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November 17, 1900


JAMA. 1900;XXXV(20):1284. doi:10.1001/jama.1900.02460460034009

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The introduction of leprosy in Hawaii, from recent statements, seems to have been under, the special protection of the native royalty and aristocracy. It first appeared in the person of a chief Kakauonohi, who had been to China, and from him was transmitted to another Naea, who was closely related to the reigning family. From the latter it quickly spread to his tenants and retainers, and for a considerable time was known among the natives as the "ma'i alli," or the chief's, or royal, disease. The missionary physicians soon learned to recognize it and one of them, Dr. Dwight Baldwin, it is said, made a report on it, stating the facts of its origin, etc., and filed it with the minister of the interior, but it was held from publication, doubtless on account of the connection of royalty with the introduction of the disease. So long as the Hawaiian monarchy

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