hrulicka] 



PHYSIOLOGICAL AND MEDICAL OBSERVATIONS 



211 



Frequency of tuberculosis — ( 'Diilinucd 



Designation. 



Shawnee 



Yuma 



Chippewa 



Indians 



do 



do 



Ute 



Omaha 



Mohave 



Paiute 



Iroquois (Oneida) 



Cherokee 



Apache 



Indians 



do 



Shoshoni and Arapaho 



Navaho 



Pueblos and Navaho . . 



Agency or scliool. 



Sauk and Fox agency, Okla 



Fort Yuma school and reservation, Cal 



Leech Lake agency, Minn 



Klamath agency, Oreg 



Fort Bcrthold agency, N. Dak 



Fort Belknap agency, Mont 



Southern Ute agency, Colo 



Omaha agency, Nebr 



Fort Mohave agency, Ariz 



Carson school, Nev , 



Oneida agency. Wis 



Eastern Cherokee school, N. C 



Jicarilla agency, N. Mex 



Haskell Institute, Lawrence, Kans. . . . 



Pecane school, Ind. T 



Shoshoni agency, Wyo 



Navaho agency, N. Mex 



San Juan agency, N. Mex 



Tuberculosis 

 (per 1,000). 



Pul- 

 mo- 

 nary. 



Bones 



and 



joints. 



Gland- 

 ular. 



1.7 

 1.5 



7.4 

 2.6 

 4.1 

 8.1 



2.3 



1.1 



2.4 



.5 



16..'? 

 6.7 

 4.0 

 7.. 3 



1.3 

 2.6 



There were in all 91 acceptable reports on tubercular tliseases, 

 applying to 107,000 Indian population. They gave 2,836 cases of 

 the disease, of which 1,038 were of the pulmonary, 208 of the bone 

 and joint, and 1,590 of the glandular variety. The given relation 

 was 100 of pulmonary tuberculosis to 20 of that of bones and joints 

 and 153 of glands. 



The proportion of the several forms of the diseases to the popula- 

 tion was as follows: 



Cases per 1,000. 



Pulmonary tuberculosis 9.7 



Tuberculcjsis of ]:)ones and joints L 95 



Glandular tul^erculosis 15. 



The writer searched in vain for suitable statistics with which the 

 above could be compared. There are many and extensive data as 

 to the mortality from tuberculous diseases, but not as to the mor- 

 bidity. Deaths from phthisis among the whites of the United States 

 vary according to localities from 1.5 to 5.5 and in Europe from 2 to 

 9 per thousand of population, or 1 in 5 to 1 in 7 of all deaths; but 

 these figures give no accurate clew as to the distribution of the dis- 

 ease among the living. In all probability the proportion of the sev- 

 eral main varieties of tuberculosis is not much if any larger among 

 the Indians as a whole than it is among the poorer classes of white 

 people, particularly those of industrial centers, as a whole. There 

 are, however, great differences among the tribes. In some the disease 

 is decidedly rare, while in other tribes its proportions are appalling. 



