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The office could be systematically vested in and cumulated with a governorship, as it was in the governors of Sierra Leone (at Freetown) the case in both periods of existence of British West Africa, 17 October 1821 - 13 January 1850 and 19 February 1866 - 24 November 1888, the other components being Gambia, the British Gold Coast (present Ghana) and, in the second period, also Lagos territory (later a colony; in present Nigeria).
John Farrell Easmon, M.R.C.S. L.M., L.K.Q.C.P., M.D., CMO, (June 30, 1856-June 9, 1900) was a prominent Sierra Leonean Creole doctor in the British Gold Coast who served as Chief Medical Officer during the 1890s.