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The San Francisco fixmda^ Oafl. STOPPING ORIENTAL PLAGUES AT THE GOLDEN GATE Lindsay Campbell L^TKK every, great seaport San Fran- '\u25a0 Cisco Is the meeting place of road* from . all parts of the world. Its cosmopolitan" population la one ~<st the result* of. being a way station: t*> ; and from the ; ends of the earth;, of . being situated * on a harbor that leads out to the seven seas. In common with ether ' great seaports the native ; t roiay "foreign parts" Is no novel sight and the products of foreign Industry are In evidence on all sides. In ' nearly •very • household you will find articles that r-.ave been manufactured or grown la 6one far land from which they, have been brought by sailing vessel or steamer directly to this > port* and here distributed locally and to the rest ,-el *< the world. - Father, brother, or some other Bens-. ber of the "privileged" sex. sits back from a dinner, table en which there have passed fn procession before him products of many lands. The tea. from •which' his fragrant- beverage wW brewed came from India, or China, or, perhaps, he drank coffee from Central America. Hb meat was flavored; with chutney from the orient. ; The Jelly In that crystal dish came from the Ha waiian Islands, as did the bananas and that alligator pear that formed the base of the salad. The finger bowls came from China. Those . cigarettes from Egypt. Ths girls have been chop ping all day and were tired, *•-»\u25a0* »Jt» dinner one of them retired tocher and changed the outward trappings of fashion for a loose fitting kimono, from. Japan.* Another, dressed for the the ater, came from her room with a gor-. eeouj mandarin coat from China thrown over her , shoulders by way of opera* cloak, and as ehe peeped into the dining room there was rising, above the table a cloud of smoke from burn leg tobacco— cigars and cigarettes from Egypt, Havana and : Manila.'.,. Three Chinese and ", a , band of Japs . pass . the house as she . crosses , the ' sidewalk to etep Into - her ' carriage. : and standing ; leader the electric light across -; tho street she* sees the tall figure of a turbaned Elkh. , AH of these articles come from lands notorious for periods of plague and pestilence. At times In India, the cassis of bubonic plague outnumber the cases , of tea, and cifolera has been more plentiful In Manila than cigars.. Cholera, plague, smallpox, yellow fever and 1 ty phus are the five most feared of trop ical diseases. Some of these , scourges are ever present *ln somo parts of most tropical lands and ; frequently ' In ! epl- , demic form.. We read; In the cabled .. dispatches of plague raging in India," but who ever thinks, ol associating t, four line dispatch .telling of ." 8,000 deaths a day In faraway India or. China or Japan with a cup of tea or that new silk petticoat? Who ever refused, a Manila cigar because, his morning paper told him that cholera was raging In the Philippines or declined,! a .big, ' fat. greasy havana because Cuba -was : having trouble with* a yellow fever outbreak? . The Public Sentinel We don't worry because tre know in a.vagne sort of way, if we think of at; at all, that "somebody" -looks out "for that sort of thing. Just who .. that •"somebody" is, or how, or • when, r or where he "looks out" is a matter that does not interest. The foreign markets supply our demand for variety, in lux-_ ury and we accept what , the gods " send i without thinking very much.