APPENDIX I 



ANTI-TUBERCULOSIS WORK DONE DURING 

 AND AFTER THE WORLD WAR BY THE SUR- 

 GEON GENERAL'S OFFICES OF THE UNITED 

 STATES ARMY, THE UNITED STATES NAVY, 

 AND THE UNITED STATES PUBLIC HEALTH 

 SERVICE 



UNITED STATES ARMY 



IN April, 1917, the United States entered the world war. 

 The orders issued from the Surgeon General's office of the 

 army concerning the general, careful, and thoroughly 

 scientific measures taken to exclude the tuberculous from Army 

 and Navy, have already been referred to in the biographies of 

 Major General Gorgas and Col. George E. Bushnell. It seems 

 desirable, however, to outline briefly here, as an important 

 historical item in the an ti- tuberculosis crusade in the United 

 States, the admirable work done under the direction of the 

 Surgeon General's office by the draft and camp surgeons. We 

 are indebted to Major General Ireland, the present Surgeon 

 General, for the following valuable statistics showing the rejec- 

 tion of selective service men by local and camp examining boards: 

 Among the 3,764,101 men examined, there were 58,916 found 

 actually suffering from pulmonary tuberculosis, 17,055 with 

 suspected tuberculosis, and 9,410 afflicted with tuberculosis of 

 other organs than the lungs. Seven thousand, three hundred and 

 sixty (7,360) were rejected because of defective physical develop- 

 ment, 2,299 f r deficient chest measurement, 70,608 because of 

 underweight, and 769 for malnutrition. These four latter conr 

 ditions are well known to be predisposing to tuberculosis. This 

 would mean that 166,417 men were either actually tuberculous, 

 suspected of tuberculosis or, by reason of their physical defects, 

 predisposed to the disease. If we add to this figure 9,674 afflicted 

 with syphilis and its sequelae, which also predisposes to tubercu- 



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