90 HOLLIS W. FIELD 



covery of the disease germ and the proof of its infectious nature 

 have done more to force the hospital idea upon the modern 

 world than has any other discovery of the pathologist. Out 

 of this knowledge of this most dreaded malady the hospital 

 method in general has received its greater momentum among 

 the people. 



Counting the 111,650 deaths from tuberculosis and ap- 

 portioning the average death to every six having the disease 

 in the United States, there were 666,354 cases of tuberculosis 

 in this country last year, every one of which, in the judgment 

 of the modern physician, should be segregated in some manner 

 from the rest of the community and be led to observe and re- 

 spect the laws, written and unwritten, against infection. 



The latest idea in this line is the consimiptive hospital 

 that shall be erected by the state along institutional Unes, in- 

 volvmg the expenditure of hundreds of thousands of dollars, 

 and the home hospital, which may not be more than a tent in 

 the back yard, or a cot bed in the attic, either bed to be used 

 winter and summer, through the sunshine and the rains. 



The first hospital to be established by a state for the care 

 of consumptives was the Muskoka cottage sanitarium at 

 Grevenhurst, Ont., in 1897. This was for paying patients, 

 and the result was so successful that another was established 

 there five years later for the care of those unable to pay, the 

 two institutions having a capacity of seventy five patients 

 each. Since this experiment across the border, the United 

 States has taken up the movement through its individual states 

 until there is scarcely a geographical division in the union that 

 is not interested in the establishment of a hospital for tuber- 

 culosis patients. New Jersey, for instance, has let the con- 

 tracts for a sanitarium to cost $225,000 exclusive of its equip- 

 ment, the buildings to occupy a tract of 600 acres. 



To-day in the United States and Canada there are 135 

 institutions distributed through the states and provinces for 

 the care of consumptives to the number of 8,400. Almost 

 one third of these patients are cared for in the states of New 

 York and Pennsylvania. Fourteen of these institutions were 

 established in 1902, twenty four in 1903, and twenty one Id 



