastly cold. You begin to tremble, to quake, to thrash about. You immediately recognize, however, that this is not a trembling you are familiar with from earlier experiences—say, when you caught cold one winter in a frost; these tremors and convulsions tossing you around are of a kind that at any moment now will tear you to shreds. Trying to save yourself, you begin to beg for help.
What can bring relief? The only thing that really helps is if someone covers you. But not simply throws a blanket or quilt over you. This thing you are being covered with must crush you with its weight, squeeze you, flatten you. You dream of being pulverized. You desperately long for a steamroller to pass over you.
I once had a powerful malaria attack in a poor village, where there weren’t any heavy coverings. The villagers placed the lid from some kind of wooden chest on top of me and then patiently sat on it, waiting for the worst tremors to pass. The most wretched are those who have a malaria attack and there is nothing to wrap them in. You can see them by the roadsides, in the bush, or in the clay huts, lying semicomatose on the ground, drenched in sweat, confused, their bodies rent by rhythmic waves of malarial convulsions. But even snuggled under a dozen blankets, jackets, and coats, your teeth chatter and you moan with pain, because you sense that this cold does not come from without—it’s forty degrees Celsius out there!—but that it’s within, inside you, that these Greenlands and Spitsbergens are in you, that all those floes, sheets, and mountains of ice are advancing through your veins, muscles, and bones. Perhaps this thought would fill you with fear—were you able to summon the strength to feel anything at all. But the thought occurs just as the peak of the attack, after several hours, is gradually subsiding, and you start a helpless descent into a state of extreme exhaustion and weakness.
The malaria attack is not merely painful, but like every pain also a mystical experience. We enter a realm about which a moment ago we knew nothing, though it now turns out that it had existed alongside us all the while, finally
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