AFRICA ALBERT SCHWEITZER : AN ANACHRONISM STILL THEY COME, ALL YEAR ROUND, TO SEE THE FAMED OLD MAN IN HIS STORIED JUNGLE SETTING . PUBLIC FIGURES LIKE ADLAI STEVENSON, STARRY-EYED U.S . PEACE CORPSMEN, SPINSTER SCHOOLTEACHERS REALIZING A LONGSTANDING DREAM ALL COME FOR A VISIT TO DR . ALBERT SCHWEITZER . AT HIS MISSION THREE MILES UPSTREAM FROM THE GABONESE VILLAGE OF LAMBARENE, " THE GREAT WHITE DOCTOR, " NOW 88, AFFABLY GREETS THEM, AUTOGRAPHING HIS BOOKS IN A FINE, STEADY HAND . YET, AFTER DEVOTING NEARLY TWO-THIRDS OF HIS LIFE MINISTERING TO THE SICK OF EQUATORIAL AFRICA AND BEING WIDELY REGARDED AS A NEAR SAINT, SCHWEITZER IS AN ANACHRONISM IN TODAY'S AFRICA . AFTER A JOURNEY TO LAMBARENE, TIME CORRESPONDENT JON RANDAL REPORTED WHY : ONCE, TO SEE SCHWEITZER, TRAVELERS HAD TO BE PADDLED THE 175 MILES FROM PORTGENTIL ON THE ATLANTIC . NOW THEY ARRIVE BY AIR FROM THE GABONESE CAPITAL OF LIBREVILLE AND PUT DOWN AT LAMBARENE'S MODERN AIRPORT, NOT FAR FROM A MODERN, ANTISEPTIC GOVERNMENT HOSPITAL . ON THE SHORT TRIP UP THE OGOOUE RIVER, THE VISITORS PASS NATIVES SKIMMING BY IN BRAND-NEW BOATS POWERED BY EVINRUDE OUTBOARDS . FINALLY THEY REACH SCHWEITZER'S HOSPITAL . SET GHOSTLIKE AMID WILD PALMS AND TANGLED JUNGLE UNDERGROWTH, ITS TIN ROOFS AND RAMSHACKLE WOODEN BUILDINGS ARE WORTHY OF RAIN OR THE HEART OF DARKNESS . CHANGELESS ISOLATION . IN THE HALFCENTURY SINCE SCHWEITZER CAME TO LAMBARENE WITH HIS WIFE HELENE AND PERFORMED HIS FIRST OPERATION IN A CONVERTED HEN HOUSE, THE MISSION HAS EXPANDED BUT OTHERWISE CHANGED LITTLE . AT THE RIVER LANDING THERE ARE ONLY PIROGUES, CRUDE DUGOUT CANOES, THE ONE TYPE OF RIVER AMBULANCE SCHWEITZER WILL USE . ( " BRANCARDIER ! BRANCARDIER ! " (STRETCHER BEARER) THE OARSMEN CRY WHEN THEY ARRIVE WITH AN EMERGENCY.) THE HOSPITAL COMPOUND IS WITHOUT TELEPHONE, RUNNING WATER OR REFRIGERATION, HAS ELECTRICITY ONLY IN THE MAIN BUILDING, WHICH HOUSES THE TINY, ANTIQUATED OPERATING THEATER . STERILIZATION IS CARRIED OUT IN AN OUTDOOR LEAN-TO AND THE ONLY TOILET IS AN OUTHOUSE FOR THE USE OF THE FOREIGN STAFF . WITH A CAPACITY FOR SOME 400 PATIENTS, SCHWEITZER'S CLINIC IS FOREVER JAMMED . THE SICK, CARRYING PAPER TAGS WITH THEIR NAMES, VILLAGES AND TRIBES, WAIT FOR HOURS TO SEE THE DOCTORS, ARE BEDDED DOWN ON STRAW-MATTRESS COTS IN DARK, STENCH-RIDDEN HUTS WHOSE EARTH FLOORS ARE AWASH DURING THE RAINY SEASON . OUTSIDE, OVER OPEN FIRES, THE PATIENTS' WOMEN RELATIVES COOK, WHILE A HORDE OF CHICKENS, DOGS AND GOATS (PROTECTED UNDER SCHWEITZER'S " REVERENCE FOR LIFE " MYSTIQUE BY WHICH NO LIVING THING SHOULD BE UNNECESSARILY DISTURBED) ROAM AT WILL, ADDING FREELY TO THE SURROUNDING FILTH . WHEN A PATIENT DIES AND HIS BODY IS UNCLAIMED, IT IS WRAPPED IN A FERN-ANDPALM-LEAF SHROUD, LAID IN A WOODEN