The Hawaiian gazette. [volume] (Honolulu [Oahu, Hawaii]) 1865-1918, 1915-06-18
The ADVERTISERS SEMI-wEEKlY
A Nations War


L here and ON the mainland, and this fact should
give added impetus the endeavor to still further
cut down and eventually eliminate thefravagcs OF
the great white plague. Local figures, pu5liShe
in The AG, crtocr recently, showed that the death
! rate in Honolulu from tuberculosis had been re
tduced twenty per cent in the one year Of 1914.
The report ui Dr. George NJ K0ber OF Washing
! ton y. C., president OF the National Association
: for the Study and Prevention of Tuberculosis,
read at the anuual meeting Of that association yes
terday in Seattle, ADVANCE copy Of Which haS
reached The Advertiser shows That from 1880 To
! 1913 the deaths per 10000 from tuberculosis it,
mainland United States have been reduced from
) $50 to 400, lower rate than that of Hawaii
! Money, brains and effort have accomplished
what has been done, both here and abroad Each
is an essential unit Of the Triple Alliance against
Tuberculosis. Hawaii has the brains and is ready
to make the effort. Money is not forthcoming
equal to the requirements.
! The report of Doctor kober calculates that the
direct money loss to the United States from the
lpresence Of the 100000 consumptives estimated
! in the nation in 1913 amounted that year to at
Ieast S2l4 100000 while $4,000 persons lost their
| lives during the twelve months from the disease
| Great and grave as the problem may appear,
he said, there is certainly hope when we consider
that the death rate from this disease has been
reduced from $40 per 10000 population in 1896
/ to 1866 in 1913, which means that if the former
rate had been continued the number of deaths
from this cause would have been 322,027 instead
of $4,000 in 1913, equivalent to a saving of 49,,
l027 during one year While much has been achiev-
ed more remains to be done in the prevention OF
8, the, direct and predisposing causes"
| ( Among the recommendations for immediate &C
ton on the part OF the National Association, Doc
tor Kober made the following:
! 81. In view OF the fact that from six to seven
per cent OF the samples OF the average market
milk contain bovine tuberce bacilli, let urge
by education and otherwise, that all milk unless
derived from tubercuin tested animals, be pas
lteurized or Scalded
2. Since the mortality from tuberculosis among
inmates Of unSantary homes is often double and
treble that OF the general population it is our duty
to see that the building regulations so mOdi-
fed as to prohibit the renting OF houses unfit for
human habtatOn.
s. Because of the fact that nearly one hall
of the 900 deaths from tuberculosis in 1913
occurred among the industrial workers who con
stitue about third OF the population should
strongly urge the enactment and enforcement OF
laws for the removal of dust and fumes, the foes
OF industrial life"
Among the special measure to be taken for the
prevention Of tuberculosis by States and munich
palities Doctor Kober emphasized the following
Il. Compulsory notification OF cases to the
health authorities as the disease is reCog
nzed The health authorities should also resort
to disinfectOn of the home and personal effects
especially upon the death Of the patient vaca
tiun of the premises.
! 3 The enactment Of enforcement OF law
against expeCtorati"n, coughing into the faces O
= rs,llS, and the common Of individual drink
my cups are called for, provision, should be made
i"r individual drinking cups or fountains, and fo
suitable SpittOOns and their distinction in all pub
lie buildings. The public should not cultivate al
exaggerated fear, but has right to insist upor
clean and decent preCautiOn.
g. The sanitary conditions OF hotels lodging
houses, theaters, churches schools, ambulance
and passenger service should be under the contro
OF the health department, and house cleaning
ehoul| be accom- )lshed far practicable by
the Vacuum system.
- Marriage with tubcrculouS person ShoulC
not only be discouraged, but prohibited by law
\ tuberculous mother should not or kiss
her infant and in the selection OF wet nurse
certificate OF health should be demanded.
- Isolation of tuberculous patients should b.
insisted upon in hospitals, asyumS and public in
eitutions. In private life the patient should oc
cupv at least a separate bed, separate eating
and drinking utensils, and neither receive nor Civ
KISSES Careless and unteachabe cases should b.
cared for in hospitals