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June 25, 2017 by Peter T Young Leave a Comment

Free Health Care for Hawaiians?

In King Kamehameha IV’s initial speech to the legislature in 1854, the King voiced his desire to create a hospital for the people of Hawai’i. At that time, the continued existence of the Hawaiian race was seriously threatened by the influx of disease brought to the islands by foreign visitors.

Queen Emma enthusiastically supported the dream of a hospital, and the two campaigned tirelessly to make it a reality. They personally went door-to-door soliciting the necessary funding. The royal couple exceeded their goal in just over a month, raising $13,530. In turn, the Legislature appropriated $6,000. (Queen’s)

Hawaiians called the hospital and dispensary Hale Ma‘i o ka Wahine Ali‘i (literally, sick house of the lady chief,) or Hale Ma‘i for short. Opening day was August 1, 1859. (Greer)

“The Queen’s Hospital was founded in 1859 by their Majesties Kamehameha IV and his consort Emma Kaleleonalani. The hospital is organized as a corporation …”

“… and by the terms of its charter the board of trustees is composed of ten members elected by the society and ten members nominated by the Government ….” (Pacific Commercial Advertiser, July 31, 1901)

“(A) number of persons, resident in Honolulu and other parts of the Kingdom have entered into a voluntary contribution, by subscription, for the purpose of creating a fund, for the erection and establishment of a Hospital at Honolulu, for the relief of indigent sick, and disabled people of the Hawaiian Kingdom, as well as of such foreigners, and others, as may desire to avail themselves of the same …”

The “subscribers … resolved that they should associate themselves together as a Body Politic and Corporate, for the purpose of carrying into effect the objects and intentions of the said subscribers …”

“…the following on behalf of the said subscribers were elected by ballot to act as Trustees, on behalf of the said subscribers, viz, BF Snow, SC Damon, SN Castle, CR Bishop, IW Austin, EO Hall, TJ Waterhouse, WA Aldrich, WL Green and H Hackfeld …”

“His Majesty then designated the following ten persons, Trustees, on behalf of the Government, viz, His Royal Highness Prince L (Lot) Kamehameha, David L Gregg, Wm Webster, GM Robertson, TC Heuck, John Ladd, James Bissen, HIH Holdsworth, AB Baker, L John Montgomery.” (Charter of the Queen’s Hospital)

The initial intent was “to establish a temporary Dispensary, with suitable Hospital accommodations at Honolulu, until the permanent Hospital, contemplated by this Charter, shall have been established, and for that purpose, to hire, and furnish, a suitable house premises …

“… also to purchase, or rent, or lease, a suitable site for, and provide for and proceed with the erection, furnishing, establishing and furthering into operation, a permanent Hospital at Honolulu, with a Dispensary, and all necessary furnishings and appurtenances …”

“… for the reception and accommodation, and treatment of indigent, sick, and disabled Hawaiians, as well as such foreigners, and others, who may choose to avail themselves of the same.” (Charter of the Queen’s Hospital)

While there was no specific provision in the hospital’s charter for free medical service to native Hawaiians, “all native Hawaiians have been cared for without charge, while for others a charge has been made of from $1 to $3 per day.” (Pacific Commercial Advertiser, July 31, 1901)

In part, the Hospital was funded with government funds (taxes and appropriations.) On May 13, 1859, the king approved an ‘Act to Aid in the Establishment of Hospitals for the Benefit of Sick and Disabled Hawaiian Seamen.’

It provided that each passenger arriving from a foreign port should pay a tax of $2.00 to the Collector of Customs for the support of such hospitals.

Additional revenue was expected from a tax on seamen sailing under the Hawaiian flag. The Civil Code of 1859 provided that: (1) ship owners or masters arriving from foreign ports should pay twenty-five cents a month for each seaman employed on board since the last entry at any Hawaiian port;

(2) masters of coasting vessels should pay, quarterly, twenty-five cents a month for each seaman employed. The tax was withheld from wages, and funds realized were retained as a ‘Marine Hospital Fund’ for the relief of sick and disabled Hawaiian seamen. (Greer)

However, when Hawai‘i became a US Territory, “‘There is a possibility that the legislative appropriation will be cut off after the first of the year,’ said George W Smith yesterday, ‘but even se we shall have funds enough to get along, although the hospital will be somewhat crippled.’”

