The Hawaiian gazette., 1884-04-16

Including two teachers.
The following explanation VIII serve to make
the meaning and scopz Of the headings adopted IN
Table II more ineligible.
Inc column marked ! shows the number Of
those II each school Whose condition II our opin-
ION vas 1os scE Is - lec5Ssltte their withdrawal
from attendance - school but for whom, at the
sane time II Justice 10 themselves we felt obliged
% recomneDG medical fI5Ltu,ent.
With bit one or sac exceptions the disease
which thew presented was syphilis II sone Of its
manifold f1slls but not in form easily coEa-
inundated.
In thess cases the disease consisted mostly OF
ulcers Of the so-called secondary stage Of syphi-
lis noa-eSposed paEts Of tie person, or Of man
estatsoEs Of the latter, OF . called tertiary, stage
o.! this dis5lsa. Be: IN 10 case did We meet with
those extensive ravaCss which are 50 often the
results Of syphilis among other races. This Co
lunI also iDcludes tive OF thrve cases % other
mild. communicable plrLS.tlcl diseases.
The oolunn marked II, Ircluces those TO whom
certificate could not az once be given because
they presented the earlier, more communicable
manifestations o. syphilis, especially when oc-
curing o. exposed PARIS Of the person, such for
instance Is Mucous patches about the month. II
should als0 be stated that with regard 70 some Of
these there WIS room for doubt as TO whether they
should no; more properly Be ineiaded under CO
lumn III.
ME column marked III. gives the numbers Of
those whose symptoms were such as 70 awaken in
our minds s-run- suspicion Of the eIistence Of
the taint % lsprosy II their constitutional sUs-
picion based upon reasons not easy % be defined
N words although this tint vas not yet 50 clear
ly marked as 70 compel Us 10 pronounce against
them the verdict OF ieproSy. Among these there
were one CT two who have near relatives that are
lepers.
The ooluIan marked II, gives the small nun
bs- IS Of tl0ss who were urulStaklbly lgpers. OF
whom two were Of Hawaiian birth, the third be-
Ing q So1th SeI Islander.
We have pleasure II noting IS an encouraging
fact that Of those Who presented symptoms OF
Z T. 81 . aa-a4s ..-a4 49,
Of sypS ais, the large majority seemed TO De in q
tal. way TO nd their systems OF the faint OF this
disease through that still excellent recuperativs
power % the race which enables them 70 With.
stand IL q greater degree than some other races
poison 50 blightiEg IS that Of syphilis.
From IN very beginning OF this sanitary eIa-
uliua;ior the question has pressed itself upon q
( 18th increasing force. what shall he done Will
those who are either lepers II an early stage OF
this column H. or about whom there are strong
roasons for slsuiciUl lcolrnn III that they havs
I the germs Of tie disease within tkem:
/ On the one hand il = oald be evidently unfair
and insIpedie1t 10 send such IS patients 70 gen
| eTai hospital and OF the other hand i would h
! equally unjust 70 these unfurtunates 10 colsiEr
them 10 the wards Of any hospital already deyOteC
70 the reception Of those Who are advanced lepers
Iet az the same time their own Interests well al
those Of the community demand that they shoulC
I be submitted during sufficient period Of proba
tioE 10 the necessary isolation while they are Re
receiving the best medical care and treatment.
] 1t seems TO rs that wisdom dictates that sys
/ tsTnstic plan Of classification should be adoptel
| IN dealing with lepers and those suspected of lie
I prosy BY which those who are N the early or in
itial Stage Of TINS disease shall be kept entirely
] separate from those IN more advanced stage
Thus the grand mistake viii not be made OF allow
ing those who are but slightly, OF perhaps not q
| all Affected and whose chances Of recoyeTy undo
treatment are good. 70 have the disease constantly
REINFORCED In them by absorbing fresh increment
Of virus through daily contact with those who az
\ saturated with 1t.
] In conclusion Re feel j. due 70 the teachers o
various schools ge have visited 70 acknowledge on
Indebtedness 70 them for the courteo1s assistanc
/ so readily accorded 10 Is II carrying out the IN
! structiols Of the Board Of Health, the excellenc
Of the discipline maintained greatly facilitatin,
I our labors. Respectfully submitted.
/ SAElz z PIzEcE- u. D.
1 y. :. ES-EEsoS II. d.
w. PAKEEE. II. L. c. p. l..