The Hawaiian star. [volume] (Honolulu [Oahu]) 1893-1912, 1908-11-02
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been very successful in this manner at
the Waialua plantation. If a very bad
case is found as a rule the plantation
pays the fare of the laborer back TO ia
pan, thus getting rid of him, as well as
of the danger of infection to others
from that source In the milder cases,
where the disease is not so bad that
the man must altogether cease work,
we segregate him as much as possible.
We place him in house away from 9TH
ers, generally knocking the end of the
house out so that he may sleep practl-
cally in the open air. He is not al
lowed to sleep in the same room with
others who have not contracted the
disease and he is directed that all his
sputum shall be deposited in a separ
ate basin, that it may be properly dis
posed of.
"A like treatment has been used in
the case of beri-beri, which has been
a source of trouble for long time on
the plantations. The success of the
treatment may be judged from the fact
that in camps where before the year
would show that an average of from
IA to IS cases of these two troubles,
it has been reduced to from three to
four.
There is one manner in which be-
lieve that the number of cases of tu-
berculosis can be reduced greatly
here, particularly if 1t is done in con-
nection with a strictly enforced segre-
cation. This is to refuse admission
to the Territory to anyone suffering
from the disease. l believe that such
law could be enforced just as well
as the present regulation which keeps
! Japanese with trachoma from coming
/ here. The disease is certainly highly
contagious and should be treated as
such. Some of the worst cases which
l have had in my practice in planta-
ton work have been Japanese who
/ had come directly from their home
country. Had they been afflicted with
! tTachoma they would have been denied
admittance to the United States. 1t
seems to me that even more search
! ing examination should be made 10
tuberculosis than for trachoma.
by keeping all persons afflicted
with tuberculosis away from Hawaii
and by segregating those who are
here, l believe that the disease could
be brought to minimum. 1t must be
campaign of education. The man
, who finds that his temperature is ris-
ing to 102 at night, with the other
symptoms which accompany the dis
ease is very quick to realize that pro
per precautions must be taken and
to follow the Instructions given. This
is true with the uneducated classes to
a surprising extent.
by segregation for the entire Ter
ritory l would propose the plan OF
placing the tubercuiar patients in cot
tages with a plot of land on which
they could work. They need not be
idle but this out door work would be
most beneficial. They could be allow
ed to go away from there, but the
strictest of rules should be made in
regard to splitting in the streets, using
towels which others might use after
them etc. They should never be al
lowed to sleep in the same room with
others not afflicted with the disease
and should be urged to sleep out OF
doors the entire year around. The eli
mate here, where this can be done
with comfort, is specially favorable for
recovery from the disease.
"Trachoma is one of the diseases
which must be taken care of here. The
reports from the public schools show
the manner in which the disease is
spreading and steps to prevent it's fur
Their dissemination should be commence
ed at once. The rapidity with which
it spreads is shown by a case which |