118 Ti in IK i I < SIS IS \ DISE \-K OP 



r. M ISSES 



First Sana- 

 toria for 

 Consump- 

 tives in the 

 United 

 States. 



First Sea- 

 side Sana- 

 torium for 

 Tuberculous 

 Children. 



Reporting of 

 Tubercu- 

 losis Cases. 



First Special 

 Tubercu- 

 losis Dis- 

 pensaries. 



States was established by Dr. J. W. Cleitsmann some 

 thirty years ago (1875), at Asheville, N. C, It was foil, wed 

 years later (1884) by the establishment of the first sanatorium 

 for the consumptive poor through the personal efforts ;uxl deVO- 

 tion of 1>: EL I.. Tnideau, of Saranac hake. Thr lirst sana- 

 toriuni established near a large city and without regard to any 

 climatic advantages was the Sharon Sanatorium, near 1'. 

 It was opened in is 1 . MI. ii owes its existence to the enthu 

 and personal work of Dr. Vincent Y. Bowditch. The construc- 

 tion of the first State sanatorium for consumptives was author- 

 ized l>y an act of the Legislature of the State of Mas.- 

 in 1895. It is -situated at Rutland, Mass., and was opened for 

 lion of patients on ( )ct. 1, 1898. 



In P.M):> there was established at Lake Kushaqua, N. Y 

 institution called the Stony Wold Sanatorium, which is unique 

 of its kind. It owes its inception to the thoughtful wives of two 

 New York physicians, Mrs. James E. Newcomb and Mrs. 

 F. Shrady: it is consecrated exclusively to the treatment of 

 consumptive workingwomen and children and maintained mainly 

 by noble-hearted women of wealth. 



The first seaside sanatorium for tuberculous and scrofulous 

 children, called Sea Breeze, was established some years ago 

 (1904) by the Society for the Improvement of the Condition of 

 the Poor, and is si tua f ed on Con i v Island. 



A voluntary notification of private cases of tuberculosis and a 

 compulsory one for all cases treated in institutions was in- 

 augurated by the New York Health Department in ISM. In 

 1897 the Department adopted regulations requiring the noti- 

 fication of all cases. 



The first dispensary class in the United States, devoted ex- 

 clusively to the treatment of tuberculosis, was inaugurated in 

 1894 by Dr. Edward J. Hermin.irham of this city, at the New 

 York Throat and Nose Hospital. 



The first municipal dispensary for the treatment of the con- 

 sumptive poor was established by the city of New York under 

 t lie name of Clinic for Pulmonary Diseases of the Health I 

 ment. It was started mainly through the initiative of Prof. 

 Hermann M. Biggs, the General Medical Officer of the city, and 

 was opened March 1, 1904. Since then dispensaries for tuber- 

 culous patients have been established in many of the larger < -it i< -s 

 of the United States. 



The first society for the prevention of tuberculous was the 

 Pennsylvania Society founded in 1SU2 l.y Dr. Lawrence V. Hick, 



