52 AKOUXD THE WORLD VIA INDIA. 



The efficiency of the Hawaiian Board of Health will 

 compare well with any of onr state boards. It, is made 

 up of energetic men, who do their duty fearlessly and 

 without regard to consequences. The present hoard, 

 recently appointed and organized, is made up of Dr. 

 C. B. Cooper, president ; Dr. W. H. Mays, S. K. Kane. 

 Esq. ; M. P. Eobinson, Esq. ; F. C. Smith, Esq. ; E. C. 

 Winston, Esq., and Lorrin Andrews, Esq. 



The last report, for the six months ending June 30. 

 1903, contains much valuable material concerning the 

 present prevailing diseases. It is a source of gratifi- 

 cation to know from this publication that the reports 

 of the government physicians from nearly every district 

 are unanimous in stating that pulmonary tuberculosis, 

 that has gained such a firm hold on the natives, is not 

 increasing. The report shows that during that time 

 occurred 13 deaths from bubonic plague, from typhoid 

 fever, 11; diarrhea and dysentery, 32; pulmonary tu- 

 berculosis, G4; beri beri, 6; pneumonia, 39. The great 

 mortality from tuberculosis shows to what extent the 

 disease is still prevailing. Honolulu, being one of the 

 stations on the ocean highway to the Orient, is con- 

 stantly menaced with the plague; and, notwithstanding 

 the great vigilance of the quarantine physician, isolated 

 cases will occur from time to time. The stringent 

 measures resorted to by the board of health the mo- 

 ment a case is discovered have so far protected the 

 islands against an epidemic of this much-dreaded dis- 

 ease. The most severe outbreak of the plague occurred 

 in 1890. The disease was imported from Hongkong, 

 and broke out among the Chinese and Japanese with 

 great virulence, and soon attacked 80, of which number 

 only 11 recovered. A group of suspects of 500 to 700 

 was quarantined, and in this way the further spread 

 of the disease was checked. After all danger from in- 

 fection had been passed the barracks were burned. Dur- 

 ing the entire epidemic only 3 whites were attacked, 

 and one of them died. The same can be said of cholera. 



