Honolulu star-bulletin. [volume] (Honolulu [Oahu, Hawaii]) 1912-2010, 1913-06-24
FUTURE TEACHERS TRAINEDN
TREATMENTOF TUBERCULOSIS

TENTS. The capacity of this home
was greatly increased during 1912 by
the donation OF an open-air pavilion
which accommodates ten patients;
and also by the donation of a SINH,
1 lar pavilion which is a tworoom cot.
! tage for private female patients; and
an endowment of $4,000. These do
nations have helped great deal in
giving more rooms and money for the
execution Of the work. The home at
present can accommodate about
eighty patients. This home is sup
ported chiefly by 'dona;ions( and
there are only few patients who
pay for treatment there.
The patients at Leahi are treated
xith tuberculin. Tuberculin is a vac
cine. A vaccine is something inject
ed into the blood, which increases
the resistance of person TO the at
tacks of disease germs. Therefore
the great advantage of the tuberculin
treatment is that it increases the re-.
sistance of the patient to any future
attacks of tuberculosis. This yalu-
able treatment is given not only to
Leahi patients, but to patients who
60 to the dispensary for treatment.
These are the only two places in the
territory where the consumptive can
be treated with tuberculin. Tubercu-
lin has been very successful at Leahi.
A consumptiye can be treated at his
own home just as effectively as in
sanitarium il he is given the proper
care No consumptive need despair
If he is unable to seek new climate
or enter sanitarium. In the first
place, outdoor arrangements can be
easily made for him.. In this climate
Ii is not difficult matter to make
outdoor arrangements for the con-
sumptiye. In cold countries warm
tents or rooms must be provided dur
] ing winter If, however, the patient
wishes to sleep entirely out of doors
during winter, he has to be provided
with warm clothing. On very cold
nights the consumptive may wear a
sweater and WOODEN socks.
The rooms in the home of a con-
sumptive must be dustlets to pre-
vent the spread of germs. The floor
should be made So that 1t can be
easily washed, and aIkdr ting should
be done with damp Cloth. 1t is
very important that the rooms be
kept dustless, because the germs live
in dust, and the dust can be carried
around.
A consumptive should be under
medical supervision from the earli-
est stages of the disease. When a
patient is under theficare of a doctor,
plans are made out for him and all
, he has to do Is to follow the plans
closely. Here, medical supervision
Is made possible by the aid of the
nurses of Palama Settlement, and the
name of the patient is entered in
book devoted to the section of Homo
lulu Ia which the patient resides. The
nurse visits the case. supervises it,
and makes a report on the card sent
out, and returns it to the bureau.
The patient should spend regular
life, and this regular life ought to be
planned for him by physician. First,
the physician examines the patient
and makes a careful consideration of
his individual condition, alike as to
his disease, his environment, and So
cial state, and then prepares a plan
OF treatment in detail, and daily
routine. The patient is made to rise
and take cool or cold sponge bath
In q warm room at the same time
every day, and after tina; is made to
take wholesome breakfast. He then
rests until lunch time, with a milk
diet or two between Then at l D.
m, he takes his dinner and goes on
following the plan. The patient is
usually made to do things like a
clock.
In the city of Honolulu, the Anti
tuberculosis bureau has devoted a.
great deal of attention to hunting out
cases. This is done through the aid
OF Palama Settlement. The nurses, In
the employ of Palama Settlement and
under the direction of the bureau, are
constantly on the watch for suspicious
cases, and this has had good results.
Also, much has been done to per-
suade private physicians to report
their cases, so that the board of health
can know the status of the disease In
the territory. However, many doctors
are loatn to report cases of tubercu-
losis, perhaps because they fear their
patient may be offended and seek an
other physician, or on account of their
OPAAAiOh (AoI ICpOI Iiu6 eases OI
berculosis they are guilty of a breach
of professional confidence
A record of the reported cases is
kept by the board of health in card
catalogue. The cases are entered in
numerical order and columns are pro-
vided for change of residence and age
Intervals. When a case is reported to
the registrar an index card is filed
out, giving the necessary data for Sc
gregating in the record book. The
keeping of record of the cases is of
great Importance for through it the
board of health can be in contact with
many of the cases and know what hap
pens to each patient of whom a record
is kept If the patient dies, the index
card is transferred to index of deaths.
, Supervision is provided for by filling
| out card, which is sent to the Pala-
ma Settlement recorded as mentioned
under the possibility of medical super
vision here. . a. :.. -. ...z
The disinfection of premises recent