- about either where they come from or. why, if they come from lands of pestilence, they leave the scourge behind them./ The war with Spain made the people of this country .. acquainted wlta-Tthe United States army and navy.. but how many people have anything but an In-", distinct Idea of what. the * marine ?hos-. : Pltal service Is and of; the- work; lt'r *s t doing? I asked a man who In other matters Is well Informed what he knew/ about the marine hospital service, and: he replied: "Oh, it runs the * govern ment hospitals f or sailors.'.' \u25a0 - - --\u25a0 l x ''" '\u25a0 ''- The United States marine hospital* and public health service Is ..probably the ' most • Important, ,^ most . powerful, taost beneficial and least generally un derstood and • appreciated armVof .the covernment machinery. In yellow, fever states they know something; about. the service, but they know.it only, as some-' thing ', that comes to life during ' times of \u25a0 pestilence. We know It ' here - best :\u25a0 asthe Quarantine service, and in that capacity, regard It largely as a nui sance. The ship owner looks upon ' the quarantine officials as men armed, with" authority to keep htm" from unloading his ships. Travelers regard -the Yquar-r antlhe Inspection as an -.'. invasion Vof', their rights and friends r ashore waiting^ for some steamer "to pass quarantine V consider the time spent in cooling thelf Jiftels on some wharf as an unwilling *nit ctinspulsory oCering on 'the;altarf of red tape. Ever to outline all the work carried • on by this branch of the federal service "-; wo uid occupy more space • than is. here f available, so this aracle will, confine* itself to one branch of the,work~to tbV? branch ct most importance , to V the greatest number of people— to an - at-"i tempt to show bow Uncle Sam, through tbijpWteie hospital service, stands ! con- N \u25a0\u25a0' «^St guard; against th«V lnvasIon-Jof ? this country by_ the plagues of, the^ far lands that supply «o ; many - of our necessities rand luxuries. r^Of the'shlps that have : brought \u25a0\u25a0 cargo > or. passengers Into this port ? durJngl the = 2ast 12 ', months "a large? percentage . either hailed from or called: at what- are* known :' In \u25a0 quarantine - language " as \u25a0:. Infected :; : ports. - So " perfect ";> Is * Uncle ?' Sam's sdentlnc bulwark that during -- that period '- only, five cases \u25a0' of any of ' what , are known .- as ? the quarantinable diseases * reached these chores, and \u25a0 four of them^were caugnt Inthe mesh in . ... " ". • - \u25a0. > „ ' \u25a0 \u25a0•-\u25a0\u25a0\u25a0 : \u25a0 ' -\u25a0'\u25a0'\u25a0,'\u25a0\u25a0>\u25a0- \u25a0 this harbor anfi never cot - past Angel Island. >y_ .- .v '-'. . _: v <•\u25a0:.;" -..^' " ' . K[ The supervls! on of the federal quar antine service beginslwherei thai cargo originates. Officers o f the mar In e '<\u25a0 hos pital service are statione'd at i Calcutta, Hongkon?, Shanghai,- Manila, Kobe, i Nagasaki, Yokohama X and 'I Honolulu. practically/covers! every thine • that comes here f romithejfar^eaet. r : There are officers at 'AnconM.Guayaquil ttnd Callao. also at Genoa and Naples, and thesel constitute the lines of defense from .the plagues of Europe" and South America^ j ,Th©7 marine hospital^, surgeon "'.at the .foreign' port ipersonallyjsupervlses;the loading of all "cargoVfor- this? country. He keeps la i touch . with : health \condi tions In the Interior, ; and;it ishis duty to see that ) nothing^ passes 'I him i that might- In any way^ carry 'Infection to the port of destination."