NO. I AIR AND TUBERCULOSIS — HINSDALE 3 



The late Dr. Henry I. Bowditch, of Boston, was one of the first 

 physicians in America to recognize the value of constant out-door 

 life in the treatment of tuberculosis and was accustomed to send 

 such patients on easy journeys by carriage so that they might have 

 the benefit of as much out-door air as possible, becoming gradually 

 inured to the elements. 



The late Dr. Alfred L. Loomis, of New York, was one of the first 

 to systematically send tuberculous patients to the Adirondack forest 

 that they might have the benefit of the purest and most invigorating 

 air obtainable and, like the physicians of ancient Rome who sent 

 consumptive patients to the pine forests of Libya, he believed that 

 the terebinthinate exhalations from the standing pines exerted a most 

 beneficial influence on pulmonary affections. Dr. Loomis's results 

 were so gratifying that he encouraged Dr. Edward L. Trudeau to 

 care for such patients in the Adirondack Mountains throughout 

 the year, and Dr. Trudeau, with his help, founded in 1884 the first 

 sanatorium for tuberculosis in America." 



This Adirondack Cottage Sanitarium, now in its thirtieth year, 

 has been the inspiration of sanatoria for tuberculosis throughout 

 the country. Its success in restoring so many patients to health 

 and usefulness is not wholly estimated in figures. It has established 



Cresson, Cambria Co. 



No. of patients under treatment : 2,37 



Elevation 2,550 ft. 



Hamburg, Berks Co. 



In the course of construction and will be completed some 

 time in 1914. 



Capacity 480 



Elevation 55o ft. 



These institutions care for both incipient and far advanced cases. The 

 interior arrangement of the sanatoria at Cresson and Hamburg is such that 

 they can be used for the different classes of cases as demand may necessitate. 

 There is a waiting list of those desiring admission to these institutions at all 

 times. 



The State maintains 115 Tuberculosis Dispensaries, which are located 

 throughout the 67 counties in the commonwealth. There are 220 physicians 

 and 120 visiting nurses employed in these dispensaries. 



By the courtesy of Dr. Samuel G. Dixon, Commissioner of Health, we are 

 able to show in a map the distribution of tuberculosis in the counties of Penn- 

 sylvania (pi. i). This shows, as in an earlier map by the author, that the dis- 

 ease is least prevalent in the higher, forest covered regions of the State. 



' A. L. Loomis, M. D. Evergreen Forests as a therapeutic agent in pul- 

 monary phthisis (Trans. Amer. Climatological Ass., Vol. 4, 1887). See page 

 134- 



