SIXTH CONGRESS ON TUBERCULOSIS. 315 



OFFICIAL VISITS. 



Philadelphia, White Haven, Saranac, Boston, and New York were 

 visited for the purpose of observing the dispensary and hospital work 

 in large cities as well as the manner in which the different kind of 

 sanatoria are conducted. After carefully inquiring into and seeing the 

 foregoing, it is again plainly evident that the authorities are practically 

 unanimous in their methods of combating tuberculosis, the principal 

 difference being to suit them to the financial abilities of the different 

 communities in which they were in force. 



The measures readily divide themselves into the following: 



1. Registration and classification of cases. 



2. Popular lectures on tuberculosis and popular articles in the press. 



3. Treatment of tuberculosis by the dispensary system. 



4. Confining the hopeless cases in separate hospitals located in the city. 



5. Sending early cases to a sanatorium in the country. 



TUBERCULOSIS WOEK IN PENNSYLVANIA. 



As practically all the States are endeavoring to adopt the systems 

 in use in Pennsylvania, Maryland, New York, and Massachusetts, the 

 one now used in Pennsylvania is hereby briefly outlined : 



1. The collection and tabulation of statistics relating to tuberculosis, through 

 official morbidity and mortality reports of each individual case. 



2. The establishment of one or more sanatoria for the treatment of incipient 

 cases, including infirmaries for advanced and hopeless eases. 



3. The establishment of dispensaries in each county of the State for the 

 care of cases vphich can not avail themselves of sanatorium treatment, including 

 home visitations and the study of occupational conditions. 



4. The maintenance of pathological laboratories for the free examination 

 of sputum and tuberculous lesions, and biological laboratories for the possible 

 development of immunitive and curative products. 



5. The restriction of tuberculosis by the disinfection of rooms, buildings 

 (private and public), conveyances, and carriers, and by supervision and regulation 

 over the general avenues of infection. 



6. The dissemination of knowledge relative to the communicability, care, and 

 prevention of tuberculosis. 



The last session of the Pennsylvania legislature appropriated 

 $1,000,000, United States currency, for the continuation of the fight 

 against tuberculosis in that State. The sums raised from private effort 

 probably amounted to as much again. Dr. Lawrence Flick, the eminent 

 authority on tuberculosis, estimates that as a result of this appropriation 

 at least 5,000 lives are already saved annually in Pennsylvania alone. 



DISPENSARIES. 



One of the principal weapons with which to combat tuberculosis in 

 large cities is the use of the outdoor dispensary, at which no other 

 disease except tuberculosis is treated. Pennsylvania has established 



