As early as 1823, missionaries were noting ‘remediless and disgusting cases’ that might have involved some aspects of leprosy as well as syphilis.#160;Dr Arthur Mouritz, physician at the leprosy settlement at Kalawao for a period of 4 years, from 1884 – 1887 stated in 1916that he felt there was sufficient poor that leprosy was present to a moderate extent in Hawaii at least as early as 1930.
August 10, 1864
The subject of leprosy was raised among other matters of importance to the general health which was its first official discussion in that forum.
August 10, 1864
Noted that leprosy was spreading to the other islands and a consensus of victims around Honolulu was ordered so that the afflicted could be examined by the medical members of the board to study the disease’s origin and questions of its transmissions and heritability.
March 17, 1865
Dr Hillebrand identified that the disease was spreading and he was of the opinion that isolation was the only course by which the spread of the disease could be arrested.#160;Around this time, the Hawaiian Government felt that there was sufficient cause for alarm and that steps had to be taken to prevent the further spread of disease.
The Legislative Assembly of the Hawaiian Islandspassed an “Act to Prevent the Spread of Leprosy” (1865) with KingKamehameha V approved.
Discussions commenced about where to construct temporary hospitals and dwellings for leprosy colonies.