53 
, We spent some three hours on the first circuit of the four mainland 
! villages on this end of the island: Nereniuman, Qeremagde, Totolag, and 
Avar. Value (Aplu) village is on the far end of the island, some two hours’ 
walk away. 
By noon hour we were fully exhausted and severely bothered by the long 
exposure to heat and sun. I stayed in the shade at the New French School 
! with a number of the schoolboys and then slept under the palms down on 
the beach beside Nereniuman. Aspirin and rest in the breeze and shade 
, made me recover slightly and then we took a small aluminum boat across 
! the channel to Rah Island. Stanley took me to see another four patients 
in the Rah village called Aiya. Finally, Gordon Latanen, Council Chief 
i of Mota Lava, had Jean Guiart and myself in for tea and biscuits with 
him. A half dozen coups of tea and a half pack of biscuits made me slowly 
recover, and I left completely cured of migraine, which was well under way 
when I got there. In fact, furing two of the physical examinations I 
I was so nauseated, that I had thought it necessary to rush out to vomit, 
but succeeded with hyperventilation and cautious restraint to avoid 
' emesis even when the excessive salivation phase and retching had started. 
I We have seen many old patients, four with cataract, several presumable 
I trachoma patients, three defective children: one cretinoid, one with 
I marked motor disturbance and flaccidity, and one motor-wise normal; and 
.{ several deaf and dumb people. We also met a man at Avar village who had 
ii recently returned from three months in Sydney, where he was taken for 
j plastic repair of a destroyed mouth and lower face, resulting from a 
chronic ulcer, he claims, from a pineapple fiber wound of his buccal mucosa. 
There is one woman who is aged with a large goiter, and has 
j hepatomegally and I believe some icterus, and now shows anemia and marked 
' pitting pedal edema. One woman at Avar had lymphangitis and slight swelling 
! of her lower extremity. She was the only patient we treat (PCN injection ) today. 
I There are four cases of severe cataract in aged subjects; one woman 
j; who has them complains of parathesis and motor difficulty with her feet, 
I which suggests diabetic etiology, which we shall look into. 
1 
' This evening we have done opthalmoscopy on two of two young adult albino 
I boys, and collected genealogies on six of the albinos. Five are from 
Qeremagde village, four born to one couple, and one is from Rah Island. 
There are over 180 children in grades 1-7, at the Anglican school 
I where there are six teachers. Two French teachers run the French Primary 
, school competitive to the Anglican school, with only some 50 students in 
j; grades 1 and 2 only. 
i- 
i 
1 1 
The Port Paterson School on Vanua Lava was so destroyed by the 
gurricane that it has been closed, pending rebuilding. Thus, a seventh 
grade has been started in the school here, but only for boys and girls from this 
and nearby Islands. Others on Merelava and Gaua are back at home on indeter- 
minate holiday awaiting completion of the school at Vupeas Bay. 
