The Hawaiian gazette. [volume] (Honolulu [Oahu, Hawaii]) 1865-1918, 1884-04-16


The following explanation will serve to make
! the meaning and scope Of the headings adopted in
/ Table ii more Ineligible.
The column marked I shows the number of
/ those in each school whose condition in our opin-
ion not sch to necessitate their withdrawal
| from attendance at school but for whom, at the
same time in justice to themselves felt obliged
| 20 recommend medical Treatment.
With but one or two exceptions the disease
which they presented was syphilis in some of its
manifold forms, but not in form easily com
municatcd.
In these cases the disease consisted mostly of
ulcers of the socalled secondary stage of syphil-
lis non-e1posod parts of the person, of man
festatious Of the latter called tertiary stage
of this disease. But in no case did we meet with
| those extensive ravages which are often the
results Of syphilis among other races. This
lumn also includes two or three cases Of other
mild, communicable lparasiticl diseases.
The column marked ii, includes those to whom
q certificate could not nj once be given because
they presented the earlier, more communicable
manifestations OF syphilis, especially when oc-
curing on exposed paris Of the person, such for
instance as mucous patches about the month. 1t
should also be Stated that with regard TO some OF
these there was room for doubt as to whether they
should not more properly be ineluded under CO.
lumn III.
The column marked III, gives the numbers Of
those whose symptoms we're such as to awaken in
our minds strong suspicion of the existence Of
the faint Of leprOsy in their constitutions sus-
piciOn based upon reasons not easy to be defined
~ marked as to compel Us to pronounce against
them the verdict Of leprosy. Among these there
we're one or two who have near relatives that are
epers
The column marked ", gives the small num-
Der (Sl of those who were Enthusiastically lepers, Of
whom two were Of Hawaiian birth the third be-
ing South Sea Islander.
We have pleasure in noting as encouraging
fact that of those who presented symptoms Of
having been the innocent and unfortunate victims
Of syphilis, the large majority seemed TO be in a
fair way to rid their systems OF the faint Of this
disease through that still excellent recupcratiye
power Of the race which enables them to with
stand in a greater degree than some other races a
poison 50 blightirg rs that Of syphilis.
From the very beginning of this sanitary eXa-
minatiOn the question has pressed itself upon us
with increasing force, what shall be done with
those who are either lepers in an early stage OF
this column II, or about whom there strong
rca5Ons for suspicion column III that they have
the germs Of the disease within themF
On the one hand, It would lie evidently unfair
and inexpedient to send such - patients gen
eral hospital and on the other hand it would be
equally unjust to these uufOrtunates to consign
them TO the wards of any hospital already devoted
10 the reception Of those who advanced lepers
Yet at the same time their interests well as
those Of the community demand that they should |
be submitted during sufficient period Of prOba- |
ton 10 the necessary isolation while they are re.
receiving the best medical care and treatment.
1t seems to US that wisdom dictates that sys- |
ternRtic plan Of classification should be adopted |
in dealing with lepers and those suspected Of e-
prosy by which those who are in the early in |
itial stage Of this disease shall be kept entirely
separate from those IN more advanced stage. |
Thus the grand mistake will not be made of allow
ing those who are but slightly. perhaps not at |
all affected and whose chances of recovery under l
treatment are good, to have the disease constantly
reinforced in them by absorbing fresh increments
of virus through daily contact with those who are
saturated with il.
In conclusion we feel it due TO the teachers Of
various schools have visited to acknowledge our
Indebtedness to them for the courteous assistance
so readily accorded 10 US in carrying out the IN
structions of the Board Of Health. the excellence
Of the discipline maintained greatly facilitating
our labors. Respectfully submitted.
SARAH L. PImCE VI. d.
n. Il. EMERSON NJ. d.
O. w. PARKEE. u. Il. C. j. L.