298 



Dr. B. T. BuUtrode 



[May 15, 



1902-1905 



Early 43 



Moderately advanced. . 98 

 Advanced 42 



183 



23 



103 



52 



The figures from these several institutions will suffice to bring 

 out one cardinal fact, and that is the enormous importance, in so far 

 as the arrest of the disease is concerned, of securing cases in the 

 earliest stage of the malady. 



Unfortunately, a considerable experience on the part of some 

 sanatoria has shown that this task is by no means as easy as it might 

 be thought. 



Patients, as a rule, fail to seek medical advice until the actual early 

 stage has passed ; in fact, they are usually expectorating tubercle 

 bacilli. But when medical advice is at length sought, patients 

 frequently hesitate to relinquish work, more especially if they are 

 bread-winners. Consequently, by the time the patient reaches the 

 sanatorium, the initial and most hopeful phase of the malady has 

 commonly passed. 



It is clear, therefore, that there is great need for improvement in 