“You see there is a provision in the United States Constitution that public property shall not be taken for private use, or that the people shall be taxed to support private institutions.”

“Under the Monarchy and the Republic $10,000 was annually appropriated for its support, but now that the Islands are a part of the United States this sum may be eliminated from the appropriation list.”

“We have already lost the $1 tax which was exacted from everyone who landed on the Islands, which amounted to something over $30,000 annually, and likewise the seamen’s tax, which netted us another $2,000 or more, so with this additional money lost we shall be out a considerable portion of our revenue.” (Pacific Commercial Advertiser, July 30, 1900)

“The Legislature at its last session made an appropriation for the Queen’s Hospital of $40,000, to be used in the next biennial period. This was in line with the previous policy of the Government in making appropriation for the hospital, similar appropriations being made at the same time to other like Institutions.”

“There was, however, one very peculiar incident in connection with the appropriation made for the Queen’s Hospital. In the past the sum of $20,000 had always been given to the hospital for the biennial period, and Governor Dole recommended that the Legislature make the usual appropriation.”

“Instead that body appropriated just double the amount asked, or $40,000. Attached to the bill, however, was a rider providing that no distinction should be made as to race in the care of patients at the hospital.” (Pacific Commercial Advertiser, July 31, 1901)

“Under the provisions of the Organic Act the Legislature has no power to give a subsidy to any institution and, under the construction likely to be placed by the Board of Health of the intentions of the Legislature, the Queen’s Hospital must be placed under the control of the Government before it may receive the appropriation of $40,000.” (Pacific Commercial Advertiser, July 31, 1901)

Today, the Queen’s Medical Center is a private, non-profit, acute medical care facility. It is the largest private hospital in Hawaiʻi, licensed to operate with 505 acute care beds and 28 sub-acute beds. The medical center has more than 3,000 employees and over 1,200 physicians on staff.

As the leading medical referral center in the Pacific Basin, Queen’s offers a comprehensive range of primary and specialized care services. (Queen’s)

Since its founding in 1859, The Queen’s Medical Center has strived “to fulfill the intent of Queen Emma and King Kamehameha IV to provide in perpetuity quality health care services to improve the well-being of Native Hawaiians and all of the people of Hawai‘i.” (Queen’s) (The image shows the original Queen’s Hospital in 1860.)

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Queens Hospital-PP-40-9-014-1860
Queens Hospital-PP-40-9-014-1860

Filed Under: Economy, General, Ali'i / Chiefs / Governance, Buildings Tagged With: Hawaii, Kamehameha IV, Queen Emma, Queen's Hospital

February 7, 2017 by Peter T Young 1 Comment

Timeline Tuesday … 1860s

Today’s ‘Timeline Tuesday’ takes us through the 1860s – Queen’s Hospital formed, Hansen’s Disease patients to Kalaupapa and first Japanese contract laborers. We look at what was happening in Hawai‘i during this time period and what else was happening around the rest of the world.

A Comparative Timeline illustrates the events with images and short phrases. This helps us to get a better context on what was happening in Hawai‘i versus the rest of the world. I prepared these a few years ago for a planning project. (Ultimately, they never got used for the project, but I thought they might be on interest to others.)

