77 



in other words, throughout the closed door season. In early days malaria 

 dominated everything; there Avas comparatively little other sickness. Agri- 

 cultural communities as a rule were healthy if there was no malaria about. 

 Today false malaria dominates wherever people are massed, as indicated in 

 my cases for 1906. The student who desires to study malaria will find little 

 opportunity in Indiana today. I have not seen a case for about thirteen 

 years. But for material for a study of False Malaria Indiana can not be 

 excelled. 



Just as malaria has disappeared by cleaning up the breeding places of the 

 rural anopheles mosquito, so false malaria will also disappear when we begin 

 to clean up generally, when we get clean air to breathe. When once an 

 overgrown town begins to become a real city by putt'ng in sewers, paved 

 streets, getting f.lte-'ed water and a clean high school, a so t of civic center, 

 you can readily see why people become less tolerant of the chewer and 

 spitter and in time of the smoker. The smoker, it should be noted, is usually 

 also a spitter. 



If I had time 1 should like to review briefly several medical papers in 

 Avhich 1 developed the theory of dust infection or coniosis, and show how one 

 can distinguish between other affections and diseases. One can treat the 

 subject from two viewpoints, medical and biological. Medically, coniosis 

 can be considered as a disease; biologically, coniosis is a reaction. Regard 

 it as a disease and at once there come to mind treatment, medicine, remedy, 

 cure. Regard it as a reaction, then naturally there comes to mind preven- 

 tion. From the physicians' standpoint, there are two classes of people, 

 those who Take Something and those who Do Something. Some when 

 feeling bad will take all sorts of drugs, including tobacco and alcohol. Others 

 will take a change of environment, of occupation, or of residence. The 

 latter are the wise; there will be more of these when the relationship of 

 cause and effect is once properly understood. 



The second viewpoint, the biological, is to regard coniosis or false malaria 

 as a reaction. Now how can a reaction be cured in the constant presence 

 of a cause? Why are there so many isms and pathies, so many pseudo 

 remedies and new ones constantly arising? Looked at in this light you 

 knock the props out from under the patent medicine man and the symptom- 

 prescribing doctor and quack. 



COLD AND COLDS. 1903. It is scarcely necessary to comment 



