104 A HISTORY OF NATIONAL TUBERCULOSIS ASSOCIATION 



been formed, and by 1908 it had already secured a municipal tu- 

 berculosis sanatorium. 



The Detroit Society for the Study and Prevention of Tubercu- 

 losis had been organized in 1905. Except for these two centers, 

 relatively little work in tuberculosis prevention had been done 

 throughout the state. 



The state sanatorium was established in 1907. Since that time 

 19 county sanatoria and one private sanatorium have come into 

 existence or are provided for. There are 24 permanent local 

 clinics and about as many irregular local clinics. The State 

 Board of Health in cooperation with the State Association main- 

 tains a traveling clinic. There are 4 preventoria, 35 open-air 

 schools, 12 special tuberculosis nurses, and approximately 150 

 other public health nurses. 



The State Association has brought into existence local organ- 

 izations in about 60 different communities. Most of the state is 

 now covered with associations and in some of these full-time 

 executives are employed. 



One of the most significant achievements of the Michigan Asso- 

 ciation was the famous Michigan survey conducted from 1915 to 

 1917 by the State Board of Health in cooperation with the State 

 Association, under an appropriation of $50,000. This survey 

 was the first state-wide effort of its kind, and brought to light, in 

 the rural communities particularly, a large amount of tubercu- 

 losis that was previously unknown. 



The State Association followed up the survey in 1918-1920 with 

 a series of traveling clinics working in cooperation with the State 

 Board of Health. In this way many of the rural communities 

 of the state have been able to secure expert diagnostic facilities 

 which otherwise would have been impossible to them. 



The death-rate in Michigan, as in most of the states bordering 

 on the Great Lakes, has always been low, but as a result of the ex- 

 tensive activity of the State Association and the State Board of 

 Health it has shown a steady decline from 99.3 in 1908 to 83.6 in 

 1920. 



The headquarters of the Michigan Tuberculosis Association are 

 at 209 Shiawassee St., West, Lansing, Michigan, and the executive 

 secretary is Mr. Theodore J. Werle. 