BOX, AND BURIED IN THE BUSH . TAILORED FOR PRIMITIVES . DESPITE SUCH SQUALOR, SCHWEITZER'S INSTITUTION HAS A GOOD MEDICAL RECORD, AND THE CITY'S EUROPEANS GENERALLY CHOOSE IT OVER THE NEW GOVERNMENT HOSPITAL . FEW HOSPITALS ANYWHERE CAN OFFER SUCH A DEDICATED STAFF, OR ONE THAT LIVES AS AUSTERELY . EACH OF THE DOCTORS AND NURSES OCCUPIES A SINGLE ROOM EQUIPPED WITH IRON BED, ENAMEL WASH BASIN AND KEROSENE LAMP ; MEALS USUALLY CONSIST OF FRIED BANANAS AND OTHER FRUIT . THE OLD MAN STUBBORNLY REFUSES TO GO MODERN . SAYS HE : / CIRCUMSTANCES COMMAND THAT THE HOSPITAL BE PRIMITIVE IN KEEPING WITH THE PRIMITIVE STATE OF THE PEOPLE . " HE BELIEVES THAT AFRICANS ENJOY DISCOMFORT, AND THAT THEY ARE OFTEN AFRAID OF A GLEAMING WHITE MODERN HOSPITAL, BUT NOT OF ONE THAT REMINDS THEM OF THEIR VILLAGES A CONCEPT LESS VALID TODAY THAN 20 YEARS AGO . HIS AFRICAN CRITICS TAKE SCHWEITZER'S INSISTENCE ON PRIMITIVENESS AS AN INSULT, OR A NEEDLESS PROLONGATION OF " THE WHITE MAN'S BURDEN . " SYMBOLICALLY, THEY POINT OUT, HE AND HIS STAFF STILL WEAR PITH HELMETS . THE CONCEPT THAT THE DARK CONTINENT CAN MAKE MORE PROGRESS THROUGH INDEPENDENCE IS, TO SCHWEITZER, FOLLY . TOLD THAT THE PEACE CORPS IS BUILDING PRIMARY SCHOOLS ALL OVER GABON, AND THAT THE LITTLE COUNTRY HAS 14 MEDICAL STUDENTS TRAINING IN FRANCE, DR . SCHWEITZER MERELY CHUCKLES AND SAYS OF THE BLACKS : " YOU CANNOT CHANGE THEIR MENTALITY . " AMONG HIS SIX DOCTORS AND 17 NURSES, THERE IS NOT ONE AFRICAN, NOR IS HE TRAINING ANY . SAYS AN UPPER-CLASS AFRICAN IN LAMBARENE : " I'D RATHER DIE UNATTENDED THAN BE HUMILIATED AT DR . SCHWEITZER'S HOSPITAL . " ACCORDING TO THE SUN . BUSHY WHITE HAIR AFLARE, DROOPING MUSTACHE AQUIVER, COTTON STRIPS WOUND AROUND HIS ARMS TO ABSORB THE SWEAT, HE IS A LITTLE DEAF BUT ALERT AS A LION . HE IS STILL PLANNING ADDITIONS TO THE HOSPITAL AND IS WORKING ON VOLUME III OF THE PHILOSOPHY OF CIVILIZATION . A FEW WEEKS AGO, HE ANNOUNCED THAT HE WOULD MAKE NO MORE REST VISITS TO EUROPE, WHICH HIS DISCIPLES TAKE TO MEAN THAT SCHWEITZER WANTS TO DIE AT LAMBARENE, WHERE HIS WIFE WAS BURIED SIX YEARS AGO . IN THE JUNGLE, THE DOCTOR HAS BUILT A PRIVATE WORLD FOR HIMSELF WHICH HE REFUSES TO ALTER . EVEN HIS TIME IS HIS OWN ; THE HOSPITAL CLOCKS DO NOT RUN ON G.M.T., LIKE ALL THE REST OF THE COUNTRY, BUT ARE SET ACCORDING TO THE SUN . AS FAR BACK AS WORLD WAR I, SCHWEITZER EXPRESSED HIS DISLIKE FOR THE MODERN WORLD OUTSIDE : " IN A THOUSAND DIFFERENT WAYS MANKIND HAS BEEN PERSUADED TO GIVE UP ITS NATURAL RELATIONS WITH REALITY AND TO SEEK ITS WELFARE IN THE MAGIC FORMULAS OF SOME KIND OF ECONOMIC AND SOCIAL WITCHCRAFT . " SCHWEITZER HAS MADE HIS OWN REALITY ; HE LIVES IN THE AFRICA OF 1913, HARDLY KNOWING OR CARING THAT A CONTINENT AND A CENTURY HAVE PASSED HIM BY .