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Timeline-1860s
Timeline-1860s

Filed Under: General, Ali'i / Chiefs / Governance, Economy, Buildings, Prominent People Tagged With: Kalaupapa, Kalawao, Timeline Tuesday, Hawaii, Japanese, Kamehameha V, Kamehameha IV, Sugar, Queen's Hospital

June 14, 2016 by Peter T Young 1 Comment

Kapiʻolani Maternity Home

“The Hui Hoʻolulu a Ho‘ola Lahui of Kalākaua I was organized at Kawaiahaʻo, Her Royal Highness Princess Kapili Likelike being President. … A large number of members joined the Society on this day, some 51. The amount of money collected was $17.00, the dues being ten cents per month.” (Report of the Executive Committee, February 19, 1874)

“His Majesty Kalākaua designed and established an organization for benevolent work amongst his people; it was called the Ho‘oululahui. The first meeting of the society having been appointed at Kawaiahaʻo Church, there was a good attendance of the first ladies of the city, not only those of Hawaiian families, but also of foreign birth.”

“It was my brother’s intention that the society should have as its head Her Majesty Kapiʻolani, his queen … Like many other enterprises of charity, the original intentions of the founders have been improved upon; and the society is merged in other good works, or its purposes diverted to slightly different ends. The organization is now consolidated in the Maternity Home …” (Liliʻuokalani)

Attending Queen Victoria’s Jubilee celebration, 1887, in London, Kapiʻolani made many visits to hospitals and foundling homes and returned to Hawaiʻi with much enthusiasm and exciting plans for her hospital. She wanted to establish a hospital for underprivileged Hawaiian women to have the best care for mothers and babies.

“The Kapiʻolani Maternity Home, corner of Beretania and Makiki Sts, was opened to the public on Saturday afternoon (June 14, 1890) their Majesties the King and Queen drove up to the home punctually at 3 o’clock”.

“Quite a large number of ladies were out to inspect the Home, the lady board of managers taking particular pains to shew them round. It is to be hoped that this beautiful new home will be largely availed of by Hawaiians.”

“There are five bedrooms, one furnished by Mrs TR Foster, one each by the Widemann and Robinson families, one by Mrs Canavarro and Mrs JI Dowsett, and one by Mrs S Parker, Mrs TW Everett and Mrs EP Low.”

“They all looked cosy and neat. In the dining room are hung pictures of the King and Queen. There is also a matron’s room and a kitchen with range. Mrs. Johnson has been placed in the home as matron.” (Pacific Commercial Advertiser, June 16, 1890)

“The Ho‘oulu and Ho‘ola Lahui Society, that instituted the Home and appointed a Board of Managers for it, has acquired an endowment fund of $8,000, only the interest of which is available for the Home.”

“Her Majesty gives the house free for the first year, which will expire in four and a half months from date. Dr. Trousseau’s generous tender of free professional services was also for the first year.” (Daily Bulletin, January 22, 1891)

It started in the former residence of Princess Kekaulike, then moved into an adjacent building (former home of August Dreier,) a more spacious 2-story structure. Services included child birthing, as well as simple neo-natal and maternal care. If complications arose, physicians from Queen’s would assist.

“The Home was unique in many regards. First, it represented one prong of the Kalākaua’s’ attempt to deal with the declining population of the native Hawaiians in the kingdom.”

“Second, the Home was established and dominated in its early management by women, And third, in comparison to the other crown-based health entities (Queen’s Hospital, Lunalilo Home and Lili‘uokalani Children’s Center,) the Kapiʻolani Home was least endowed by the mechanism of royal philanthropy.” (Kamakahi)

Fundraising was on going … “The charity luau given on Saturday under the direction of Queen Dowager Kapiʻolani, for the benefit of the Kapiʻolani Maternity Home was an unqualified success in every particular.”

“During the day the ice cream booth was also a small mint, as no young man who possessed fifty cents was allowed to depart without first spending it. … The coffee stand was … assisted by a bevy of young ladies. They all did their share towards the substantial result of the day. … The luau reflects great credit on everybody concerned, and should return a handsome sum for the Kapiʻolani Home. (Pacific Commercial Advertiser, March 7, 1892)

Luau fundraising continued as the facility was expanded, “The trustees of the Kapiʻolani Maternity Home have found it necessary to build an additional wing to the main building to meet the pressing demands and it is intended to hold a luau and fair on the grounds of the Home in the early part of the month of October coming for the purpose of raising additional fund to the already existing building fund of $4,500.” The Independent, August 26, 1903)

