Lecture Ix

THE CAUSATION OF TUBERCULOSIS AND THE MEASURES FOR ITS CONTROL IN ENGLAND 191-239

A. Basic Facts as to Tuberculosis. Explanations of the Decreasing Death-rate from Tuberculosis.

Diminished Virulence of the Tubercle Bacillus. Increased Human Resistance by Natural Selection. Immunization by Small Doses of the Contagium. Diminished Tuberculosis with Increased Aggregation of Population. Hospital Treatment of Consumptives. Koch’s Views as to Hospital Segregation. Improved Housing in Reduction of Tuberculosis.

B. Measures of Control. Notification of Cases. Causes of Failure in Notification. Public Health Action following Notification. Examination of Contacts. Scope of Tuberculosis Schemes. Tuberculosis Dispensaries. Should be Part of General Dispensaries. The Home Visitation of Patients. Sanatorium Benefit. Residential Institutions. General Observations on Treatment in Sanatoria. Hospital Treatment. Industrial Colonies. Special Dwellings and Help in Support. Summary.