The Hawaiian gazette. [volume] (Honolulu [Oahu, Hawaii]) 1865-1918, 1911-08-04

settlement as a means of promoting mu.
tual benefits. The department will gain
by a stricter supervision over its pupils
from the health standpoint The set.
tlement will gain by the further and
closer application of the principles,
which it has evolved through expert
ence, as It has learned that the best
way to reach the parents is through the
children.
At the present time one of the Pa
lama nurses is given supervision over
each of the principal schools but as yet
this supervision is not sufficient or direct
enough to gain the settlement workers
all that they desire.
Gaining Influence.
AT the present time the city has been
divided up into FIVE OF six districts
with a nurse in charge of each, and
these nurses are slowly but surely gain
ing a social influence over the eosmopo-
Titan PEOPLE with whom they come in
contact. A child's stubbed toe or cut
finger is the entering wedge by which
the settlement gets into the home life
of the peonle whose condition it is try
ing to improve. Once acquainted with
the gentle ministration of the nurses
and the reserve once broken through
and the social workers can gradually
follow.
At the present time, free dispensaries
are maintained at Moiliili, Achi lane.
Luso street and near the Kalihi-waena
school. Miss Mary c. Bushard is in
charge of the first named district, with
temporary supervision over the Puma
hou district during the vacation of the
regular nurse. Miss Bushard attends
to the Moiliili, Kaahumanu and St.
Mary's schools, the dispensary being
located in the latter.
Her district includes all the Moiliili
camps and the Portuguese settlements
below College Hills and in Punahou.
She is also directing the Punchbowl
dispensary temporarily. To the latter
dispensary falls the task of attending
to the Normal and Royal schools and
the tubercular work in Kakaako. The
Athertons support a regular nurse for
the latter district.
The Kauluwela dispensary on Achi
lane, under the charge of Miss Anna
McSherry is the center of work for
Chinatown, Waikiki of the river, and
from Puunui down to the waterfront.
The Kauluwela and the Central Gram
mar schools are under her care as well |
as three kindergartens.
One Large District.
Kalihi-kai, Kaiihi-uka and Kalihi- |
waena are under the charge of Miss
Huber, who has the entire territory
from Kapalama to Kahauiki and from |
Kalihi Valley to Kalihi Bay to cover.
As the schools are partially looked |
after by the nurses already it should not |
be difficult to introduce the system
Bowen desires. His idea is to have |
small room in each school devoted to |
dispensary purposes, fitted up with the
necessary locker of medicines and ban
dages designed for the alienation of
Juvenile ills. In several of the schools
at the present time, the pupils of the
lower grades cut the baDdages and do
other small dispensary jobs under the
direction of their teacher.
The specific purpose of the plan, be- |
sides treating the children for the chill
dren Is sake, is to be able, as stated, to
get into more homes than is now the
case and where Willie might call the
nurse Is attention to a stubbed toe he is
bound eventually to-call her attention
to Willie's mother, who might be a
tuberculosis patient. And the visiting
nurse system of the Palama settlement,
is par excellence, trained machine for
the detection and reduction of the
dreaded white plague.
OF Great Importance.
The great Importance of such a foot
hold for the settlement nurses viii con
sequently be seen. When from one thou |
sand to two thousand patients are
treated free by these nurses every
month at the homes or at the dispen- |
saries, the Importance of the work aside |
from its tuberculosis features, win also
be seen.
Through system of eonnterchecking |
and filing, every tuberculosis patient is |
watched so strictly that his own chances
for recovery are raised fifty per cent, |
while the chances of preventing him
spreading contagi0n are largely inereas.
ed. Thus, even if the cure of the pa
tient is not successful, the settlement |
has saved many others from contract. |
ing the disease. The first thing the |
patient is taught, when found, is to care |
for others as well as himself.
As soon as a doctor, on the basis of |
meteorological examination, signs a |
tuberculosis certificate, the patient is at |
once cared for at the Leah Home or
the Pa Ola Day Camp, where the
chances of spreading the infection are
reduced to nil AS physicians viii not |
sign the certificate unless there is bae. /
THEOLOGICAL evidence, even though they
would, without hesitation, pronounce It |
as the cause of death in the same in.
stance, a number of real patients dis.
covered by the nurses are left under
their care. At the introduction Of the |
system, one only out Of four suspects
reported through the system turned out
TO be proven case; now it Is flfty per
cent instead of twenty-five.
REBELS SURROUND CITY.
v,nnw - ,.....