! Experience has ' shown : that' certain * articles^; are .; likely to : carry chblera whenVoriginatingr- in i a district whfere that-, scourge : preratls. The shipmeiit of these 'articles; is I pro hibited except underz-'condltlons^whlch \u25a0 Insure the£»" freedom from contamina tion. If fumigation ia deemed advls . able' the. work is; done ; under the fed - erarofficers supervision, and;after]dis vlnfection lje sees ; to;it;that-the "cleansed freight runs no chance^of further,con tamination beforoibelngiplaced' aboard th« ship. I WhenlthaTship'sailsIitiCar ries.'qrith/Jt the federal ;doctor;sfcertl ficate-setting forth ,the, precautions the lias. taken and his reasons for so doing. ,Take as an example ?of iUncle ''\u25a0 Sam's campaign of prevention ;th»5case of*a passengftr liner J carrying- freight- over th«r reguJ tr route - f rom-r Hongkong. 1 ; to .this port and see ho*r Uncle Sam looks 'out^forfhis own. ' -'\u25a0\u25a0':[, '.- x ; ;X.,';./v:. . Twlc^ a ; year ; , - at . least ': on ,, general principles the>TrhoIet ship, , holds ~ and cabins, (is thoroughly j disinfected. Be fore ;.th(9 steerage passengers 'are*: al lowed to board ;? the ; ; Asiatic? crew k is taken ;«ishore with * their effects.-.'.Thelr quarters on; shipboard' are < disinfected. While aehore the .Asiatics- are: carefully examined, bathed and alFcldthlrigt and efitecUl thoroughly idlsiafected.v ; Thus *4.scleftitlflcally^clean'-' : crew« returns^to the .germ f rd« ship.'^All>steerag«;pas sengera before being allowed on board, and; their Impedimenta -of ,tra.vel, undergo a cleansing process Bimilar to that through ?,whlch t the /Asiatic ; crew passes.'.; The '\u25a0 cab In passengers ; are fes> amincd, butiexcepti.whereitheidangor of carrying infection 1b peculiarly great they are sparedithe'rigorsof thesteer age treatmenti < -. No iUnjustipiscnmmation ; Th!j discrimination is not .'the defer ence 'of .offlclaldom*to 'social? standing, as is aorae times charged ? by - Europeans, ; who . from ; necessity; V or^ '.; motives *of economy take steerage across ith« Pacific and aroitreated-la^thelm^t .ter' op 7 quarantine like other steerage T>as«eMgers be' they], white,* yellow.iblick or brown. ;Th«t average '^cabin I passen ger ' vrhehT ashore 7; : llves'> : under,: mor« 'nearly/perfect hygienic. conditions [than •does': the : man who "travels steerage" and is less;llkely;to;have^come;in;con tact with the pestilence which Is ever ; present i : in ? the • poorer^ quarter s ; of \u25a0 the oriental "city. V ] He"* doesn't^ sleep 3 near the .floor, where buboniciaseds. rats f can walk', over hlm.^ His : .-"« food J has .been prepared J with *; (more! h and s r^ his clothes " are * likely ; to \u25a0 be cleaner.". Under certain :cbriditlons,ijin5times|fofrgep!^ demlc, for Instance, ; all \ classes i of pas sengers are put through the full court* of sprouts. . . ~-^~ ! -. - .''i. , ." ,The liner; at ; " Hoiigkongilles; out^ln the open'; bay, which, insures: It i against Invasion j by, the> plague ' infested % rats pjpfflgqjgfc - ' - .-\u25a0 \u25a0\u25a0 - \u25a0/^^^SSSg^SS^m •from.- the x Hongkong sewers. \u25a0> F.ats - 4 In time of; stress iwltl* swim* from [ ship i to. •. shore, but} the] records] hold fno-* account \u25a0 of. rats ' leaving; *he~:land andf nrlmralng . " out ; to T an s anchored ] ship.\E ver yj tampan iloadf of : freight i Is > examined;byithe i tna-: :' rlrie * hospital '.y-rlt V 1 among the freight ' is r anything \u25a0 on i the Vf orbidden" list • : this ; • I s ; \u25a0\u25a0 carefully, . examined/ i It there: ia r any"<iuestio^ about,u^eiSUS pected * shipment ; Is I fumigated. \ - : VLl the - quarantine officer, decides . that \ the , shlp^ ?. tntnV Is ~saf e'^ Ke allows Jit \to b« placed on b"oard/*-5HJbatever action. he 'takes he . 'certlfles ' tenjonTtJieVboat , note? , that Tac-^ 'c6mpanl«a * each .' sampan .'load.' .. These boat } notes £ are '-!