TUBERCULOSIS. LEPROSY 93 



patient continually expectorates upon the floor or 

 pavement, he is a menace not only to his family, but 

 to the whole community in which he lives. 



" Cornet states that for the ten years ending with 

 1897 the death rate from consumption in Germany 

 was 21.5 per 10,000 against 31.4 for a corresponding 

 previous period. He believes the result due to more 

 general efforts at the suppression of indiscriminate 

 spitting and more care in preventing tuberculous 

 sputum from becoming dried and disseminated 

 through the air as dust." (Abbott.) 



The prejudice against the establishment of sana- 

 toria for the segregation of tuberculous patients 

 who are unable to have proper care and control 

 for the protection of their families, is gradually 

 dying out as general intelligence upon the subject 

 increases, and many such institutions are being built 

 in the large cities, while camps and cottage hospitals 

 for incipient cases in all parts of the country are 

 restoring health to thousands. 



The whole system for the prevention of tuberculo- 

 sis may be summed up in a very few words, viz. 

 sunlight, fresh air, and cleanliness, but in the last 

 lies the great stumbling block. The practice of 

 cleanliness must begin with the infant; no adult 

 reared in unclean surroundings can ever be taught 



