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which then last 2-3 weeks before they begin to fade. Development of these 
painful swellings to maximum size requires several days to a week. Only after 
this do they discolor and become "black". He claims that he has not seen this 
syndrome elsewhere in BSIP than in Rennell, and on further thought says he has 
also seen it on Bellona. Patients continue to have such episodes several times 
a year over many years, even decades. 
We have seen one woman with such a disease: Miriam Tepoa, a woman of 30 
years of age from Tevaitahe on Tengano Lake. However, she is well now, between 
attacks, and shows nothing. During the attacks there may be involvement of 
vagina, lips, gums, tongue, con junctlvae , buccal mucosae, and even penis. 
Wilmot recalls also three patients from Nulpanl village with this syndrome: 
Timothias Panlo (45 years old); Makasi Moa (40 years old-male); and a woman 
( years old). The Rennell bush village of Matangi has another such 
patient of about 21 years of age. In addition there are others from 
West Rennell whom Wilmot does not recall exactly. 
There are four villages now inhabited on the Lake shore: Tevaitahe, 
Niupani, Tengano, and Hutuna. The old village of Tigoa across the lake from 
Tengano now lies abandoned and everyone from it is now living in Tengano. 
This evening a number of patients with medical problems wandered in as we 
were preparing for bed. They included Miriam Tepoa, above, and her husband, 
Felix Tawika, who has chronic lung disease with bronchial asthma. He is 
severely dyspneic tonight, and we have him on penicillin and Tedral. 
We have bled over 110 patients from these lake-side villages and this forms 
a valuable further Rennellese collection. We worked only here at Tengano 
village, but people from Hutuna came in the afternoon and then some patients 
from Niupani and Tevaitahe came this evening. 
I was very sleepy all mid-day while trying to record our bled subjects and 
could hardly finish the work. Judy helped me. At about 3 p.m., we took off: I 
and Charlie Tatai, Lucy, and Davis. We reached Hutuna about 4:30 p.m. The 
trail is wide and clear, rarely in view of the sea, and very rough, often over 
sharp coral. Hutuna itself is beautiful and so prim and neat that I must 
attribute much of it to the Seventh Day Adventist influence. The Moore 
Adventist School at Tekoko (Teukena ground) along the shore, some one half hour 
along the trail from Tengano to Hutuna, has four teachers (one a local Hutuna 
woman) and 56 students in standard 1 to 5 inclusive. It will have also a 
standard 6 next year, and perhaps as many as 70 students. The school is now on 
a two months holiday and three teachers are living for the holiday at Hutuna. 
Hutuna is some one hour of walking beyond the school. The Seventh Day 
Adventist church in the center of Hutuna is a marvelous example of bush 
architecture with cane floors, open sides, and well-carved benches. I spent one 
to one and a half hours in Hutuna, shot 300 feet of cinema film, and started 
back down toward Tengano at dusk. Many Hutuna people had come to see us at 
