Evening star. [volume] (Washington, D.C.) 1854-1972, 1906-05-18
USE OF TUD[RCUlA
One Of the Themes Discussed
by National Association.
SOURCES OF INFECTION
Prevention Of tuberculosis Among
Children Considered.
PAPER ON RESULT OF AUToPsIEs
Protection Of the Young Regarded as
Difficult in Small, Crowd
ed Tenements.
PAPER ON RESULT OF AUTops1Es

Gu IeuemeuLS.
Prevention of tuberculosis In children was
the chief matter of popular interest at the
session of the National Association at the
New Willard today There was some delay
In getting the sociological section together,
and in the interval every one listened to a
technical paper bn the use Of tuberc1iin in
consumption by Dr. E. L. Treudeau of sar-
anac Lake, N. Y. DR.. Treudeau said 1t was
to be regretted that there was no standard
strength for the preparation and that there
was so little known positively about the
action and the strength of the dose that
would give the best results. He said, how
ever. that at present the matter would have
to be left largely to the skill and judgment
of the physician in each case He recon-
mended the use of small doses and a careful
watch for symptoms so that if deleterious
effects were noted the treatment could be
retarded and the patients general condition
given chance to pick up. He said that
the statistics of treatment were not yet
large enough or Of such unquestioned au-
thority as to make them entirely reliable
for guide, but that they seemed to indi-
cate more advantageous results In the treat
ment of advanced cases than they did in
incipient cases.
Sociological Section.
Dr.. Northrup presided over the sociolog-
ical section as soon that boay got to-
gether. He spoke briefly of the general
study Of tuberculosis among children, and
introduced DIR. David Bovaird Of New York
who has had a large experience in autopsies
on children, and was well qualified he said
to speak Of the sources of infection as dis
played by postmortem conditions.
DR.. Bovafrd said that while there were
records of cases of local Infection tuber-
culosis of the skin, the bones and the eye
where there was no doubt that the infection
came from contact of infectious tubereu-
losis matter with the part affected they
are so rare as to form an almost negligible
quantity In the general consideration of
the subject. He said the result of autop-
sizes showed that infection came almost
solely from two sources. the breathing Of
tuberculous matter or its ingestion with
-vod. In this connection, he said 1t is
very remarkable how few cases of abdom-
inal and intestinal tuberculosis are found
even where the lungs are seriously affected
and where the patient must have beeu
swallowing millions of bacilli every day
There seemed, he said, to be some mys-
FERROUS force which protected the intestinal
tract against infection. Just what this
was no one yet understood, but il was GER
tainly there. For this reason he thought
that the possibility o. Infection from drink
ing tuberculous milk was very small one
He did not advocate any relaxation in the
stringency of milk laws on this account
but merely mentioned the fact as an Incl
dent In his observations.
Protection From Infection.
DR.. John Lovett Morse of Boston spoke
on the protection of young children from
tuberculosis infection, especially In the
crowded environment of tenements, and
after such diseases as measles, whooping
TDr Sat1 fh,f
1t was very nearly established that heredi-
tary transmission of tuberculosis was
practically unknown. There was, it was
true, danger of Infection through the con-
tact of the child with its parents, and for
that reason a tuberculosis parent should
not be allowed to keep and handle the
child, but hereditary infection is almost
certainly nonresident.
He said. further, that the protection of
children from tubercular infection was
much more difficult In the small, crowded
tenements OF a city than 1t was In more
sanitary surroundings in the country and
the better classes of city homes. He urged
the establishment of as many Fairgrounds
and places for outdoor exercise and enter
tainment as was possible. but said the rem
edies which could be used against infection
were much more obvious than they were
easy of application.
Among the Poor.
Especially was this true in the case d
the poorer classes, and almost everything
among this class depended on the amount
Of money that the public was willing to
spend in Its campaign of education and in
making provision by means of sanitaria
and other institutions for the care Of less
fortunate individuals.
There was paper the cure of tuber-
culosis in infants, by DR.. ]. w. Brannan
of New York, and a general discussion fol-
lowed which was participated in by Drs.
M ROtph of ROetOn L. 10, Holt of New
York, Frederick Forchheimer of Cincin-
natl, E. w. Saunders of ST. Louis, A. d.
Blackader of Montreal. David Bovaird Of
New York and others.
There will be banquet of the several
sections at the Willard Hotel tonight.
Proceedings Last Night.
At the session last night DR.. Lawrence
F. Flick OF Philadelphia the vice president
OF the association, delivered his annual ad-
dress. He outlined the fearful ravages Of
tuberculosis In this country. and pleaded
for the adoption of all possible measures to
check 1t. The financial loss to the public,
he said, by the disease Is not less than
$50. 100000 annually DR.. Flick urged the
establishment of an information and press
bureau to disseminate data bearing on the
cause and prevention of the disease. He
recommended also that the permanent
headquarters OF the society be established
in Washington. TO be In close touch with
the government.
The double cross was adopted as the en-
blem to be worn by those engaged In the
crusade against tuberculosis.
An additional list of directors was chosen,
including a number of laymen. They are
as follows:
w T. Sedgwick. Massachusetts,; Redfleld
Proctor, jr., ermont Rowland G. Hazard,
Rhode Island; Homer Folks. New York;
DR.. Walter B. James. New York; DR.. Ed
ward G. Janeway, New York; DIR. Alfred
Meyer. New York; John Seely Ward, jr,.
New York; Charles NJ. Lea, Pennsylvania;
DIR. J. j. Walsh. Pennsylvania; Otie H.
Childs, Pennsylvania; DR.. j. J. Black, Del
aware; DIR. c. F. McGahan, South Caro-
lima; Dr. T. D. Coleman, Georgia; Dr. John
H bowman, Ohio; Vice President Charles
W. Fairbanks, Indiana; DIR. Frank Billings,
| Illinois; A "A. Sprague, I'd, Illinois; David
r Francis, Missouri; c. q. Perkins. Louis
Vile; James J. Hill, Minnesota; DR.. Sher-
man @. Bonney, Colorado; DR.. Henry Sew
all, Colorado; DIR. w. M. Flint. California;
BENJAMIN Ide Wheeler California; Robert
Garrett. Maryland; w. H. Baldwin. Dis
trict of Columbia; Samuel Gompers. Dis
/ trict of Columbia, and DIR. George NJ. Ko-
Der, District of Columbia.
The following members OF the board were
reelected: DIR. Henry B. Jacobs. Balti-
more, Nd; DR. Henry NJ. Bracken, Min