160 



of this disease in the entire territon-. We have taken a step and, 

 although the step is a large one, still we realize that it is but a 

 step and that there remain the other islands to be considered be- 

 fore we can call the Territor\- of Hawaii rid of this fatal and 

 rapidly spreading disease. 



The method of testing, i. e., intra-dermal. which has been in 

 use during the past two years, has proven itself a great success 

 in the handling of the large numbers of stock, some of which are 

 ver}- wild, necessary- in making a complete test. Perhaps its 

 greatest advantage Hes in the fact that it presents to the dairy 

 owner a marked difference between a reacter and a non-reacter. 

 in other words, between a sick and a well animal, it presents to 

 him a reaction he can see and feel though he may not compre- 

 hend and thus in large measure he is satisfied. 



This feeling of satisfaction on the part of the owner is of im- 

 measurable value in the prosecution of a campaign of eradication 

 against such a disease as tuberculosis where slaughter of the ani- 

 mal is absolutely necessar}- if the disease is to be stamped out. 

 Especially is this satisfaction necessan*' where the work is under- 

 taken among a population of extremely varied nationalities. One 

 may enter into explanation and show temperature charts and try 

 to explain to a Japanese or Portuguese why this animal must be 

 condemned and the one next to it may be passed, although one 

 looks no more sick than the other, but as a rule no impression 

 will have been made and he is very baclcvvard about having the 

 animal killed, but if. as is possible, in this test, you can show him 

 a swelling in the sick animal and none in the well one. here is 

 something that, as a rule, will satisfy him. This then is a great 

 advantage which this test possesses and will urge its general 

 adoption in the control of bovine tuberculosis, not to mention its 

 other advantages in the saving of time, labor and expense, and 

 we have proved, to our own satisfaction at least, its equal relia- 

 bility with the subcutaneous method. 



So much for the method and the work accomplished with it. 

 .\ discussion of its technique and application cannot be entered 

 into here but will be dealt with in a separate report. 



A word now as to the general condition of the dairies from a 

 sanitan.' standpoint. To one who had an opportunity of ob- 

 serving the conditions three years ago, a marked improvement 

 is evident. Under the supervision and instruction of the city 

 and county milk inspector, new barns have been built and cement 

 floors laid : milk rooms are fast becoming the rule instead of the 

 exception, greater care is being exercised in the handling and 

 cleaning of both utensils and animals and the drawing of the milk. 

 Coolers are being installed in many dairies, even in the smaller 

 Japanese dairies, and with a decided beneficial eflPect on the pro- 

 duct. .-Mthough there is still room for improvement great ad- 

 vances have been made in the production of milk in a sanitary 

 manner. The constant visits of the milk inspector have a very 



