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There are two schools on Tikopia, one at Safoa with four teachers, 
and the other at Teramo with three teachers. They have 90 and 50 students 
in each, respectively. Safoa has Standard 1 through 4, and Teramo Standard 
1 through 3. 
This evening, while I have been down at Botikorokoro and Rafaea, and 
the final hamlet beyond of Pitifareata, which is at times called a sub- 
division of Rafaea, Don got the boys drawing pictures with colored pencils 
by Coleman lantern light. I respon^^d to Ralph Wycliff Rafia'a continued 
entreaties to see his father_^ whom I had visited briefly at night just before 
embarking on a canoe with Mathew Taro for the ship over a week ago. In 
the meanwhile he has become even more seriously ill. The story is a complex 
one of back, shoulder, and lumbar region pains for some 3 to 6 months. 
Previous to this he was reputedly well, but some claim this with reserva- 
tion. The pain developed into a more generalized arthritis, and along 
the course, abdominal pains have appeared. There has been a mild cough, 
but the cough has not been a prominent symptom. In the past month or so 
skin lesions have developed; he is said not to have had them previously. 
Some are heavily bordered scaly areas that look very much like tinea, but 
others appear more raw and inflamed and much smaller. Even these bakua - 
like lesions are said to be of recent origin over elbows and knees and 
elsewhere, but the other smaller lesions are scattered over trunk and 
extremities, with chest and face relatively free of them. In the past 
two weeks his hands have swollen up markedly, so that he can no longer 
make a fist, and the palms are involved with a deep series of small lesions, 
some of which feel like deep pustules. He has a fine, marked hand and 
finger tremor when trying to make a fist; tongue protusion results in a 
marked fine tongue tremor. Abdominal palpation reveals a tender RUQ with 
liver percussible about two finger breadths below the RCM, and over the 
spleen tip is not palpable. There is no diarrhea, hemoptysis, hematemesis, 
melena and no urinary symptoms are reported, but on suggestion the patient 
admits to occasional difficulty in voiding. I do not know what he has and 
have asked the ship's four doctors to examine texts for lupus, tertiary 
leutic skin lesions, psoriasis with systemic symptoms, etc. It might, 
in calm seas be possible to get the patient on the ship for EKG, chest 
and abdominal films, etc. along with hematological workup. We hope to 
do many chest X-rays on board tomorrow. 
Ferber has spent the evening developing the Anuta X-rays which were 
taken yesterday on seas far too rough for developing them, for the fluids 
would have spilled from the tanks. During the early afternoon and all 
morning the sea was calm enough to permit good X-ray taking, but suddenly 
between 2 and 4 p.m. the wind blew up, and the sea became so rough that 
patients could no longer descend from the ship to canoes and had to jump 
into the sea and swim to the canoes. The surge beside the ship made 
direct descent into the canoes very hazardous and some near serious 
accidents occurred. Thus, it was a rather panicky situation trying to 
get over 20 Anutans off the ship and back to shore, but the crew and 
my staff were far more concerned than the Anutans, who seemed to treat 
it all with little concern, all being quite sure that they could swim 
ashore if need be, and just hoping to persuade our crew to ferry them 
