The Hawaiian gazette. [volume] (Honolulu [Oahu, Hawaii]) 1865-1918, 1893-11-21

0. Smith. members John Ena, Theo.
F. Lansing, ]. 7. Warehouse, Jr.,
DR.. Andrews, and Agent G. B. Rey-
nolds.
The secretary read the minutes of
the previous meeting which, after
correction, were approved.
The following letter from DIR. R.
B. Williams,t the government physician
at Hilo. to DR.. Andrews, was read:
HILo, Nov. Sth, 1898.
DIR. GEO. ANDREWS, HONOLULU.
DEAR DoCToR:--In accordance with
the instructions contained in yours of
I'd inst, agent of the board of health,
Sheriff Williams and myself have
made frequent visits to Paukaa to
make inquiries about the cases of diph-
liberia supposed to have existed there,
detect any new cases that may have
developed and prevent the spread of
the disease. Owing to the unintelli-
gent and inaccurate histories of the
cases as given by different individuals
do not feel certain that the cases
were diphtheria. But in view of the
fact that the disease made its appear
ance in family shortly after leaving
Paukaa, have taken the precaution
to thoroughly fumigate the suspected
premises, and observe other sanitary
measures; and am on the alert for APP
pearance of any disease of an infec-
T;o,,o or oontaorin1Ic Daf11ra Nhnra 10
and has been, ordinary cases of phar-
yngitis and tonsilitis in various parts
of the country, but / have seen moth
ing having the appearance of diph-
liberia, nor has any OF my fellow prac-
titioners in this district.
The cases of scarletina reported to
you are progressing satisfactorily and
no new cases have developed. Des-
quamatea and exfoliation not being
completed, rigid quarantine is being
maintained over the infected prem
ises.
The postmaster has been instructed
to thoroughly fumigate all mails leav-
ing Hilo.
Government physicians throughout
the islands would be greatly aided in
their work were law compelling all
deaths to be reported, and certificates
of death procured before burial. AS
it is, deaths frequently occur among
the lower classes of different national
tiles and we know nothing about it,
unless we happen to hear subsequent
ly.
We shall continue to observe the
greatest caution in regard to quaran-
tine, and will gladly adopt any sug-
gestion the board may see fit to make.
Sincerely yours.
r. B. WILLIAMS.
Several other letters from physi.
clans on the other islands were read,
all speaking of the fact that there
had been several deaths in their dis
tricts, the knowledge of which had
not reached them until after burial,
and asked that death certificate be
required in all cases before burial.
President Smith said that this sub
ject had come up before the board
q great many times for discussion.
That the principal reason urged
against the requiring OF death GER
tificate was that in almost all cases
the districts of the government ply
sicians were SO large that great dis
lance would have to be travelled by
those who were to inform the physi
clan of the death. 1t was recon-
mended that in the principal towns,
such as Hilo, Lihue, ETC., all deaths
should be announced to the govern
ment physician and certificate OBJ
tanned. The motion was taken under
sdvisement.
In regard to diphtheris in Homo
lulu, DR.. Andrews reported no new
cases of the disease. The Kauluwela
school, which has been closed since
the disease was discovered, will be
opened again next Monday.
The following report of MIR. Reyn-
olds on his trip to Molokai was read
by the president
Honolulu, n. l., Nov. =, 1893.
Report of c. B. Reynolds on visit to
the leper settlement, MolOkoi:
November 6th.-Left Honolulu on
steamer Mokolii at pm; landed at
haullhhdhdl az Dill. ANONs Jul opOAb
a few hours with Mr.. Meyer at Kalae,
and reached the settlement via the
pail at l pm, and camped at the
Visitors house, Kalawao. The first
thing to strike the eye is the great
improvement in the appearance of
the settlement caused by the thorough
whitewashing of the buildings both
at Kalawao and Kalaupapa.
Nov. S.-Visited Waihanau valley
in company of Mr.. Hutchinson and
found that, in spite Of the extreme
dry weather, there was water in the
hanau, and Mr.. Hutchinson tells me
that if it was bailed dry it would fill
up again to the present level. would
have prospected the place, but my
time was too short, and it would re-
auire little giant powder to remove
the big rocks but 1 am almost posi-
tive that good flow of water exists
in the valley which, if found, would
be a valuable addition to the present
water supply. AS the steamer Moko-
lii was in, there was a large assembly