Evening bulletin. [volume] (Honolulu [Oahu, Hawaii]) 1895-1912, 1911-02-15

Deen given TO the organization ana eX-
tension of this work on several isl
ands, much of which has been made
possible. through the cooperation of
the sugar plantations Provision
should be made for a capable chief
sanitary inspector and the necessary
assistants on each of the large islands,
The appropl iatiQn for the suppress
sion of contagious and infectious dis
eases and similar purposes, has been
exhausted in consequence of epidem-
les on several islands. An appropria-
ton of at least $4,000 should be made
Immediately for meeting these 'ceds
during the remainder of the perioG
The law requiring notice of cases Vt
contagious and infections diseases to
be given to the Department should be
amended so as to enlarge the classes
of diseases of which notice must be
given and so as to expedite the giving
of such notices.
There should also be legislation
covering the subjects of tuberculosis
and mosquitoes, especially in order to
secure adequate action on the part of
the public in the prevention and sup
preston of these evils.
Leprosy. The carrying out of the
new policy adopted two years ago in
regard to the segregation and treat
ment of persons afflicted with this dis
ease is now well under way with most
satisfactory results. The necessary
additional grounds have been obtained
and many of the buildings constructed
for the new hospital at Kalihi and
these are in use. The success of the
new method is shown by the large
number of persons who have present
cd themselves for examination and
have willingly submitted to segrega-
ton and treatment The result, al
though many patients have been dis
charged as cured, will probably be a
large increase in the number to be
cared for in the immediate future, fol-
lowed by gradual but rapid decrease.
The officers of the United States
Public Health and Marine-Hospital
Service are cooperating with the De-
partment at this hospital and have,
among other things, succeeded in ac-
complishing, what had long been con-
sidered the next important step to-
wards a cure OF the disease-the cult
much hope for an early discovery of a
DEFINITE means OF cure.
tuberculosis. Public sentiment ap-
pears at last to have become aroused
as to the necessity of a strenuous cam
paign against this most devastating of
all diseases, and during the present
period much organized work has been
initiated with that and in view. A
good beginning was made with the aid
of an appropriation of two years ago,
which should now be increased, and a
vast amount of work has been per-
formed by cooperating bodies. public
and priv9ts,a Naturally the work has
been catLied furthest in Honolulu,
where thGineed is greatest and where
many, organizations and individuals
nave combined, to conduct the cam
paign through 1.-The ,Palama Settle
ment". A day camp, puremilk depots
and other institutions are maintained
and district nurses employed. The
County Of Maui has established san
atorium in a suitable locality and
erected several buildings. The De
partment, besides assisting other bod
les engaged in this work. maintains a
and treatment of cases and disinfec-
ton, and Keeps full records Of patients
and the places where they have lived.
Sanitary Commission for
Honolulu.
The special conditions existing in
Honolulu, such as the size and charac-
ter of it's population and large areas
Of marshy or otherwise wet lands. and
the fact that it is the main port of call
for trans-Pacific steamers, have for
many years suggested the need of a
comprehensive investigation by eX-
perts for the purpose of securing per-
manent immunity from certain dis
eases, especially yellow fever and ma
laria. The approaching completion of
the Panama Canal emphasizes the
need of early action in this direction.
1t is difficult to conceive of any prob
lem which may prove to be fraught
with greater consequences to the fll-
ture welfare of the Territory. In view
of the large military and naval plans
of the Federal Government for Homo
lulu ana its surroundings, the position
of Hawaii as health outpost as well
as a military and naval outpost for
the protection of the mainland, and
the possible magnitude of the work,
the United States Government would
seem to be equally concerned with the
Hawaiian Government in this matter,
and it would therefore seem advisable
that the investigation and planning for
the required work should be done by
a commission consisting of United
States Army engineer an officer of
the United States Public Health and
Marine-H Hospital Service and local
resident familiar with Hawaiian health
laws and land tenures. | suggest an
expression OF opinion on the part of
the Legislature in the form of a reso-
luton in regard to this matter.
Subdivision of City Blocks.
Many of the blocks in Honolulu, es-
pecially in the Fifth District, are of
Objectionable size. not only from the
standpoint of economic value and civic
requirements, but especially for SAM
tary reasons 1t is extremely impor-
tant that action should be taken by
which such conditions may be rene
died.
Insanity. The powers of the Com
missioners of Insanity should be en-
larged by authorizing them to sub
poena witnesses and administer oaths
in conducting cases on appeal, and to
permit inmates of the asylum to leave
the institution upon parole under
proper conditions.
The Insane Asylum has long been
overcrowded and especially made
quately. provided with rooms for sin