93 



thoroughly disinfected and whitewashed, and that the top layer of 

 the stalls be removed and replaced with fresh sand. A most 

 thorough disinfection is always required when dealing with this 

 disease as the specific infection, a fvmgus of the saccharomyces 

 group, is very tenacious to life and much more persistent than the 

 glanders bacillus. In both instances, however, there seems to be 

 local conditions tending to vitiate their original virulence as the 

 simultaneous decrease in the number of outbreaks of both diseases 

 fully demonstrates. 



Tuberculin Control Work on Maui. 



I am pleased to report that the suppression of bovine tuber- 

 culosis on the island of Maui has progressed to a further extent 

 than I felt justified in concluding from the reports received. To 

 this may be added that the H. C. & S. Company has established 

 the best equipped, sanitary and hygienic dairy that I have seen 

 anywhere in the Islands, milking about sixty head of tuberculin 

 tested cows and delivering the cooked and aerated milk in sealed 

 sterilized bottles. Dr. Fitzgerald has tested some 2500 head of 

 cattle and feels certain that little if any milk is being sold or 

 provided from untested cows unless it be in some distant localities 

 or in private families. All reacting animals have been branded 

 and immediately segregated until butchered under his inspection. 

 hVom his observations it is evident that bovine tuberculosis is 

 much less prevalent than was the case on Oahu four years ago, 

 and which seems to be the case on Kauai. These observations 

 are borne out by a statement from the Board of Health physician 

 on Maui, Dr. McCorscky, who upon inquiry informed me that 

 infantile tuberculosis in any form is very rare and seems to have 

 become more so of late. There is therefore every reason for en- 

 couraging this work so well begun, especially considering that no 

 charge has been made for any tuberculin testing or other work 

 connected therewith (meat inspection, for instance) even though 

 his transportation over hundreds of miles in carrying it out has 

 been provided by himself. 



In regard to the bovine tuberculosis situation on Kauai, condi- 

 tions do not seem quite so favorable. A letter received from Dr. 

 Glaisyer and pertaining to this subject is herewith appended and 

 is self-explanatory. The same may be said of the Island of 

 Hawaii from where the correspondence of Dr. Elliot is appended. 

 I shall, however, continue to keep the matter before the respective 

 deputies and will only recommend at the present time that they 

 be provided with the requisite ear tags and pincers as well as 

 with tuberculin and syringes and needles with which to carry out 

 the work without actual expense to themselves. 



Honolulu Quarantine Station. 



During the past month an addition consisting of two rooms 

 has been added to the keeper's quarters, thereby enabling him to 