By the early-1920s, the Home’s sights were set on the creation of a medical facility with physicians on staff. Rather than compete with other medical institutions (Queen’s, Kuakini, Tripler, St Francis, etc,) in general care, it moved its location, again, and from Home to Hospital status, and changed its name to Kapiʻolani Maternity and Gynecological Hospital in 1931. (Kamakahi)

Across town, Albert and Emma Wilcox purchased land and built a hospital; in 1909, the Kauikeōlani Children’s Hospital opened on Kuakini Street and was named in Emma’s honor. (The deaths of five of her siblings at early ages greatly influenced Emma’s concern for the welfare of all native Hawaiians.)

In 1978, the Kapiʻolani Hospital and the Kauikeolani Children’s Hospital merged to become Kapiolani Medical Center for Women & Children. (KMC)

Renovation and expansion began with construction of a new 17-floor parking structure that opened in 2013. A new five-story, 200,000 square-foot building is currently under construction and scheduled for completion in 2016. It will house an expanded Neonatal Intensive Care Unit (NICU) and Pediatric Intensive Care Unit (PICU).

The new building will also provide new space for the Rehabilitation Services Department and teaching space to train Hawaii’s future health care professionals in obstetrics and gynecology, pediatric and other specialty areas of care. It will include an auditorium and education and conference rooms. (KMC)

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Kapiolani Maternity Home - formerly the home of A Drier - on Makiki and Beretania St-PP-40-7-017
Kapiolani Maternity Home – formerly the home of A Drier – on Makiki and Beretania St-PP-40-7-017
A_Woman_with_a_Baby_at_the_Kapiolani_Maternity_Home-1912
A_Woman_with_a_Baby_at_the_Kapiolani_Maternity_Home-1912
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Kapiolani Hospital-PP-40-7-015-00001-1934
Kapiolani Hospital-PP-40-7-016-1934
Kapiolani Hospital-PP-40-7-016-1934
Kapiolani Maternity Hospital
Kapiolani Maternity Hospital
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Kapiolani_Neonatal_ICU
Kapiolani Medical Center
Kapiolani Medical Center
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kapiolani-hospital-prior to remodel
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kapiolani-model-remodel
Kapiolani Medical Center
Kapiolani Medical Center
Queen Kapiolani Statue
Queen Kapiolani Statue

Filed Under: General, Ali'i / Chiefs / Governance, Buildings Tagged With: Hawaii, Queen Victoria, Kapiolani, Lunalilo Home, Queen's Hospital, Emma Kauikeolani Wilcox, Albert Wilcox, Georges Trousseau, Kapiolani Medical Center, Ahahui Hooulu a Hoola Lahui, Kauikeolani Children's Hospital

May 18, 2015 by Peter T Young Leave a Comment

Thomas Charles Byde Rooke

Thomas Charles Byde Rooke was born to Thomas and Sarah Rooke on May 18, 1806, in Bengeo, Hertford, England. He studied to be a Doctor at a branch of Christ’s College Hospital in Hertford and had studied in London where he graduated from the Royal College of Surgeons in 1826.

He first landed in the Islands at Lahaina in 1829. After another season’s cruise his ship put in at Honolulu. Here Dr. Rooke was asked to remain and practice medicine, and, with the consent of his Captain, he agreed.

That year, Rooke married Grace Kamaikui, the second daughter of John Young, Kamehameha’s advisor (and “in his most perfect confidence”.) Grace was widow of Keʻeaumoku (Queen Regent Kaʻahumanu’s younger brother.)

The Rookes were apparently unable to have children of their own; when Grace’s sister, Fanny, had a child, Emma, she was hanai (a traditional custom of adoption) to the Rookes.

Emma’s formal education began at age five at the Chiefs’ Children’s School. She grew up speaking both Hawaiian and English, the latter “with a perfect English accent.”

At age 13, when the school closed in 1849, Rooke hired Sarah Rhodes von Pfister, an English governess, to tutor Emma for the next four years, but he also played an active role in her education. Emma learned a great deal about the outside world from her scholarly father, who assembled the finest library in Honolulu for her benefit.

