Evening journal., 1919-11-26
Would Hare Wilmington
HeaIthiest Of Cities

Or. Charles II. keene. field secretary
of the Delaware tuberculosis Commits.
sion. addressed the Chamber OF Com
merce yesterday on "A Program 70,
tuberculosis Eradication
nr. Keene said
Il wish TO present for the considera-
tion Of this group a program for the
control Of the public health. very
hastily and sketehily necessarily. but
workable program nevertheless. Be
cause Of The special type Of public
health work which brings me before
YOU. J shall present this program from
the point Of view Of the problems OF
tuberculosis. but such presentation
does not mean that 7 underestimate the
need and value of other special efforts.
such as those of prenatal care. infant
and child welfare. school hygiene.
housing and the control -of other in
feciious diseases. an these problems
are inoXtricaby cntangled.
Tuberculosis is OF two types. The
bovine and the human Human beings
contract lhe former and this mostly in
early childhood. from The milk OF tuber-
cuiOus COWS. The other type is con-
iracted from tuberculous humans by
means of the spit mouth sprays
thrown of IN talking. coughing and
sneezing, and from filthy hands which
have the germs OF This disease on them.
"The eradication OF ihe bovins type
is comparatively simple. even il not
easy, matter. 10 can be accomplished
by the destruction of the uberculous
COW, or, until the arrival of that much |
to-be-desired accomplishment by the !
thorough pasteurizalion Of an milk /
-rhe control OF the other type is /
much more difficult as ID consists OF /
the control Of an persons having a /
tuberculosis which Is sufficiently ad-
'anced so that the person is throw
ing or the germs Of the disease. Such
persons are all about us, many Of them
NOT themselves kqowning that they
have any disease that is a menace TO
their fellows. But since careful physi-
cal eXamination-eXa Of the
chest-will disclose the disease before
it has yet become infectious TO others,
the problem is far from hopeless
One group of workers in tuberculosis
the finding and putting under
sentorium treatment OF these early
cases which have not yet become in
fictitious, because q Is with this group
that cure most readily and surely re-
suits. These workers we may call the
group, because they make
the appeal 10 stop the wrecking Of lives
and families thereby checking an enor-
nous economic loss and at the same
time utilizing the great educational
value which comes from thus spread 4
ing the Information that the disease is :
both preventable and curabe and that 4
BY such simple means as proper homo II
md personal hygione-by The utiliza- lI
ion OF rest, fresh air and nourishing \
ood. II
"rhe other group. which we may call II
he public health group. advocate The II
hiding Of the infectious cases and II
llacing them under practical quaran- II
Inc, preferably in sanitoria. rhs U
llaces tuberculosis where. because OF III
Is manner OF infection, 10 properly II
'elongs In the same group. from the II
'ubllo health point OF view. with III
measles. diptheria and the like. III
"Where II has been possible 70 give III
thorough physical examination 90 II
Practically every person i'm com III
aunity, II is found that for every death II
rom tuberculosis there are fifteen cases II
mong the living. Each year there die II