298 THE AMERICAN MONTHLY [Oct., 



being boiled or, what is preferable, the quality of the 

 milk being considered, kept at a temperature of 70 C. for 

 half an hour. 



PRECAUTIONS FOR PATIENTS OUT OF DOORS. 



When on the street or away from home the sputa 

 should be received in paper napkins and deposited in a 

 tight metal box carried for the purpose. Immediately on 

 arriving home the napkins should be burned and the box 

 disinfected by heat, an efficient disinfectant solution or 

 even by boiling water. Handkerchiefs should not be 

 used to receive sputa. 



Isolation or quarantine is not necessary. The expired 

 air from the lungs of the sufferer from tuberculosis does 

 not co7itain the germs of the disease, and there is no danger 

 to the most intimate associates so long as contact with 

 the sputum is avoided. 



WHAT IS BEING DONE. 



It is pleasing to note that sanitary authorities through- 

 out the world have already taken measures looking to the 

 restriction of tuberculosis. The Government of Prussia 

 has published a series of recommendations for the pre- 

 vention of this disease. The Minister of the Interior at 

 Wurtemberg, and the Minister of the Interior of Russia 

 have issued instructions regarding measures to be taken 

 against the spread of tuberculosis in public institutions. 

 The Michigan State Board of Health has officially declared 

 it a contagious disease, and included it among those in 

 which compulsory notification is required. 



The New York City Health Department has deter- 

 mined to inaugurate advanced measures for its active 

 surveillance, and the Department of Charities and Cor- 

 rection of New York has at the same time signified its 

 intention of setting apart a hospital for the ^exclusive 

 treatment of consumption as it occurs among the poor. 



The Board of Health of Philadelphia has issued a cir- 