At 20, on June 19, 1856, Emma married Alexander Liholiho, who a year earlier had assumed the throne as Kamehameha IV; she became Queen Emma. The couple had known each other since childhood.

Dr Rooke was one of the pioneers in the cultivation of coffee and was the charter member of the Royal Hawaiian Agricultural Society when it was organized in 1850, serving on the coffee committee.

Rooke had his office and dispensary in his home (“Rooke House” on the makai/Waikiki corner of Beretania Street and Nuʻuanu Avenue.) Rooke House was “like an old-fashioned New England house externally, but with two deep verandahs, and the entrance is on the upper one.”

“The lower floor seemed given up to attendants and offices, and a native woman was ironing clothes under a tree. Upstairs, the house is like a tasteful, English country-house, with a pleasant English look … the most English-looking house I have seen since I left home, except Bishopscourt at Melbourne.” (Bird)

He was also physician to the Court, friend and advisor to the royal family, and became a naturalized citizen. In 1844 he is listed as Port Physician, and in December, 1850, he was appointed to the first Board of Health and served as its chairman. Rooke served twice as a member of the House of Representatives, representing the Honolulu district.

He was “elegantly dressed, rubicund, affable, and redolent of delicious odors that I afterwards learned to recognize as indicative of acquaintance with the choicest brands of rare old wine. The cordiality of his manners placed me at ease”. (Lyman)

Dr Rooke was one of the ten Honolulu physicians who were signers of the charter of incorporation of the Hawaiian Medical Society on May 19, 1856.

Rooke also taught Emma by example. Not only did he provide medical care to the poor, he also served as physician at the Hospital for British Seamen, which was established in Pauoa Valley in 1846

Rooke foreshadowed the establishment of The Queen’s Hospital with his pleas in The Polynesian for the establishment of such an institution.

After living in the Islands for nearly 30-years, Dr Rooke died in November 28, 1858, at Kailua-Kona, Hawaiʻi, at the age of 52. He was buried in the Wyllie tomb, or Wyllie crypt, at Mauna Ala, along with other members of Emma’s family.

Although he did not live to see the opening of the Queen’s Hospital in 1860, it was he who kindled the spark which brought it into being.

“(W)e have lost not only the Senior Member of our Profession here, whose labors among this people and community during his long residence on these islands, have secured for him an enduring place in the memory of the Hawaiian Nation;”

“(B)ut, also, a brother, whose strict sense of professional propriety in his relations to as, as well as to those entrusted to his care, not less than his uniform kindness and urbanity of manners, have won for him our lasting esteem and respect.” (Hawaiian Medical Society; Polynesian, December 16, 1858) (Lots of information here is from Queen’s Medical Center and Kelley)

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Rookes_1853
Rookes_1853
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Thomas_Charles_Byde_Rooke,_c._1840s
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GraceYoungRooke
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Queen_Emma_and_Kamehameha_IV
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Rooke_House
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Old_photograph_of_the_Queen’s_Hospital
HawaiiMedicalAssociation
HawaiiMedicalAssociation
Wyllie Tomb-Thomas_Rooke
Wyllie Tomb-Thomas_Rooke

Filed Under: Ali'i / Chiefs / Governance, Prominent People Tagged With: Alexander Liholiho, Queen Emma, Queen's Medical Center, Queen's Hospital, Chief's Children's School, John Young, Rooke, Keeaumoku, Hawaii

June 13, 2012 by Peter T Young Leave a Comment

Hānaiakamalama – Queen Emma Summer Palace

 

