The Pacific commercial advertiser. [volume] (Honolulu, Hawaiian Islands) 1885-1921, 1902-02-05

ton these facts should not be Lost sight
io1-" He also says that these cases were
lnot III any way selected
/ Is the schools are closed 10 ali chill
toren Classes as suspects they spend most
OF Ihe-r time On the streets or n Chi
nese stores and coffee shops snGanger-
ing the health OF All those with whom
| they come IN contact. while they grow
up IN total ignorance
/ Al present We have not 3 hospital in
tne whole Territory devoted 10 the treat
nsnt OF lsprosy- Neither are ISpSrs al
flowed 10 receive treatment for leprosy al
their own expense Hence. many a1licr-
- with the disease exile themselves
rather than go 10 MoIoSaI- Again, some
fear thax the Bosrd OF Examiners NAV
make mistake. from which there Is no
appeal believe that the law ought 70
I provide some safeguard 10 prevent suca
mistakes. You MI see b. TIE report Of
DR. Sauton that there zrs people Ia No
lokai who are not Iepers-
Were these persons sent there By mis-
take IN diagnosis Since the decision OF
the examiners that person Is q ieper
cares wiki il The sentence thai such Z
person i 70 be deprived OF his liberty
( for the rest Of his lie We cannot De TOO
careful 10 avoid dreadful mistake
To remedy the evils above enumerated
I viii be necessary 70 buiEd a wen ap-
+ pointed hospital with laboratory facIIl-
ties on lzrge grounds near Honolulu,
where ali doubtful cases could BE kept
under obserF aticn. and By bringing 70
our aid the recent discoveries n biology
and bacte- loAogE. the nature Of the dis
ease could be determined By treating
those found 70 be lepers at this very
early stage OF the disease. q cure would
result IN many cases All children OF
school age detained IN this hospital could
Dc taught reading, writing gathering.
etc
Having disposed Of this numerous and
dangerous class Of people hitherto G led
/ suspects, by gathering them n the
hospital and determining whether they
are lepers or clean people. II remains for
Us 10 deal with another large number Of
people who spread the disease daily
among their families and friends name
". the unsegregatsd lepers-
To isolate the large number of !epers
now al large IS the most difficult prob I
lem that We have 10 GeaI with. for all
our efforts 10 stamp out leprosy by seq
regation have failed and viii continue 10
fail until isolation Is made complete and
thorough.
The Importance Of this subject was /
well recognized al TIE Berlin Lepra /
Conference. and much tine was devoted /
TO discussing the methods 70 be employed /
in order 70 obtain the best results
You VIII see by the enclosed report that
the Norwegian system of segregat on re-
ceived much deserved praise from 1he 1
delegates 10 the Conference
The main obstacle 10 the success Of fso- /
latioa here is the hostility of the people .
both 70 the law and the manner u its /
execution; hence OUr efforts must BE d. Z
rected 10 overcome this hostility.
During my thirteen years practice f
among Hawaiians have often asked 4
them this question:
What Is your principal objection 70 the /
law Of segregation The answer is a.
most invariably this When they take
our dear ones TO Molokai. they do not
allow Us 70 see them again. hence our 1
grief in parting with them could hardly
be greater il we lost them through
death.
many heart-ending scenes enacted at
KalEhi, when lepers were removed to No
lokai and I can assure you that their
grief is intensified By the thought that
they viii never see each other again, at
least IN this world
All methods OF segregation involve the
infection OF much grief and pain which
cannot be avoided but we should not
have added unnecessary cruelty 10 or
law by depriv5ng the families OF Iepers
of the right to see and converse VITA
their dear ones al the settlement
II seems that in order 70 atone for the
infiiction Of this unnecessary hardship.
some people are allowed 10 accompany
the Board Of Health TO Noiokai once in (
six months and are given the freedom Of
without any restriction This practice
cannot be too strongly recommended
Several years ago l recommended 70
the Board of Health that a portion Of
the settlement near the. landing De sep
srated from the rest by double fence
a few feet apart TO be used by visitors
only. and that the families Of Iepe-s be
allowed to visit their afflicted relatives
Having failed 10 obtain the desired re-
form at the Board of Health. I submit
Association, where It met with unanimous
and q resolution was passed
I-ging the Board Of Health 70 put il in
Practice. but nothing was done
Let Us then alter the segregation law
20 as TO guarantee the right Of visiting
he settlement TO the families OF the
epers under proper restrictions. This (
-Tnerdment would have better effecT
han Board OF Health resolutions which :
night be set aside Al the next meeting
Z the Board.
But 70 achieve success II segregation
re must follow the Norwegian system &
Is far l. IL can be adapted 70 the coadi- 5
ions IN these Islands.
As you VIII see by ny repost. Dr. Han
en, the discovsrer Of The germs Of IeP-
osy. advised ne to urge the Board Of Z
Health 70 adopt the methods that he {
ias tried in Norway with the most hap {
y results He sad that II The district
physicians OF Norway who have been ed
.cated IN q country where IeproSy pre-
ais. are nor always able 10 make an
airy diagnosis without his assistance,
re certainly should not expect our dis
riot physicians. who come from coun-
ries wheTeleprosy is Unknown. 20 rec
Enize the disease in IT'S early stages
Dr. Hansen advises Us ID employ a 3
MUSICIAN Of experience who would visit
hs outer districts assisting the govern
aent physicians IN arriving at dag
os-s in difficult cases. and a. fba same
inc featuring 10 ti-e people or the dan
er Of keeping their leper relatives OF
riends IL their families
CONCLUSIONS.
We must arrive al q correct diagnosis
q the numerous cas- Of cases called
aspects
Treat All mild and recent cases ef lep-
osy in thu hospital 20 be established FOR
hat purpose sending 70 3Ioloizai only
hose whose cases are 5ncurahle-
Mitigate the severity and harsh1eSs OF