828 
PROCEEDINGS OF SECTION T. 
only a sighing sound, it is a case of pleuro-pneumonia.” It is not 
possible always to distinguish these diseases without microscopic 
examinations, and I think it is very clear some check should be put 
on this so-called u pleuro-inoculation.” Competent judges should be 
satisfied the case is one of pleuro-pneumonia before any virus obtained 
may be used for inoculation. 
In America, England, and other places active steps are now being 
taken to prevent the spread of tuberculosis amongst human beings. 
In the United States most of the health departments are actively 
circulating pamphlets to all medical practitioners and amongst the 
people generally, setting forth that — 
Firstly . — Tuberculosis is a communicable disease, and is distinctly 
preventable. 
Secondly . — It is acquired by direct transmission of the tubercle 
bacilli from the sick to the healthy, usually by means of the dried and 
pulverised sputum floating in the air as dust, and that the discharges 
from the lungs of tubercular patients are dangerous not only to others 
but also to the patient afflicted. 
Thirdly . — The disease can be largely prevented by simple and easily 
applied measures of cleanliness and disinfection, and by segregation of 
persons suffering from the disease. 
Hospital authorities are urged to make provision for the separa- 
tion of persons suffering from pulmonary consumption from those 
persons affected with other diseases; that separate wards and special 
hospitals be provided for the exclusive treatment of this disease, and, 
as far as possible, all persons suffering from consumption be trans- 
ferred to these hospitals. 
By the Xew York Board of Health it is required that physicians 
and other persons, and the authorities of all institutions, forward to 
the Health Department the name, address, age, and sex of every 
consumptive person coming under their observation within seven days 
of such time ; and, on receipt of this notice, the medical sanitary 
inspectors detailed for the work visit the premises in all cases (unless 
otherwise ordered), distribute circulars, and instruct the consumptive 
and family as to the measures to be taken to prevent the spread of 
the disease, and, if required, give such advice and directions as shall 
seem necessary for the cleansing or renovation of the apartments to 
render it free from infectious material. 
In the case of death or removal, written directions are given as 
to disinfection ; and a notice is posted on the door of the apartment, 
stating that consumption is a communicable disease, that the room 
has been occupied by a consumptive audis an infected place, and that it 
must not be occupied by persons other than those already residing 
there until the directions for disinfection have been complied with. 
The notice may not be removed until after disinfection has been 
satisfactorily carried out. 
In the house patients should always expectorate into spittoons 
containing a suitable disinfectant. A convenient formula is corrosive 
sublimate, one drachm ; hydrochloric acid, two ounces ; blue coloured 
water, one gallon. In the street an expectoration flask should be 
used. The mouth should be wiped with bits of rags or Japauese 
paper, and these burned as soon as possible, before the expectoration 
