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W at two and H at three gives one word, and it is a cry of regret from northern dialect.
It expresses sorrow or regret, something like alas. The word belongs to northern English and Scots dialect writing and has never had a place in standard English.
That makes it a different kind of entry from most single word pages. It is not a technical term or an old noun, but a sound someone once wrote down.
The word opens and closes on the same letter while placing a second W in the third box. For five letters that is a strange arrangement, and it is part of why the entry looks invented.
Every box holds one option, so the page has no distribution at all. E opens it, O sits in the fourth box and W closes it.
So landing on the pair hands you the answer immediately, which is the only useful thing this page can do for you.
As a standalone exclamation in dialogue, the way alas or oh dear might be used. It never takes a grammatical role in a sentence.
Roughly as ee WOW. The spelling is an attempt to capture a spoken cry rather than a settled written form.
Nineteenth century dialect dictionaries recorded them carefully, and later word lists inherited the entries wholesale.
No. With one entry and no way to reason towards it, this is a page to recognise rather than chase.
Yes. The W appears in the third box and again at the end, though never side by side, so zero of the one counts as a true double.