Early in January, 1890, Dr. Trousseau, the port physician, reported many cases existing among passengers, on the mail steamer en route to the Colonies. In its journey westward from its initial starting point in Russia to the confines of California, its march has been marked by great prevalence and fatality. In Hawaii with its mild and salubrious climate, its intensity is greatly modified, and although it caused great distress and physical suffering, very few deaths have resulted from it. This disease has prevailed as an epidemic on several former occasions under the name of Influenza. Other extracts from the same Report are as follows: Agent Reynolds, “Influenza has visited most of the families in town since its arrival, but deaths have been few.” Dr. S. B. Swift, “At Kalaupapa, females at the Bishop Home were most affected.” Dr. Jared Smith, Kauai. “Extreme prevalence of Influenza of mild type, began the middle of January.” Dr. D. Campbell, Waimea, Kauai. “Influenza widespread.” Dr. Greenfield, Hamakua, Hawaii. “No Influenza epidemic. Catarrh and Bronchitis; wet and cold weather.” Dr. G. Herbert. Wailuku, Maui. “One-third of the population affected: at least 3,000 cases. One Pneumonia case fatal. Symptoms: Fever, frontal and occipital headache, spinal and limb pains. Pulmonary congestion and occasionally Pneumonia.” Estimated number of cases of Influenza: Island of Oahu 6,500 Population 28,000 〃 Maui 3,300 〃 〃 19,000 Deaths in Honolulu February 3 March 5 — Total 8 EARLIER ARRIVAL OF INFLUENZA. (Hawaii invaded from Japan.) On or about the 20th of August, 1889, recently arrived Japanese laborers had Influenza in a mild form. This shipment on arrival from Japan, at Honolulu, were transferred immediately from the ocean steamer to the deck of an Inter-Island one, and were landed direct at Onomea and Hakalau plantations. The type of Influenza was very mild, never infected other laborers; those who had the disease were segregated for a week. At Onomea there were nine cases, at Hakalau eleven. (Author.) The epidemic of 1890 left a trail of its own, somewhat different from the way it had acted as an epidemic; for almost a decade cases of the nervous type frequently kept cropping out; these were attended with Insomnia, great prostration, severe neuritis and facial neuralgia; frequent attacks and relapses in the intervals, of this Nervous form of Influenza, were responsible for the decease of Honolulu’s most prominent physician in the year of 1894. The last, and fatal attack, the Doctor believed he acquired from visitors to Honolulu from Siberia, that country and European Russia being a continuous source of Endemic Influenza.