Hānaiakamalama (Lit., the foster child of the light (or moon,)) now known as the Queen Emma Summer Palace, was the “mountain” home of Queen Emma, wife of Kamehameha IV.
The house was originally constructed by John George Lewis in 1848.  John Young II bought it in 1850 and named the home “Hānaiakamalama.”
Queen Emma inherited it from her uncle, John Young II, son of the famous advisor to Kamehameha I, John Young I, in 1857.
Queen Emma was born Emma Naea in Honolulu on January 2, 1836, the daughter of a British aristocratic woman and a Hawaiian high chief.
She became the hānai child of Dr. and Mrs. T. C. and Grace Rooke, her mother’s sister who had no children of their own.  Emma grew up speaking both Hawaiian and English, the latter “with a perfect English accent.”
At 20, Emma became engaged to the king of Hawai‘i, Alexander Liholiho, (Kamehameha IV,) a 22-year-old who had ascended to the throne in 1855.  The couple had known each other since childhood.
In his first speech as king, Kamehameha IV stated the need for a hospital to treat the native population.  Due to introduced diseases, the Hawaiian population had plummeted, with extinction a very real possibility.
To recognize and honor Emma’s efforts, it was decided to call the new hospital “Queen’s.”
Queen Emma used the home as a retreat where she could escape from the heat of Honolulu into the coolness of Nuʻuanu.  It’s about 5-miles from Downtown Honolulu and 10-miles from Waikīkī.
It was through this land that Kamehameha the Great marched during what would become the Battle of the Nu‘uanu in April 1795.
Coincidently, Kamehameha was aided by foreigners, including John Young, Queen Emma’s grandfather, who provided the cannons and tactical know-how used in the battle.
This land, a portion of a grant known as Kaukahōkū, was originally designated as Fort Land; that is, it was set apart for the use of the Fort, probably as agricultural land.  However, sometime in the 1840s Kekuanaoa, Governor of the island of Oʻahu, leased the land for private use.
The Summer Palace was modeled in the Greek Revival style. It has a formal plan arrangement, wide central hall, high ceilings and floor-length hinged, in-swinging shuttered casement window.
It is one-story, over a basement, and measures about 73-feet by 51-feet.  The roof is hipped over the main portion of the home and gabled over the rear lanai that was converted to a room.
The large single room in the rear of the home, also known as the Duke of Edinburgh Room, was converted from a lanai in 1869, to prepare for the reception of the Duke during a visit to Hawai‘i.
The kitchen was a small structure apart from the house. Baths were taken through large tubs brought into the bedrooms by servants and filled with buckets of hot and cold water.
Three outhouses served the occupants; one reserved for the King and Queen, one for guests and another for servants.
The Summer Palace was saved from demolition by the Daughters of Hawaiʻi.  Today, the Daughters preserve and maintain this residence and the Huliheʻe Palace in Kailua-Kona as museums open to the public.
The restored and furnished home of Queen Emma and King Kamehameha IV offers a glimpse into the lifestyle of the Hawaiian monarchy.
The Daughters of Hawai‘i was founded in 1903 by seven women who were daughters of American Protestant missionaries.  They were born in Hawai‘i, were citizens of the Hawaiian Kingdom before annexation and foresaw the inevitable loss of much of the Hawaiian culture.
They founded the organization “to perpetuate the memory and spirit of old Hawai‘i and of historic facts, and to preserve the nomenclature and correct pronunciation of the Hawaiian language.”  (My mother was a Daughter.)
The property is open to the public, daily 9:00 am–4:00 pm; closed major holidays; Admission: Adult $6, Child 17 and under $1, Seniors $4; reservations required for groups of 20 or more.
The image shows Hānaiakamalama – Queen Emma Summer Palace.  In addition, I have included other images of the property and Queen Emma in a folder of like name in the Photos section on my Facebook page.
http://www.facebook.com/peter.t.young.hawaii

Filed Under: Ali'i / Chiefs / Governance, Buildings Tagged With: Kamehameha IV, Queen Emma, Queen's Hospital, Nuuanu, John Young, Queen Emma Summer Palace, Hanaiakamalama, Hawaii

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Images of Old Hawaiʻi

People, places, and events in Hawaiʻi’s past come alive through text and media in “Images of Old Hawaiʻi.” These posts are informal historic summaries presented for personal, non-commercial, and educational purposes.

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