106 Tl m K> I LOSIS AS A DISEASE OF TIM M kSSBS 



1858-60 . . . . . . 2,565.0 



1861-65 . . 2,526.6 



1876-80 . . . . 2,039.8 



1880-90 



1890-190U 

 P.M. 1-1905 





In the 1'nited States, especially durin.i: tin- la-t ten \ 



iu r h thr working to: i municipal prophylaxis and 



popular education, an<l through the establishment of sana- 

 toria and sjweial liospitals for the treatment of tuberriilo>H. 

 the death rate ha< likewise diminished materially. Dr. Otis, 

 in the chapter on "The Future Outlook." in his book "Tin- 

 Great White Plague," gives the following fig'. 



"In five Eastern States and ten cities of the I'nited States, 

 the mortality has bem n-duced from 27J2 per m.onn in 1S87 to 

 21.2 per 10,000 in 1900, a diminution of IS per cent. In New 

 York City the death rate from tuberculosis has diminished from 

 Z7.9 per 10,000 in 1900 to 22.9 in 1908, and during the ten- 

 period from 1892 to 1902 the death rate from consnni|>- 

 tion and tuberculous meningitis in children in New York has 



diminished more than 40 per cent. In Massachu 

 where careful statistics have l>een kept for a long period, the 

 diminution of deaths from consumption during fifty years ending 

 in 1902 was 63 percent; and from 1892 to 1902, a period 

 years, the diminution has been from 24.5 to 15.8, or a little over 

 'lit." 



These figures are perhaps the best answer to the question 

 a<ked at the head of this chapter. 



CHAPTER XXXI 



WHAT CAN PHILANTHROPISTS AND OTHER MEN AND \\O\n 

 GOOD WILL Do TO HELP COMBAT TUBERCULOSIS AS \ 1 

 n "i THE MASSES? 



In Chapter X XV. we have spoken of the urgent need of sana- 

 toria and special hospitals for the consumptive poor. These 

 institutions are particularly wanted in large centres of pop- 

 ulation. In nearly all of our large cities there are thousands 

 of poor consumptives living without care or treatment in their 

 dark, filthy tenement-houses, and spreading their disea 

 their kin and neighbors. Perhaps not oneof all the great cities 

 of the Union at the present time can offer sufficient hospital 



