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August 13, 1904

TRAVEL NOTES.IV. LEPROSY IN THE HAWAIIAN ISLANDS. THE PROPOSED ESTABLISHMENT OF A GOVERNMENT BACTERIOLOGIC INSTITUTE.

JAMA. 1904;XLIII(7):462-464. doi:10.1001/jama.1904.92500070002a
Abstract

The inhabitants of the beautiful Hawaiian Islands, comparatively free from the devastating infectious diseases so long as they enjoyed the blessings of isolation from the outside world, have been made painfully aware of the dangers of the dissemination of disease from man to man. They have experienced the benefits and blessings as well as the evils and curses arising to them from a new civilization brought to their palm-clad shores by white men in search of new lands and fabulous wealth. Some fifty years ago the first case of leprosy came to the little island empire from the distant Orient. As usual with the primitive peoples of the islands of the South Sea this dreadful disease found a fertile soil in the natives, with so little resistance to all infectious diseases, acute or chronic. It spread with alarming rapidity, and it became evident unless rigid measures were enforced in the

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