The Pacific commercial advertiser. [volume] (Honolulu, Hawaiian Islands) 1885-1921, 1905-03-31

February l, after an Illness typlcaI VI
typhoid.
A woman was then seen who was ill
with chills and fever. but whose his
tory and symptoms We're indicative of
malaria and not of typhoid.
The boy mentioned above, as being
so very low, was advised to accept
transportation to Honolulu and his
parents gladly assented.
The adult mentioned above as being
probably an early case of typhoid was
invited to accept transportation to
Honolulu and gladly accepted.
An attempt was made to determine if
possible the source of infection at this
place and the cause of the epidemic.
1t is believed that the first case was
that mentioned as having died on
February l. This boy lived in a house
which derived its water supply from
a small stream flowing from the noun
tains, but passing around and between
by taro fields. One of the cases which
we brought to Honolulu was taken
from this house, and the other case,
which we brought down, though living
in a different house, had used this
same water supply as had his two
brothers that died on March u of
symptoms indicating typhoid.
Thus all cases in this place, which
have shown typical symptoms of
typhoid had used the same water sup
ply. On the other hand it was ascer-
tanned that many other persons had
used this supply and have shown no
symptoms.
The balance of the food supplies were
placed in charge of the school mistress
for distribution, half of the drugs were
al left with her and Sueh directions
given her in writing as might be to
their intelligent use. few mattress
es, blankets and pillows were also left
as it is not improbable that further
cases may develop.
The patients were placed on litters,
and with great difficulty were carried
to the landing place. They both stood
this transportation well. The entire
party together with the father and
mother of one of the patients boarded
the 'Likelike" about s p. m.
The embarkation was exceedingly
difficult owing to the high seas. All
persons, including the sick had to be
slung on board the boat by derrick.
There were no accidents however, and
the Sick did not appear to suffer I'M
duly.
We arrived at Honolulu at a. M.
March %, and the patients upon tele-
phonic instructions by the President of
the Board of Health were taken to the
Queens hospital i'll the police ambu
late. Thor condition was practically
the same as when seen at Pelekunu.
The attitude of the trained nurses,
Miss Tanning and Mrs. Philbrook, and
the soldier volunteers, Serbeant Ander-
son. and Privates Galway and Eakin
of the L. S. Hospital corps, and
Privates Parke and Sydner of the Ar
tillery corps was most admirable, they
performing all duties with cheerfulneSS
and efficiency under most trying con-
ditions the trip having been exceed
ingly rough and the roads and means
of embarking and discriminating being
most primitive.
It is believed that malaria of a Sc
we're type is present at HalaWa ana
Pelekunu, and that at Pelekunu at the
present time typhoid exists.
These diagnoses can only be made
with certainty after meteorological ex-
animation of the cases. The condition,
however, is due to either malaria to
which has been added a typhoidal in
fection or to one of the most PERM
cious types of malaria. AS said above
this can be determined by bacterRlo-
gical examination.
A tabuIated report of all cases ex-
amined is submitted.
The President of the Board of Health
desires to thank both the Senate and
the House for their prompt appropria-
ton and to extend his sincere appreci-
alton to DR.. Yost, Secretary Atkinson
and other members of the expedition,
and also to DR.. Judd
1 beg to remain,
Very respectfully,
(Signed) L. Z. PINKHAM,
President Board of Health.