The ships returned to Kronstadt in 1806, and Captain Krusenstern was advanced to the rank of Admiral; he is the Author of “A Voyage Round the World,” in 3 volumes, 1810 and 1814, in the Russian language; he also was the Cartographer of an “Atlas of the Pacific Ocean.” On page 199, of the Author’s Monograph “Leprosy in Hawaii,” will be found the following statement: 1804, June 13. The Russian ship “NEVA” arrives; did this ship infect the Islands with CHOLERA? 1804, ? ? A severe and deadly Epidemic disease ravages the Islands, named by the Hawaiian people, the “Ma’i make Okuu,” or the “Ahulau Okuu.” THE AHULAU OKUU. The word Ahulau means a deadly epidemic or pestilence; the word Okuu has two meanings which will be explained later. A description of the symptoms of the victims of the Ahulau Okuu, as related to the Author in the year 1883, is herewith set forth in the _words_ of the narrators, grandchildren of some of those who had been stricken with the Ahulau Okuu, but had recovered. “Owing to the terrible pains in their stomachs, and the cramps in the legs, those who had the New disease could neither stand nor lie down: (hence the meaning of the word Okuu, a verb, to sit up because one has no place to lie down in comfort). “To obtain some relief from the pains, the sick people sat on their hams or heels, with the body bowed forward clasping their stomachs, or sat on the ground, their legs in front and the body bowed in front over the legs. Thin stuff like sour starch water flowed from them very often; some vomited all the time; their faces and bodies became black and cold as like they had died, their eyes grew small and far in the head. They all the time cried for water, for they had a great thirst. People died so fast and so many, nobody was left to bury them. “The sick and the well ones who looked after them, lived on baked sweet potatoes; the people were too tired and weary to make the poi. “It often so happened, those who were not sick when they began to cook the food for the sick ones, were taken with the Ahulau Okuu, and died so quickly, falling over dead on the face, before the potatoes had cooked.” (All the above described conditions are typical of Cholera of the Asiatic type, the most malignant form.) Author. The Ahulau Okuu ravaged all the Islands, and it is said to have caused 22,000 deaths. Kamehameha I, then living on the Island of Oahu, was stricken with the disease, but recovered. (A) The Hawaiian word Okuu, a verb, means, to dismiss or let go the Soul: It is applied to and accepted as describing the last moments of those stricken with the pestilence of 1804: “they dismissed freely their souls and died.” This explanation of the meaning of Okuu is too vague. It gives no clue to the early stages of the disease or its symptoms. The only conclusion that can be safely drawn is that the Okuu was a rapidly fatal and epidemic malady.