TUBERCULOSIS AS A DISEASK Ol I in M kSSl 



vated, relative!;, om dust and trailic. Only patients 



suffering from tuU-rculosis arc I. The greatest 



(\rrci- in buildings and surroundings, to avoid 



ili- ansmLssion of the disease to employees \i>i 



or tin- neighbors of tin- institution. and equaOy great car 

 cd to prevent a reinfection of tin- patients themse; 

 All the precautions enuinerate<l in Ch; V. and V.. \vhieh 



provide for the proper dis|x*>al ami destruction of the infec- 

 tious expectoration, are carried out with the utmost ri^or in 

 the sanatorium. A voluntary violation of rules, relatin. 

 the disposal of the expectoration, is followed by imme.i 

 dismissal of the offender. 



The hygienic and preventive mea>ures in these modern 

 sanatoria are so thorough that it may he said on* is in 

 danger of becoming infected with the p-rms imption 



Hygiene in there than anywhere else.- It is of the rarest occurrence that 

 the Sana- any of the physicians, nurses, or employees in >ueh an inMitu- 

 torium. tion contract tuberculosis. It seems to us that this is a very 



good proof of how easily infection can be avoided when pi 

 cian and patient work together to combat the tubercle bacillu>. 

 this great foe of mankind. 



Another very interesting observation is that in localities 

 where sanatoria for consumptives are situated, the mortality 

 from consumption among the inhabitants of the respective 

 villages lias markedly decreased -inc.- the establishment of the 

 institution. The >plendid hygienic and preventive D 

 instituted in the sanatoria have been voluntarily or uncon- 

 >-imisly imitated by the villagers, and as a result the mortality 

 from pulmonary tuberculosis an nnr the inhabitants has gradu- 

 ally decreased. Thus we are glad to be able to answer in tin- 

 negative the .juestinn BO important in the combat of tubercu- 

 losis as a disease of the masses, "Are sanatoria for con-ump; 

 a danger to the neighborhood?" m well-conducted >ana- 



toria for consumptives no danger can arise to the surroundi- 



The 8tatistics of tll( ' villa g es of Goerbersdorf and l-'alkenstein, 

 wlu ' rr five ^ ^ e largest German sanatoria have been located 

 dorfand ^ or n^any years, show that the mortality from tubenulo^ 

 Falken- has been reduced one-third from what it was before the estab- 



stein. lishment of the.-.- in>titutions. 



In* Rutland, Mass., when- the Massachu- Sana- 



torium is located, during the six years after the opening of the 

 sanatorium, then- have been only ei^lit death- from tubercu- 

 losis annually, with an increased population; while prior to 



