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March 18, 1905


JAMA. 1905;XLIV(11):879. doi:10.1001/jama.1905.02500380043008

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Some years ago, it is said, a Japanese physician practicing in Honolulu issued a death certificate giving "Hawaiian fever" as the cause of death, and insisted that, while the disease had been confounded with malaria, it was something new to him, and not, so far as he knew, differentiated in the literature of medicine. The certificate was accepted, and since then the term Hawaiian fever has been more or less employed. At a recent meeting of the Hawaiian Medical Association, Dr. A. N. Sinclair read a paper on the subject, claiming that the symptoms and the course of the disease were different from those of malaria. He said that he had been unable to find the plasmodium of malaria in any case excepting one imported case of malaria, and, furthermore, the essential condition of the disease, the anopheles, did not exist in the islands. If we have a new species

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