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We have today, moving around and perfectly well and abso- 
lutely harmless in this community, individuals with the malarial 
organism in circulation. In my work here as a quarantine officer, 
I have discovered three. They are here with us. All that is 
needed to transmit that disease from one individual to another is 
that single mosquito. Some day from a vessel at our wharves, 
that mosquito is coming ashore and when that day comes, gentle- 
men, our troubles with malaria will begin. Then gentlemen, it 
will be absolutely necessary for the Board of Health to have more 
stringent regulations than are in force at the present time. These 
are the dangers that threaten us from without. There are two 
others that threaten us from within. 
Typhoid fever, we have with us. In the four or five years 
that I have been away from here, it has increased at a remark- 
able rate. It is for the most part, a water-borne disease. If 
you want to prevent typhoid fever, the most important step that 
you can take is first being assured that your water supply is 
above reproach, and second, that the excrement of your camps is 
properly disposed of. 
The second one, right here, in our midst, is tuberculosis, and 
if you will take the mortuary reports furnished by the Board of 
Health from month to month, you will find that tuberculosis to- 
day causes from four to six times as many deaths in Honolulu 
as all the other diseases to which the Territory is subjected; 
about the ratio of 12 to 2 or 14 to 4. These are actual figures 
taken from the records of my office. There is only one way by 
which we get this disease and that is by breathing in or swal- 
lowing the sputum of some individual who has the disease. If 
every one had the authority to issue and the power to enforce just 
one single edict, it would be no trouble to stop the increase in 
tuberculosis. Let this edict go forth, broadcast and effective: 
"Let there be no more spitting," and the occurrence of new cases 
would stop almost at once, and in three years we would have no 
more tuberculosis. We would have those cases that are among 
us, but new cases would stop. 
Careful experiments made at the Johns Hopkins Hospital have 
shown that a single individual in the active stages of the disease 
throws off from his lungs in each 24 hours enough tubercle 
bacilh to give from 45 to 75 to every man, woman and child in 
the United States today. The sputum dries, is ground into dust 
under the feet of passersby, is carried into homes on feet and 
trailing skirts or wafted away by the passing breeze to be breathed 
in by your children and mine, even by you and me. Do you 
know, unless we modify our sanitary laws, that of the present 
population of the United States, ten millions are going to die of 
tuberculosis. 
There are other means of contracting this disease, but for the 
most part, this ten millions are going to die from swallowing 
the sputum of the careless, criminal individual who walks down 
