“The tubercle bacillus, the germ that causes tuberculosis, is responsible for the loss each year of millions of lives. The spitting, coughing and sneezing of people who have tuberculosis are the chief means of the spread of this disease to individuals, families and even to entire communities.”
“The Territory of Hawaii has a high death rate from this disease as compared with most mainland cities. … The County of Hawaii has the highest rate of the disease of any of the counties in the Territory. During the last five years an average of 67 people died each year on this Island.”
“(T)here are hundreds of people on this Island who have been exposed to tuberculosis and who are potential cases of the disease. There are many people on this Island who have the disease but who do not know that they have it.”
“If the problem is considered not as “cases,” but as individuals who are our neighbors, it becomes a more interesting problem. Who is my neighbor? Last year there were maids, bus drivers, dressmakers, plantation laborers, waiters, students and teachers who had tuberculosis.”
“More than half of the people who have tuberculosis are between the ages of 15 and 45. Think of these young people starting out in new jobs, establishing homes – struck down in the prime of life!”
“Too many people do not know about, nor heed, the warning signals that should send them to a doctor for a physical check-up. Ignorance as to the ways in which tuberculosis is spread oftentimes causes neglect of the early case. Ignorance of the seriousness of the situation keeps the public from taking sufficient action on this problem.” (Chandler, Director, Tuberculosis Society of Hawai‘i; The Friend, July 1, 1939)
“The control or prevention of the spread of the disease is chiefly dependent upon the various district nurses, who not only furnish the Bureau with correct data for reliable statistics, but who supervise cases requiring it, directing them how to avoid infecting others, and observing that all due precautions are maintained in each case.”
“These nurses devote their time to hunting up cases which have not been reported, supervising certain cases, and giving instructions to patients as to how to care for themselves so as not to infect others.”
“The treatment of those afflicted is carried out by seven institutions—three in Honolulu, namely, Pa Ola Day Camp, Free Dispensary, and Leahi Home; one on Hawaii—Pu‘umaile Home; two on Kauai—Lihue and Waimea Hospitals; and one on Maui—the Kula Sanitarium. (Board of Health, 1921)
“The benefits of hospital treatment may be shown by the figures from two of the institutions in the Territory. Out of 103 persons discharged 84 were able to return to work.”
“Pu‘umaile Home, in Hilo, was in charge of Miss Wilhelm and Miss Kate W. Sadler, district nurses for Hawaii, with Dr. L. L. Sexton as medical officer. … A total of 37 cases were handled at Pu‘umaile, some of the patients being Filipinos en route to Honolulu to take steamer for the Philippines. There were 7 deaths, 15 discharged at their own request, 6 for other reasons, and 2 as apparent cures. (Board of Health, 1915)
“Pu‘umaile Home is the only institution for the care of tuberculosis in the Territory that is maintained solely from Territorial funds. One hundred and twenty-two were admitted during the year, with 68 Patients remaining at the end of the period, just double the number as compared with the previous year.” (Report of Governor, 1924)
The original Pu‘umaile Home was built in about 1912 at a site that is now in the vicinity of the old terminal building at Hilo Airport. It took its name from a nearby cinder cone (approximately 50-feet high.) The Home served the entire island.
The Hilo Airport was dedicated in February 1928 and in April 1938 a new facility was constructed at the end of Kalanianaʻole Avenue (at what is now Lehia Park.) (Clark)
“A son of a former pastor of the Finnish National Lutheran church here has been appointed superintendent of a new hospital known as the Pu‘umaile home at Hilo, Hawaii.”
“Well known to most everyone to Hilo is Dr. Carl J. Wilen, superintendent of Pu‘umaile home, who has held that position since July, 1935, when he came to Hilo as the first full-time physician at the sanatorium.” (Ironwood Daily Globe, November 24, 1939)
Some incorrectly suggest that the hospital washed away by the 1946 tsunami; however, it was spared. “The (sea)wall itself was undamaged, and buildings sheltered by it were undisturbed except for minor damage by flooding.” (Wiegel)
“Observers said waves drove 40-feet high over the Hilo breakwater … Water reached 1,000-yards inland, flooded the first floor of the Pumaile Hospital, and wrecked outlying homes of hospital personnel.” (Albuquerque Journal, January 5, 1947)
The Army installed standby generators until power could be restored. Engineers laid 2-miles of emergency pipeline to restore water. Patients were temporarily evacuated by Navy personnel and cared for at the nearby naval air station (Hilo Airport.) (Muffler)
The hospital remained on the shoreline until 1951 when it was relocated into new facilities on the grounds of the Hilo Memorial Hospital, above Rainbow Falls. Shortly after (1955,) Pu‘umaile was combined with the Hilo Memorial Hospital to establish Hilo Hospital (now Hilo Medical Center.)
In 1955, new and more effective drugs were introduced in the treatment of tuberculosis and, as a result, by 1958 the average daily patient census significantly dropped. (Legislative Auditor, 1968) (Pu‘umaile was referred by several names, including Pumaile and Puumaile.)
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