New-York tribune., 1901-08-03

tuberculosis of the intestine was found But such
cases are extremely rare Among many cases OF
membered having seen primary tuberculosis of the
TEN material of the Charlie Hospital Berlin. ten
cases of primary tuberculosis of the intestine oc-
CURED IN hNe years Among S}S cases OF tuber-
Gulosis IN children at the Emperor and Empress
found tuberculosis Of the intestine without stimuli
taneous disease Of the lungs and the bronchial
tubercular children Bedert observed only 16 cases Of
piilSIS tuoerGuosts OF thS lhtesine- ne couIu @
statistics Of the same kind. all ndubitaby showing
that primary tuberculosis of the intestine, es-
pecally among children. a comparatively rare
disease, and OF these few cases that had been
due infection by bovine tuberculosis. 1t
MaS 2usI as dkeIy mat mann ihey were catS6d pX Ine
which might have got into the digestice canal in
saliva Of the mouth. Hitherto nobody could decide
with certainty in such a case whether the tuher-
fbat Vas 1eoessary vs. "a cuItvafe i'm pIlre culture
terial and to ascertain whether they belonged TO
which might have got into the digestive canal in
For this purpose he recommended subcutaneous in
lection which yielded quite specially character
istic and convincing results For hall year past
he had occupied himself with such investigations.
but owing 10 the Tareness OF the disease IN 9ues -
investigate was but small. What had hitherto re
the assumption that bovine tuberculosis occurred
man. Though the important question whether man
not Yet absolutely decided, and would not admit
Of absolute decision to-day or to-morrow one was
a suseeptibility really existed the infection of
lbdnd 6gSs m og very a neon by the milk
and flesh of tubercular cattle, and the butter made
itary transmission, and he therefore did deem it
advisable 10 take any measures against It,
THE MAIN SOURCE OF INFECTION.
So the only main source of the infection of tuber-
culosis was the sputum Of consumptive patients.
culosis must aim at the prevention OF the dangers
arising from its diffusion Well what was to be
Ones first thought might be 10 consign all persons
suffering from tuberculosis of the lungs whose
Nshments. That. however. was not only absolutely
impractcabIe but also unnecessary for con
sumptiVe who coUghed tubercle baCili not
so long as he took care that his sputum was prop
erly removed and rendered innocuous This was
the irsf stages and also OF thoSe who belonged to
the Wei 10 do classes and were able 10 procure
the necessary nursing. But how IL with people
very small means? Every medical man who had
often entered the dwellings, OF the poor-and he
could speak this point from his experience
knew how sad was the lot OF consumptiyes and
their families there The whole family had to live
IN one two small. i-yentilated rooms. The
patient was left without the nursing he needed. be
cause the able bodied members Of the family must
go 10 their work How could the necessary ceanli-
ness be secured under such circumstances2 How
was such helpless patient 10 remove his sputum
mat il might do no harm? But let them go a step
further and picture the condition OF = poor CON
SImpuve patients dwelling at night The whole
1a4iL-e slep' CiONhSU NselAet ID one SIhaI room
1IoNther cautious ne might De- tAe sufferer scat
tered the morbid matter secreted by his diseased
lungs every tl-le ne CouGleL ana ms relatives
close beside MN must lnhale this poison. Thus
whole families infected. They died OF.
and awakened in the minds Of those uno
90 not know the righteousness OF tuberculosis
oi-on tnat II vas hereditary, whereas its transmits
sion ln the cases IN question DUE solely the
simplest processes Of Infection which did not strike
people so much, because the consequences did not
appear al once, but generally only Ter the lapse
q years often under such circumstances the in
1e ton was nor restricted single family but
1--ghbors. and then, the admirable inVtstiga-
lions Qf EsgS had SHOWN III The case OF the dense
~ peopled parts OF New York, ,-ular O. or
focl Of disease were formed But If one investi-
nat II was not poverty per that favored tuber-
culosis oUt the bad domestic conditions unde-
which the poor eVerNwh but especially in great
cities had 70 live. For. the German statistics
the poor. when the population densey
packed tOs Tier, and might at ain very great di-
mensiCns among ell - % population when tho
domestic conditions. especially regarded the bed
among the Inhabitants Of the North Sea coast
SO il was the OverCrowded DWELLINGS of the poor
that had 10 regard the real breeding places Of
tuberculosis; II out Of them thst the disea So
always cropped up anew, and II 10 the aboi-
ton Of these conditions that they must first and
foremost direct their attention II they wished 70
attack the evil al its root and % wage war
against L with effective weapons. That being so
being maCa in almost ! countries 10 improve the
domestic conditions of The poor. He ais
convinced that those sfortS. which must be pro-
NOTED in every way. r-5rli lead a cousidera-
must elapse ere essential changes could be effected
IN his direction, and much might be done mean
while in order 10 reach the soal much more rapidly
CONSUMPTION HOSPITALS
II We Wer- not able AZ present 10 get rid O the