The Hawaiian star. [volume] (Honolulu [Oahu]) 1893-1912, 1911-08-12

first class at quarantine, it is FREE
uuently deemed proper to allow some
of the passengers or crew who are
well, and who can be depended upon
to obey instructions, to proceed with
the ship to its destination. However, {,
in the presence of cholera, this should
be confined to the cabin passengers,
and they should be released only in in
stances where there is no evidence of
ship or general infection and when
there have been no cases or suspicious
cases in their part of the vessel.
For disinfection in the apartment
of cholera cases nothing equals boil
ing water; it is clearly the most valu-
able agent that can be used. The spe-
cial advantages of this agent is its
absolute certainty ann rapidity of ac-
tion-its availability and absence of
danger and expense. A receptacle for
boiling water can almost always be inn
provsed with little or no expense.
although it is believed that the or,
binary period of incubation of cholera
is from one to five days, recent inves-
tigation has conclusively shown that
an indefinite and prolonged period may
intervene between the time when the
specific organism is taken into the sys-
tenn of a person and the appearance
3 of the symptoms of the disease. Fur
thermore, persons known as carriers,
in whose intestinal tract the organism
, is present, may act as media of infec-
ton and transmit the disease to others
, and still remain well.
2 "The existence of cholera carriers
) has recently been very effectively con-
: f1rmed in the service of the author at
the New York Quarantine Station" 4
l. DR.. Doty goes on to explain that the
4 organism may not be stirred into ac-
! ,tivity so as to produce cholera in some
= of these carriers unless excited thereto
! by a debauch or some other irreglR
larity of conduct,
"'fkh more extended knowledge the
author Continues, (which has recently
come to us regarding cholera clearly
indicates that five days do not cover
( the maximum period of incubation,
which it has been shown may involve
, an indefinite period, and that while the
+ detention of a group Of suspects for
= five days would probably cover the
I,,or;~l - ;po NP4
does not offer full protection to the
. public.
| "The fact that there are various pc
S RODS of incubation in cholera, particu-
e the latter may be transmitted by car
n lriers who show no evidence of the dis
lease, calls for more extended means
v against cholera than have heretofore
s been in operation.
a "In the consideration of this subject
s. it must be fully appreciated that quar-
e antine or the coast defense against
L the invasion of infectious diseases can
/, not offer full protection against the in
O PRODUCTION of cholera into seaports or
s the interior.
t can attempt to carry out such a
+ measure, while it would not secure
l. the desired result, would go far to-
ward destroying commerce, would be
k Iimpracticable and not in accord with
= modern sanitation, chiefly for the
d reason that the period of incubation
/ is uncertain and the existence Of
d cholera carriers has been practically
e proved.
"This brings us to a realization of
S the fact that hereafter each commun-
a ity must be prepared to accept the
O (Continuod On noga 6ftaaul