﻿150 
  ALASKA 
  FISHERIES 
  AND 
  FUR 
  INDUSTRIES, 
  1913. 
  

  

  You 
  are 
  instnicted 
  to 
  give 
  this 
  matter 
  very 
  careful 
  consideration 
  and 
  to 
  make 
  such 
  

   recommendations 
  as 
  will, 
  in 
  your 
  opinion, 
  be 
  to 
  the 
  best 
  interests 
  of 
  the 
  natives 
  and 
  

   the 
  service. 
  

  

  Dr. 
  Harry 
  D. 
  Chichester, 
  at 
  that 
  time 
  one 
  of 
  the 
  assistant 
  fur-seal 
  

   agents, 
  and 
  Dr. 
  Walter 
  L. 
  Hahn, 
  who 
  was 
  appointed 
  naturalist 
  in 
  

   the 
  fur-seal 
  service 
  in 
  July, 
  1910, 
  both 
  heartily 
  approved 
  taking 
  u]) 
  

   this 
  investigation 
  and 
  pursuing 
  it 
  in 
  a 
  compreliensi\^e 
  and 
  thorough 
  

   manner. 
  They 
  both 
  believed 
  it 
  possible 
  to 
  free 
  the 
  islands 
  completely 
  

   of 
  all 
  infectious 
  diseases 
  and, 
  through 
  the 
  maintenance 
  of 
  proper 
  

   quarantine 
  regulations, 
  to 
  maintain 
  such 
  freedom 
  from 
  disease. 
  

  

  As 
  a 
  prelmiinary 
  requisite 
  it 
  was 
  regarded 
  as 
  necessary 
  to 
  fill 
  out 
  

   a 
  health 
  card 
  for 
  each 
  inhabitant 
  of 
  the 
  islands, 
  and, 
  after 
  conference 
  

   with 
  a 
  number 
  of 
  able 
  physicians 
  and 
  careful 
  consideration, 
  a 
  suitable 
  

   blank 
  form 
  was 
  prepared 
  by 
  Dr. 
  Chichester. 
  

  

  The 
  matter 
  was 
  set 
  forth 
  again 
  in 
  definite 
  instructions 
  to 
  the 
  agent 
  

   in 
  charge 
  July 
  27, 
  1910, 
  from 
  which 
  the 
  following 
  extract 
  may 
  be 
  

   made: 
  

  

  The 
  betterment 
  of 
  the 
  physical 
  and 
  moral 
  condition 
  of 
  the 
  natives 
  ia 
  earnestly 
  

   desired. 
  

  

  The 
  service, 
  for 
  the 
  study 
  of 
  these 
  problems, 
  is 
  placed 
  under 
  the 
  immediate 
  direc- 
  

   tion 
  of 
  Dr. 
  Chichester, 
  who, 
  under 
  the 
  general 
  supervision 
  of 
  the 
  naturalist, 
  will 
  

   organize 
  the 
  service 
  with 
  a 
  view 
  to 
  securing 
  the 
  highest 
  efficiency 
  and 
  speedy 
  prac- 
  

   tical 
  results. 
  Attention 
  is 
  directed 
  to 
  office 
  letter 
  of 
  March 
  31, 
  1909, 
  in 
  which 
  ia 
  

   pointed 
  out 
  the 
  exceptional 
  opportunity 
  which 
  the 
  islands 
  offer 
  for 
  study 
  of 
  problems 
  

   concerning 
  public 
  and 
  individual 
  health. 
  The 
  letter 
  of 
  March 
  31, 
  1909, 
  is 
  to 
  be 
  

   regarded 
  as 
  forming 
  a 
  part 
  of 
  these 
  instructions. 
  

  

  All 
  these 
  problems 
  should 
  be 
  taken 
  up 
  at 
  once 
  and 
  their 
  inv(>stigation 
  pursued 
  

   continuously 
  and 
  persistently 
  to 
  solution. 
  With 
  many 
  of 
  them 
  important 
  practical 
  

   results 
  should 
  be 
  easy 
  of 
  early 
  attainment. 
  Special 
  and 
  immediate 
  attention 
  should 
  

   be 
  given 
  to 
  those 
  problems 
  the 
  study 
  of 
  which 
  will 
  lead 
  promptly 
  to 
  results 
  of 
  real 
  

   benefit 
  to 
  the 
  natives. 
  Among 
  these 
  may 
  be 
  mentioned 
  the 
  following: 
  

  

  Sanitary 
  inspection 
  of 
  houses, 
  water 
  supply, 
  etc.; 
  directions 
  and 
  suggestions 
  to 
  

   natives 
  regarding 
  food, 
  clothing, 
  personal 
  habits, 
  etc. 
  ; 
  physical 
  examination 
  and 
  filUng 
  

   out 
  of 
  health 
  card 
  for 
  each; 
  determining 
  and 
  putting 
  on 
  record 
  present 
  conditions 
  as 
  a 
  

   basis 
  for 
  future 
  investigation. 
  One 
  problem 
  which 
  should 
  be 
  carefully 
  studied 
  is 
  

   that 
  of 
  inbreeding. 
  In 
  small 
  communities 
  such 
  as 
  these, 
  into 
  wliich 
  little 
  new 
  blood 
  

   comes 
  from 
  the 
  outside, 
  there 
  is 
  sure 
  to 
  be 
  too 
  close 
  inbreeding, 
  with 
  all 
  the 
  attendant 
  

   evils. 
  The 
  blood 
  relationship 
  of 
  the 
  various 
  natives 
  should 
  be 
  made 
  out 
  as 
  definitely 
  

   as 
  possible, 
  particularly 
  of 
  man 
  and 
  wife. 
  VMien 
  close 
  relationship 
  is 
  discovered, 
  

   determine 
  what 
  evil 
  effects, 
  if 
  any, 
  on 
  the 
  children. 
  Consider 
  these 
  questions 
  in 
  

   connection 
  with 
  the 
  rules 
  and 
  practices 
  of 
  the 
  church 
  as 
  to 
  marriage. 
  Consider 
  also 
  

   what 
  can 
  be 
  done 
  toward 
  bringing 
  new 
  blood 
  to 
  the 
  islands. 
  

  

  It 
  is 
  expected 
  that 
  the 
  resident 
  physicians 
  will 
  promptly 
  and 
  effectively 
  cooperate 
  

   in 
  every 
  way 
  possible 
  with 
  Dr. 
  Chichester 
  and 
  the 
  naturalist 
  in 
  the 
  study 
  of 
  these 
  

   various 
  problems. 
  

  

  It 
  is 
  desired 
  that 
  Dr. 
  Chichester 
  submit 
  a 
  full 
  and 
  detailed 
  report 
  to 
  the 
  Bureau 
  next 
  

   summer, 
  showing 
  what 
  has 
  been 
  accomplished 
  to 
  date 
  and 
  indicating 
  future 
  work 
  

   contemplated. 
  

  

  Both 
  Dr. 
  Hahn 
  and 
  Dr. 
  Chichester 
  died 
  May 
  31, 
  1911, 
  as 
  a 
  result 
  

   of 
  an 
  accident 
  on 
  St. 
  Paul 
  Island, 
  before 
  they 
  had 
  been 
  able 
  to 
  do 
  

  

  