The Hawaiian star. [volume] (Honolulu [Oahu]) 1893-1912, 1905-03-29
.OR. YOSTIS ACCOUNT


found eight refugees four of whom |
had been sick Three of them were /
children ad practically we'll one was /
o. man. who was convalescent All ,
save histories Of having been taken |
sick at about the same time. March /
II and 10. at Pelekunu The children |
had had malaria, judging from their |
histories, but were quite well at this |
time. The man gave a history that |
was typical Of malaria and his condi- |
ton bore out that diagnosis. The !
others were not sick at all.
The mother Of OF the 3 children |
had lost brothers at Pelekunu and !
she said she believed another brothef !
was dying. She believed the sickness
was cue to anaana and did say some |
thing about one Of the boys having
mentioned names while delirious which
she thought were the names of those
who had anaanaed them to death
THESE refugees were all living I'm a
house by themselves and according to
their standards were probably COM
Portable. Supplies were left with
them, but as they were not sick no
medicines were left. DIR. Mouritz had
seen these people and had prescribed
for them.
1--WE reached Pelekunu at 2:3O" con-
tinuedd DR.. Yost. "The first patient
we saw was a boy, a brother Of the
woman at Halawa. He was serious
" ILL., His history and symptoms were
typical of typhoid He had been taken
i'll on March Il, two days after his two
brothers.
THE two brothers had died on
March &c, and the parents described
their illness and condition as having
been identical with this boy The pa
tient was at once taken charge of by
| the nurses, assisted by the corps men
and prepared for the journey to Homo
lulu to which his parents eagerly as
scented.
1.-TWO children were examined, they
having been said to have been i'll, but
were found to be well.
"The fourth case was then examined,
man of 10, who walked into the room
to present himself, and who gave a
typical history of early typhoid. At
the time he had a temperature of 1887.
He agreed to come to Honolulu.
zone or two other cases were looked
into but the symptoms were those of
malaria. And as they did not want to
come to Honolulu it was not urged.
1.-THE, first case of this sort that occur
red at Pelekunu was sick December
%, 1904 to February I, 1905, when he
died 1t was that of boy who present
ed so nearly as could be judged from
the history, typical symptoms of ty-
phoid. An attempt was made to deter
mine if possible, the source of and
progress of infection. 1t was successful
insomuch as it was found that while
many streams were used by the various
families of the valley, all those cases
which presented typhoid symptoms
had used the same one. OF course, un-
til determined that this stream was in
fected, it would be impossible to say
that this was the source of Infection
still, this circumstance is not suspi-
cious.
Attempt at sanitation have hardly
been made, and the close community
relations existing in this place will
make it of the greatest difficulty to
stamp out typhoid if bacteriologic ex-
animation determines the present cpl
demic to be of this nature.
"Unquestionably malaria exists al
both Halawa and Pelekunu, and all
symptoms and signs indicate that ty-
phoid is also present in Pelekunu. While
these cases are in all probability ty-
phoid fever, it is possible that they are
manifestations of a most pernicious
form of malaria. The diagnosis car
only be determined kith certainty after
careful bacteriologic examination.
1T was determined to bring two
cases to Honolulu and after great diff
Guilty they We're gotten on board the
Likelike, and landed here at a. m
They were taken at once under instruc
tons from the Board of Health to tn,
3 Queens Hospital.
!, THE balance of the supplies, food anC
medicine was left with the school mis-
tress at Pelekunu as there will un
dOubttdly be other cases"
TS':'N':'N $3.50 = - -
1 to issue a citatio nfor suspected per
sons to appear and show cause VIII!
they should not submit to medical eXa
i mnation.
A new section is added providing
, that when person is cited and arrest
ed he shall be examined by three ply
sicians duly licensed to practice medi
cine in Hawaii. The suspect shall
u select one of these, the Board o
= Health the second and the two thu
r. selected shall choose the third. Shout
these physicians find that the suspec
is not a leper, he is at once to be re
- leased, if on the other hand he is foun
to be a leper he is to be sent to tn
Hospital provided for in the act.
A penalty of 500 for concealing
leperous person is imposed.
The most important new section pre-
vides that within six months the Boar
Of Health shall establish at the ReceiN
ing Station, Kalihi a hospital whei
persons declared to be lepers shall |
treated. There shall be a 9residei