> brought "-", here - ; and ' i turned j oy er i to i the ) quarantine * official s 'i at this r p6rt' to" show4them ; that f; air due \ precaution was taken ' at j, the "> t orelffn . port T against ; stowaway 1,'germs. :' An OiuicefoffPrtyention * , At , Shanghalr the:' niext- port 'of call, ''• the i liner * ancho'rs \ iri»the .; stream l asjjlt does at 'Nagasaki,! Kobe! and 'All': the" precautions Vi taken at % Hong-: 'kong.ar^repeatediin.thecase of \u25a0freight and ! passengers f received I at jthese ; ports." At:' each i port |therepsfa£quarantinel in T ; ; cpection ' of all : passerigers; i whJch .makes "almost'-" certain f.the detectionlof J any di eease ; that f might i have jbeen j lni an \u25a0, in-; Thcr'voyage^from^Japan^to : "takes. longer4than?.theTperIod;of|incu^ bation . of ; anyjf of |theTf five2 great I pesti- ;: fences iand;if!the*ciuarantine]inspection: ? at '• Honolulu! reveals = no ] sign 5 of : trouble it bay^beUakenlforV granted ".that^the £ li ner k Has h brought |n o' germs j; from % the orient, •* so f ar| at rate j-jas % passen- , Igers/andf cxvw^ are {concerned. V. ; v- . r i- Rata are" the of [infection', most < feared.'and: to|preventfratS;leavlng v ! an i infected forrBUspected Jslilp.^orlto^keep >\u25a0 rats from nboarding?aJcleanSship, 4 s>tin > guards, are; placed r ; oriT all «1 ihes '; leading ntolthelwh'arf.^To]klHlall,ttheVrats;onfa * loaded 'bylfurriigatiohils^practi-, t callyi i mpoasible.lHT he; rats % hajeW nu£ - "merous ?; f ume * proof A'placesjt of gref uge and * seem \u25a0; toj be"" able £ tolj'escape^ from' \u25a0 holds f, andXcabini S' in Ji spite % of l all I the [closed' doors i^diisjealed>hatches.*TosWll the } rat : that i[ niayj Haye| come ' jf rom^a .plague ;portlis^considered*a"Jriecessary ; precaution^! so this fdeath"?is|assured|ln : this i way : i| FirstA the I holds \ of i the|sus^ . pected s shlp^arelf umlBated.^5J'hef ship *: is '• tben^ taken \ to^V, wharf | from .which! it \ is % t ended ? off * nlki i eet * and g secured-lby, tarred ' lines. -y^On' these ,-lihes* are} placed jthe'.tin'rat 7 Buardslwitb^ttielfunnel-ljke \u25a0i openings ||the| shlp.V^The \''' ; rat , xnayj brave ) the ; tar and | reach ; t fie guard, .but^can \u25a0goinbffaTfcherJthari" into Uhe r funnel j to: where i th* ; tin "• circles) the i'r ope Isnugly^r.WhenlthelcargoXhas^beeQTciisjj V charged I th« femptylshlp 1 is J again^f \xmV- : ?gated.^ThISstImelhblds;and cabins are ?\u25a0 treated fBlmultaheouslyjahdltheJratithat' i canioutlive^this ? *".'third f degree"/* is Sen3 •titled'<t6|liye>&iTheIbodie8»;of!all»dead: < rats | r ar e Is* car ef ully^i'cr en»ated^ ; When ; I danger; threatens ; ai ship] f romtsliofelthej | rat ) guards (areireyersed,^with| theifon^ r nel t. opening | toward Hhe ? wharf-^^i^ \u25a0 X; One j of the;b*«t 5 Illustrations^ of/ the^ \u25a0 effectiveness r i of 1 the S marine^ hospital' found £ in"; Is the! arnvitransport^s«rvice.l4Thej-eTare"! ? 12 1 officers lof |thefl serviced stationed | in • .. the! PhilipptKes. i £The i regular, departure; '(ott. troops f frqm|thej islands E with jjregij fments]) that fhave | performed ' their . tour * of J foreign 5 service % has fineyerj been sin"- 1 i ter f erefl : wl th. \ although 'at • frequent'.; J n - .; | tery«Jsf chbler»/§ hasfragedl in| epidemic i I f ormf |6^ thelvery »< provinces ? wherel t&e i returnlng.isoldlersihavelbee'nlonTduty^ S^Thei bagjrige £ and £ of I am sol-^ «aiflrB:n«meWi^|boundjare]sent ; flrstao! -i tft*-; quarantine / station k at '• . Marivales, where .they? aroT; carefully 'fumigated. 1 :•' The .'-\u25a0? soldiers .* j are ;.- bathed y,\ and - their: ?i clothes ; disinfected I and- they 1 are 3 held r ; at? th« : quarantine ! station,f ori five f_ ;? embarking* on -*the £ r .* transport. 1 * fFiv.e ? days * Is 'the -, period 4 of J Incubation y i f for, cholera; i : and lit \u25a0' at ;the? end Z of ~ that ' time Vno Jcase j has appeared \u25a0 It 5 Is 5 prac£? g. tlcally/certain|that Uher el lsj ho I cholera r among, that 'crowd ; of ; soldiers.'