78 
on this paper because the tobacco factor stands out all over.* The inhala- 
tion of tobacco smoke, especially in those wholly unaccustomed to it, pro- 
duces a depressed circulation; it may be expressed as ‘‘reduced vitality,” 
allowing the germs of infection, of colds and various inflammations, to take 
hold. 
CITY DUST, CAUSE AND EFFECT. 1904. This paper was aimed 
to bring out the relationship between infected dust and the size and number 
of patent medicine ads. in newspapers, how the number and size of these 
depend on the amount of infected dust in the community. Such ads are 
indicators. In the light of later observations, the list of ‘‘dust ads” should 
be enlarged to include other ads, notably health food ads and ads relating 
to teeth and skin, similarly tobacco ads. 
Tobacco along with alcohol must be considered a sedative. Both give 
ease. The Chinese get ease through opium; the East Indian through 
hasheesh. People the world over use certain drugs for ills that accompany 
life under unsanitary house and town conditions. They are pseudo remedies. 
The proper remedy is to clean up. This can not be over-emphasized. 
Did time permit here should come a review of tobacco ads, how they can 
be classified. It is interesting to study these. Some are sensible, they are 
worth studying; on the other hand some are downright drivel, evidently 
written by old men in their dotage. Which are ‘‘the best’ tobaccos, cigars 
and cigarettes? Men who must use tobacco find less need for smoking or 
chewing constantly if strong brands are used. I could tell how men who used 
two-for-a-quarter cigars and smoked constantly changed to “tufers’’ and 
smoked less, and at a greatly reduced cost. 
I could tell of men who ‘‘came back,’’ men who had lost health, perhaps 
not so much by the use of tobacco itself as through the infected air they 
inhaled while using it. I have in mind men whom I advised to get ease by 
the use of good air rather than attempt to get ease through tobacco. In 
other words, offset bad air by good air and reduce the reaction and thus 
reduce ills. (Tables to show how this works out were given in my paper on 
The Aleohol Problem, last year.) 
*Those desiring further details can be referred to a number of my papers, such as 
the Ancti-Spitting Ordinance, in the Bulletin Inaiana State Board of Health. (August, 
1901.) Dust, A Neglected Factor in Ill Health, in the Proceedings of the Indiana 
State Medical Association for 1904, and to Atypical Cases and Dust Infection in 
American Medicine for October, 1904. 
