The Pacific commercial advertiser. [volume] (Honolulu, Hawaiian Islands) 1856-1888, 1863-04-23

summons Of the painter and w~hlte-wdsher If
however, the charge be made that the house bc
not kept clearly, / most emphatically must de-
clare that charge unfOunded.
The reduced state Of the finances works as an
obstacle to the full efficiency Of the Hospital in
many other ways. For more than a year | have
urged upon the Board OF Trustees the removal of
q great nuisance, which at times will I'LL the
whole house and it, envirJns with detestIble
OdCr,-the presence Of which probably has given
rise TO the unfJunded charges above alluded 10,
but there never was money enough IN the
Treasury u cover the expenses for the alteration.
Our facilities for cooking, and heating water Tor
warm baths. etc, are very defective.
Although it may not appear quite in place, l
Will here avail myself OF the opportunity 70
bring 10 your and the pubic's attention a sub
iect Of great importance. ! mean the rapid spread
of that new disease called by the natives " Mai
Pake.' Ii i the genuine Oriental LeprOsy, as
has become evident 10 me from the numerous
cases which have presented themselves at the Hos
pital. Repeated Investigations leave but little
doubt in my mind about the contagious charac-
ter Of the disease, as ! have followed its gradual
spreading from a single person to many people
in the same village. The contagious property
does not seem to be strongly developed, but Is
sufficiently marked to warrant the application Of
ONE radical sanitary measure. For some time
during the last year | have devoted the wooden
house which served as a temporary Hospital be-
fore the erection Of the present building, to the
I-'tItiDH Vi lH4S CLASS b4 patients III SJIlc Ol
them medical reatme has produced a sensible
amclioration. 1t Will be the duty Of the next
Legislature TO devise and carry out some efficient,
and at the same time humane measure, by which
the isolation Of those affected with this disease
can be accomplished.
To the urgent necessity which exists for the
erection Of an asylum for the insane, | must
ailude also. We have had many applications
for the admission Of this class OF patients, but
could only receive a few whose mental disorder
- e. -
the house. At present most Of these unfortu-
mates are kept in close confinement 1T the station
house or prison, a measure calculated 10 agra
yatc and render hopeless ii disease which orIgi-
naily might have been remcdiable.
Before concluding. | deem it NY duty to ac-
knowledge the beneficial influence which the
Of the = Ladies Sanitary Association
have had on the efficiency of the hospital, and
in especial the unremitting e~XcrtiOns Of Her
cur noble Queen. She used to come
almost daily to convey sick people to the diSpen-
sIry, or TO visit the inmates Of the hospital. If
such energetic sympathy for the objects of our
institution were more generally ditIuscd
Us efficiency would be greatly increased.
To my professional colleagues my thanks are
lue for the readiness with which they always
gave their valuable assistance in operations and
consultations.
As circumstances oblige me to be absent from
place for about six months | would Beg the
Of the Board of Trustees. to grant
me leave of absence for that length Of time.
During summer there is generally less sickness.
md the attendance at the dispensary falls off
considerably from what it is during winter. If
1t any time, it is during these months that the
ibsence of the regular incumbent is fraught with
he least inconvenience. If you should grant my
| wish you would determine also, wheth-
r you will leave the appointment of a substitute
o me, or if you propose to reserve that duty for
Respectfully submitted,
Poly. WV. HLLEBAND.