*: If ; a* casV^ : > appears i It Us at , orice ' Isolated, \ there Us \u25a0' .>more disinfection andahother^flve'days'} 1 >;n'alt.* : %'Diirtngy the j' periods Vof 1 cholera - -; epi^aemlc^ several ; cases -ft developed - "\u2666 at ;\u25a0_ '.Merl\'ales,^but! not Un ' a ;8lngle^lnstance| <^has 1 there Jbeent an outbreak S onTa > vessel I ; certified : "cleans byithe : marlnei hospital I 'dutyjtherer? Each'of 1 the ; casei ? ;rdlscovered,^but! for t ; thlsTsyatem i of / s'cl v-' suryelllance,\would ;% have jem- " ';\u25a0\u25a0 barked ?\u25a0 on \ a ,. troopship ; and ; the « horron •"•' of - a "cholera ft Tepidemlc Sfat • sea* would »' likely'^ have > followed.*; 7^V : £. ' -C v- \ * 1 In : the ; event* of (aTcase "\\ot ' \u25a0 any of. the > five quarantluable diseases b'eing dis covered* upon ; theTar rival f of | a ship . at %, % th Is J port, the^ federal f officers / are^al-'i I ways ? prepared s tojdeal I wi th *,thel trou^' | ble ; in \u25a0 such" a';wayj as I to prevent \t\x&- In-"/ tfectlon* frdmibelnglcarrledfashqre,'^^;;, :'- , If "aVcasefoflsmallpXHttiivbroughtfto^ r*portfand|the"?shlp's]surgeon^haslr«co5-i: I: nized f the d iseaso J'ahd* prope rly^ isolated" ;:thejpatierit/vaiwholesalo|.vacclnatlon1isj ; j deemed .j a'" sufficient'^ precautiorLi'^TtMif !: patient,'?of * course,, ; is *>. removed 'j to;' the* jj quarantine g station"; and?? the fiwhlchi he |waa|ciua'rtered i on • shipboard '; r is \u25a0:dlslnfected.'vi If rt th'e 1^ ship's i'sur^eonl [i fall ed I to 5 recognize \ or J neg-"^ ? precautions^Tbjily..-':; those showing:' good % t marks of « less I than \ a \u25a0 yea.r,J j old |are released. "''/{ All 'others 1 are lyacci^ 5. na.ted |and heldi „\u25a0 in -"quarantinsi^or^t'v^o * \u25a0iweeks.; - The^shlp ' is released: af ter \u25a0 <Tts-^ pi ri f ec tion.* W^i0iSi^^/BSSftKBBS^^" jr '' ' ' R^Whehfafcasei ; ofrplaguVfl3"sb'rought|ln ; f §throughl|thelGolden^sateltheTquarahY* asV,to:vihis^ j'courso :;of f ; prbcedure^^; The of J I the \ is |atxonce ."i Isolated \ in : - the . Jplaguejcbmpouri*d|ahd fall \ hands,^from": A captain \ to"| firemen's *!messb*oy,r|from» the \u25a0 : t5ulte|lto^the; |^coblie]in!thefAsla.ttc"steerage, t Tare;takeri < Jaihoref andjjnitiateds into Hhe? game^of \. strictest.' \ '\u25a0 >^:Th6 ; 'shlp'^is3;furnig:ated;v every^ part |8lmultaVebuslj\^|sulphur,^pbts"^5being^ gplacVdiihraHHhe.lrboms>^whllQ^ powerful f \u25a0\ pumps ? y flH % the V holdslwlth ''the Vdeadly^ vfuraes. v After ithe: ; first .fumisation T^a '& six* foot flayefj Is 5 taken Jjoff itheTcargo".v |Th'e Sf relghtf thuaibrokenV out < is placed ' >iqn v lightefsl and % the * hold S is\f umlgated > *"again:S/An9ther3slx ; fobtviayer" is ;re-> |mbyedjC and Hagaln^thel* sulphvfr >1 f limes % |thejsh ipl isjempty .^"A.f ter J t he } las t i f umi % ir . vessel 1 , awayj If .he^ will ,scrid> aTnew; creVr >. 'Meanwhlle,VtheYpass*en 8era a n a ,'crew. lendfallgtheirlclothingriandSeffectsJare'f 3beins^sclenttficalljr|[cleaned^ Clothing^ I and eetsj are! subjected \ toTgreat * heat ** |eitheri*dry.|or| steam, 1 ? and ithe Jf umes fof | !s formaldehyde. VJS The 7-* passen gers !£ are :; "bathed Land f^ pro vided^with^sterlllzedl; ?ralrnent1;to- wear^untii: their 'ownfgar- 1 : raentajiiavajlbjiengthrough :-a^proce3jif I whicha no f serm if br^bug | can fsurvtve. 1^ I EaehfVlay^everybbdy;s^ temperature Is % 5 taken-^ and^lf *at T 4the3 end* of '%£% wepk |. |p?7j^^go^^^^gjgp^^^r^ iare^lmilaT^tolthoBeltakerigforJstamp^ |lhg : |^oatnhe(pI^gue|gem3 t 1except1that > S the 3; period 5 of A detention^ Is ronlyW five ' \day 8,^*1 .Thfif f ood f supply 5 oh "i tliel shlplls « pguallyjjbuxnjafe