The living conditions in the construction of this railway were miserable. The sanitary and medical facilities were insufficient. In 1892, about two thousand people worked on the railroad, of which an average of one hundred and fifty workers per month lost their lives due to smallpox, dysentery, beriberi and exhaustion. By the end of 1892, 7,000 workers had already been recruited, 3,500 of whom had died or fled (for example, to neighboring forests). These conditions made it more difficult to recruit workers. Thys therefore attracted people from Barbados and China in September and November 1892 respectively. The Barbadians refused to leave the boats in the port of Matadi until they were forced by firearms. Seven people lost their lives in this action.