THE FRAMINGHAM DEMONSTRATION 71 



torium, Saranac Lake, N. Y.; Dr. H. R. M. Landis, Phipps 

 Institute, Philadelphia, Pa. 



The Appraisal Committee reported favorably on the results of 

 the Demonstration and recommended its continuation for a 

 limited period, a recommendation which has been adopted. 



The report of the Committee summarizes the results of the 

 Demonstration as follows: 



"i. THE EXTENT OF TUBERCULOSIS 



"The first step, a determination of the actual prevalence of tuberculosis 

 infection, has been accomplished with a high degree of success, giving us for 

 the first time a fairly complete picture of the amount of tuberculosis actually 

 existing in a typical American community. 



"2. THE CONSULTATION SERVICE 



"The most important of all the practical contributions made by the Demon- 

 stration is the working out of a plan for medical consultation service, which is 

 clearly the most promising means yet devised for securing a reasonably com- 

 plete knowledge of the amount of tuberculosis existing in a given community. 

 The consultation service plan has attracted wide attention throughout the 

 country. 



"3. TUBERCULOSIS TREATMENT 



"The machinery adopted for the treatment of cases of tuberculosis after 

 they have been discovered has been modeled along generally accepted lines. 

 The work has been accomplished efficiently and successfully. 



"4. STANDARDS OF DIAGNOSIS 



"The officers of the Demonstration have prepared a scheme of diagnostic 

 standards for tuberculosis which has attracted wide attention. 



"5. DEATH CERTIFICATION ANALYSIS 



"The careful analysis of death certificates, showing that the actual deaths 

 from tuberculosis in Framingham were 22 per cent, in excess of the reported 

 deaths from this disease, also constitutes a valuable contribution. 



"6. SANITARY STUDIES 



"From the standpoint of general environmental causes effecting the spread 

 and development of tuberculosis, the staff of the Demonstration has conducted 

 valuable studies of schools, factories, and municipal health conditions. 



"7. GENERAL SICKNESS PREVALENCE 



"The medical examination drives have yielded some of the most complete 

 data in regard to the prevalence of disease of all sorts in a random section of the 

 population that have ever been collected in this country. 



