The Hawaiian gazette. [volume] (Honolulu [Oahu, Hawaii]) 1865-1918, 1911-01-10
GENERAL SYSTEM
|. FOR CLEANING
I UP MAUI
Definite inspection Methods for
Valley Isle Result of
EpidemicS.

Permanent quarantine hospitals, sys.
sematic medical quarantine for labor.
+ ers, sanitary inspectors and definite
system of sanitary inspection for Mani
IS the outgrowth of the epidemic of
three diseases which has afflicted the
Valley Isle for the past month. DIR.
j. S. B. Pratt, who returned from an
important inspection tour of the island
yesterday morning, is already at work
pm the details of the plan which, it is
Thought, will make similar outbreaks
n the future impossible.
The system will be based on that
now in service in the Hamakua district
pm Hawaii which was installed after
the outbreak of plague there several
years ago and which has prevented, ex.
cept in one case, the recurrence of the
dread disease JUS as it was expected
it would.
In about week, according to a state.
ment of Doctor Pratt yesterday. the re.
strictions now placed on Maui by the
board of health will be removed if mat.
tiers progress as favOrably as they have
been doing.
Gases Reported.
Sixteen cases of scarlet fever and
twenty-three of smallpox Were reported
to Doctor Pratt during his tour, the
latter number being five more than
was last reported of that disease. Two
isolation camps are now handling the
cases and contacts and these as well as
the diphtheria cases. are thought to be
completely under control, new cases of
varioloid and scarlet fever not develop
ing except where expected and diph-
liberia being apparently wiped ont, eX.
cept in the existing cases.
There have been eight cases of scar
let fever at Paia, two at Kula, five at
Hamakuapoko and one at Haiku. With
the exception of the Haiku patient and
the five cases at Hamakuapoko, all
cases and contacts are confined at the
Paia isolation camp. The Hamakua-
poke cases are all in one white family
and are confined in their own home
The same applies to the Haiku case.
So far there have been four deaths
from scarlet fever.
Doctor Pratt stated that the outbreak
of scarlet fever has been expected by
the board for. three weeks, as the his
tory of diphtheria epidemics has always
shown scarlet fever succeeding it. The
connection between the two diseases
Willie dUldlthbs 10 ubb uhhClsNpOu W
the medical fraternity.
Commence Inspection.
The first general sanitary inspection
of Maui is commencing, being related
now to the outbreaks themselves but tC
continue long after the diseases have
been apparently stamped out. The
worse places will be taken first anC
gradually others until the entire island
through sanitary measures, is plague
and disease.proof as far as possible.
"This will be no snap campaign, y
said Doctor Pratt yesterday, g but will
be one towards certain and perma
nent idea. There will be no hurrah
about it-only results"
The general inspection will be com
menced in the Paia camps and in old
Paia at once. Every one in the camps
animation, the throats of all being eX'
amined in like manner as those of the
outgoing passengers at the Maui ports
Almost Ended. '~t
The board of health does not expect
to find many cases outside of Paia by
this method, but all those places which
have suffered from the infection viii
undergo the same treatment. The re
suits of these inspections will doubtless
be the removal of the restrictions for
bidding public meetings and schools anC
church gatherings in Makawao and the
examination of outgoing passengers a
Waikiki.
This last inspection of Paia will enc
the diphtheria work. One inspector vii
be kept on the island, but Chief SAM
tary Inspector Charlock and his mel
will soon be called back to Honolulu.
Arrangements have been made witt
the plantations, and there will be be
sides one chief inspector, plantation in
spectors Doctor Pratt, during his trip
took up the detailed scheme with tn
various plantation managers, and per
feet understanding has been reached
insuring cooperative endeavor.
Permanent Camps.
The Paia isolation camp will be main
tanned, even after the present epidemic
are at an absolute end. The one nov
being used for the smallpox patient
and contacts, near Kihei, will be re
modelled after the inmates have beef
discharged and also used for perma
nent camp for the Hawaiian CONNER
cial Company, the Paia camp being OF
the Maui Agricultural Company
plantations.
The Paia camp is at present divide
into two sections, fence surrounding
the whole and dividing it into halves
In one section are the wards for tn
scarlet fever patients and larger one
for the contacts, identical arrangement
being made in the other compound 70
the diphtheria patients and contacts
The guard and cook houses are outsid
both compounds,
1t Is the intention of the board 0
nealth and the plantations TO keep a
laborers newly arrived on the plantf
tions in these camps for specific
length of time, in order that If the
are infected with any dangerous dis
ease. symptoms of II may be nsceriaine
before they are permitted TO join In tn
life Of the plantation camps. This wis
provision Is expected 10 be largely u
strumental IN preventing any simlla