264 TUBERCULOSIS. 



the duty of the state to build sanitaria in different parts 

 of the country, where the poor can be taken for treat- 

 ment under compulsion, if necessary. There are at pres- 

 ent many mountain resorts for the well-to- dr>. Moan- 

 tain air is preferable, and that in a tolerably cold cli- 

 mate. Probably the best planned and most beneficial 

 institution for the treatment of tuberculosis in existence 

 to-day is the Adirondack Cottage Sanitarium at Saranac 

 Lake. It has at its head Dr. E. L. Trudeau, a cele- 

 brated student and bacteriologist. It began in 1885 

 with two small buildings to accommodate six patients, 

 while now it has 22 buildings and accommodates 82 pa- 

 tients. Here the system of out-of-door treatment is car 

 ried out as fully as possible. Few medicines are used, 

 and these only to meet various symptoms. About 25 

 per cent of the cases are reported cured, and many more 

 go out with the disease arrested. 



In our county Gen. J. Watts De Peyster has given 

 $30,000 towards building a hospital at Verbank for the 

 care of victims of tuberculosis, and within the past month 

 Mr. J. Pierpont Morgan has contributed $20,000 for 

 building a stone sanitarium at Liberty, Sullivan County, 

 for the treatment of consumptives. These will undoubt- 

 edly be conducted on the Adirondack plan. 



At Asheville, North Carolina, Dr. Karl Von Rach has 

 a sanitarium for the exclusive cure of lung diseases, 

 where he combines the hygienic or fresh air treatment 

 with the etiological or the treatment by animal serums or 

 toxins. In favorable cases he uses tuberculin, but in 

 most cases uses anti-phthisin, a modification of tubercu- 

 lin, made by Prof. Klebs, in which the germ products 

 and toxins are removed. It is claimed for it that it can 

 be used in doses 1,000 times larger than tuberculin with- 

 out any toxic effects. Dr. Von Huch claims for tuber- 

 culin and anti-phthisin that they will cure cases of 

 phthisis where there is not too much degenerated tissue. 



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