74 A HISTORY OF NATIONAL TUBERCULOSIS ASSOCIATION 



sanatorium beds to care for its adult and child tuberculosis cases needing in- 

 stitutional care. In fact, 200 beds will more nearly meet the needs disclosed 

 by intensive search for tuberculosis. 



"V. WHAT PERCENTAGE OF CASES SHOULD BE GIVEN HOSPITAL 



OR SANATORIUM TREATMENT? 



"In Framingham the cases during any one year needing and being bene- 

 fited by institutional care constitute about 33 per cent, of the total number of 

 active cases under observation or treatment. This, of course, includes many 

 early cases, given the educational and hygienic advantages of perhaps only a 

 few months' stay in a sanatorium. 



"VI. WHAT CONSTITUTES A COMPREHENSIVE EDUCATIONAL 



PROGRAM ? 

 "An educational program should fight: 



"a. Infection by promoting respiratory hygiene, by improving milk 

 supplies, by improving general sanitation, etc. 



"b. Disease by lessening stress or strain, mental or physical; by im- 

 proving economic, social and nutritional conditions; by promoting construc- 

 tive personal hygiene. 



"c. Death by popularizing and making adequate provision for insti- 

 tutional and home treatment. 



"VII. WHAT COMMUNITY MACHINERY IS NECESSARY? 



"a. Medical machinery to find tuberculosis cases a school or factory 

 physician for every 3,000 individuals, a clinic and consultation service, etc. 



"b. An adequate nursing service tuberculosis nurses (or general public 

 health nurses at least I to every 2 or 3,000 people), infant welfare, school, 

 factory and home nursing, arrested case follow-up, etc. 



"c. Adequate institutional equipment. 



"d. An educational program. 



"e. Proper community organization, adequate legislation, general sani- 

 tation, research, etc. 



"VIII. WHAT WILL IT COST? 



"It is impossible to separate the cost of tuberculosis work from the cost of 

 general health work. In Framingham for all kinds of health work, including 

 tuberculosis, before the Demonstration there was being spent 40 cents per 

 capita per year. Now the community is spending over $2.00 per capita per 

 year from both public and private sources. 



"In our city of 100,000, therefore, an adequate health budget would be at 

 least $200,000 a year. Probably $100,000 of this should come from public 

 sources through taxation, and another $100,000 from private sources, to carry 

 on civic, social, industrial and other non-official activities. 



