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than Dr. W. H. Park, chief of the hygienic laboratories of the 

 Board of Health of New York City, the same scientist who was 

 quoted in one of my recent reports as author of the statement 

 that not less than 300 children die annually in that city from 

 tuberculosis of proved bovine origin, the infection in every case 

 being traced to milk from tuberculosis cows. 



While by far the greater majority of milk producers in Hono- 

 lulu have got their herds cleaned up so far as tuberculosis is con- 

 cerned, there has at the same time occurred a distinct relapse in 

 the amount of care and cleanliness employed in a number of the 

 local dairies. This applies to animals as well as to premises, and, 

 so far as the milk is concerned, to utensils as well as to methods ; 

 in short the present form of milk inspection in the city and 

 county of Honolulu cannot be considered anything but a farce. 

 When to this is added an unfortunate tendency on the part of a 

 few dairymen and cattle dealers to traffic in condemned tubercu- 

 lous cows it will be seen that the ultimate complete eradication 

 of bovine tuberculosis cannot be expected in the immediate future, 

 unless more drastic measures be adopted. 



There still remains, even in the heart of the city, private herds 

 or individual family cows, that have never been tested and which 

 the owners object to having tested. Such animals remain a 

 menace to all the milk producers, not alone in the immediate 

 vicinity, but, through trade and transfer, to every part of the 

 city and county, who have earnestly endeavored to eradicate the 

 disease from their herds, and they certainly are entitled to pro- 

 tection as much as the general public are entitled to clean milk. 

 Filthy stables and unsanitary methods and milk rooms can only 

 serve to keep the infection alive while diseased animals may 

 spread it promiscuously in being transferred from place to place. 



An animal which has reacted to the tuberculin test can under 

 the statutes of Hawaii and the rules and regulations of the Board 

 of Agriculture and Forestry, as well as those of the Board of 

 Supervisors, neither be used for dairy purposes nor any other pur- 

 poses, nor be sold or exposed, but can only be taken to the 

 slaughterhouse or otherwise destroyed under competent supervi- 

 sion, and, if the carcass is passed as fit for human consumption, 

 it can be sold as beef. Consequently anybody who purchases or 

 sells a reacting animal and disposes of it in any other way is vio- 

 lating the law and must take the consequences. 



The statistics of the Board of Health as well as of the Anti- 

 Tuberculosis League have fully demonstrated that infantile tuber- 

 culosis has diminished to a considerable degree in the city of 

 Honolulu since the eradication of bovine tuberculosis was practi- 

 cally accomplished — that is, in other words, a number of human 

 lives is annually being saved as the direct result of the work of 

 this board, which should be sufficient to put a stop to any inter- 

 ference with or obstruction of such work. And now that we are 

 approaching the warmest season of the year, when milk deterio- 



