Evening bulletin. [volume] (Honolulu [Oahu, Hawaii]) 1895-1912, 1895-10-17
2sp BELIEVES THE DISEASE whs
Sor AsuATIC CHOLERA.
-Hso.sss with similar Sympt oms-
This was Cholera Sostras-Bcing
Contagious the SuppressiVc
Measures were Proper.
Honolulu, Oct. IA, 1895.

e3p nj n exists in this c)n mun'ty |
regarding actual stats of the
,choler,ic epidemic recently pre-
yailing in this city, AMI as, so far
as | am aware, no professional
discussion on this point has been
mad which would tend to NOR
clearly define the dill rent views
held in this connection, desire
20 submit to your consideration |
briefly an expressi of my views
On tbs ali important subject. f.
This seems to me the more in ,
place as recurrence f the con-
sagious disease is by DO meaus i
impossible, in fact is one of those
%uture probabilities which it may
be well to look forward to and to
prepare for.
have always maintained that
the only sure way Of d ngnostiCat-
ing Cholera Asia'ica is by guilty.
ating the bacillus on GeIatine, as
there the cholera btcillus grows
m most characteristic manner
and altogether different from all
other micro organisms. To make
such vutions successfully and
fairly reliable requires facilities
which at present are not obtain
able here. But microscopic prep
arations alone c0nnot be coDsid-
cred as prof of the presence of
cholera bacilli, as there are many
bacilli which under the IN croscope,
even by experienced micrOscOpists,
cannot with certainty be dstinG-
VI shed from the cholera baciIh,
such rs the SAprophytic bac' e,
the Finckler-Prio bacilli a rd
even from some forms of typhoid
bacilli, etc. Saprophytic bacilli
Of comma form is fou d in the
discharge attendant upon various
intestinal diseases and particular
" the so-called cholera nostras or
cholerine.
Now what is chole:a nostr; 7
BY the name cholera nostrus
/cholerine) is designated an
acute djse4se of the stomach and
intestines which takes a definite
form and the sympt ms Of which
in severe cases greatly resemble
those of Asiatic cholera. 1t is to
Toe assumed with gre certainty
that cholera nustras is caused by
an acute infection of the body
With a specific organic pospn
which in almost all C, SIS takes an
epidemic from.
Cholera nostros makes its ap.
pearance in Europe in epidemic
form almost without exception in
the hot summer months July to
September) and it is therefore often
called cholera aestiva. The
yomit and excrements are in such
eases colorless and w,tery, often
resembling the well.known rice
water discharge of real cholera
In fact all tie symptoms are
similsr, a decreased action Of the
kidneys, appearance of muscula,
pains, the extreme debility OF th'
patient, his worn out feuturrs, hi
weak aud hoarse voice, his un
a1uenchable thirst, his small hard
ly perceptible pulse, the livi
s9olor and cool condition of tn
akin Of h face and of his eJtre
mites, in short the pronounce
picture Of general collapse ld"n
tical with that caused by rea
cholera.
Alb ut the same symptoms appea
in a number of cases Of polso
ing which thor ,ughIy resemble til
lighter f,rms If cholera; for il
stance prisoning with arsenic
with poison sausage, meat, chees
or fish, etc.
Although the dag osis OF ch"lt
raat u tim of a prevailingepjd m
is not difficult in advanced Gas.
t vii require the greatest caut o
to pronounce upon it in spol adj
CASES, as it IS to be remembere
that outside of the spec tic choler
poison there ar other causes re
i ted thereto and above referr-
to, which often result in a d seas
Of the intestines very similar
real cholera in ali is symptom
Judging from the manner i
which the choIeraic disease mao
It's appeara ce in this city in tn
ours of the month of Angus
and September last, | came to IL
conclusion that the infection WI
due to such specific causes boy
outlined and l have since becom
aG.nl In thia halinf nnnSl