162 MICROBES AND HEALTH. 



making the patients' beds, cleaning their rooms, beat- 

 ing the carpets, removing the expectoration, etc., being 

 performed by female servants. During the winter 

 months the rooms are reoccupied by members of the 

 landlord's families. From 1855 to 1888 a period of 

 thirty-three years 10 of the 238 members of the local 

 families died from consumption, and five of the 415 

 servant girls died of the same disease, but in none of 

 these instances, so far as could be ascertained, was the 

 malady traceable to contagion. 



"Dr. J. Adams, of Colorado Springs, Colorado, states 

 that this place has been a health resort for about seven- 

 teen years, and comprises about 11,000 inhabitants, 

 and that the majority of the rooms in the many board- 

 ing and lodging houses are and generally have been 

 occupied by consumptives. After a diligent search 

 throughout the whole city he only found a record of 

 seven cases of consumption that originated among the 

 local inhabitants during this time, and so far as could 

 be found out none of these cases were specially exposed. 



"Dr. P. Langerhans, who practised medicine for nine 

 years in Madeira, an island which is visited every winter 

 season by about 400 consumptives, observes that these 

 invalids are lodged, boarded and in great part nursed 

 by English colonists, varying from 210 to 250 in num- 

 ber, who live in about 100 houses. The rooms which 

 are occupied by consumptives in the winter are reoc- 

 cupied during the summer by the colonists' families, 

 thus insuring the closest intermingling of the well with 

 the sick. The health records of this island, which have 

 been accurately kept since 1836, show that only four 



