The Topeka state journal. [volume] (Topeka, Kansas) 1892-1980, 1922-05-05

nosed as tuberculosis. the patient
should go to a sanatorium for treat
ment.
For the advanced cases, we can do
no more than make them comfortable
till the end comes. But they will be
more comfortable in a sanatorium
than at home.
There is a chance to cure or arrest
the disease, if the case is taken to the
sanatorium early enough. Sanator-
soon as the case can be diagnosed.
The early case, by sanatorium
treatment, can be restored as an eco
nomic unit in the country. The ad-
vanced case can only be made COM
Portable and can be prevented from
injecting the public, at the sanator-
ium.''
DR.. Crouch drew a pathetic picture
OF the case of arrested tuberculosis.
who regains enough strength to go
back to work. and who has been edu-
Gated in the sanatorium, to the means
OF protecting himself and the public
from infection.
IN the sanatorium, he learns to ex-
pectorate in a cup" said DR.. Crouch.
when he goes out on the job and uses
the cup, he is Stunned by his fellow
workers, and he loses his job. AS a
matter of fact ne is a far safer man to
work with than a lot of walking cases
of tuberculosis who do not know they
have the disease, and who spit indis-
criminately in all directions. The ar
rested case is Stunned and fired from
his Job for protecting the public, and
being safe.
The attitude of the. public toward
the arrested case who is trying to
protect it, can only be changed by edu-
cation.
Must Be Educated.
"Expectoration should be made dis
graceful. 1t is disgraceful TO deposit
other body excreta indtscriminately'
and sputum is the filthiest of excreta,
yet people spit indiscriminately. They
not only transmit tuberculosis. but in
fluenza, diphtheria, pneumonia, and
other diseases You can't put q police
man to watch every individual The
only way you can reach them is thru
education
The educational work Of the Ma
tional Tuberculosis association, and OF
the various sanatoria over the coun-
try. has resulted in a decrease OF the
general death rate, DIR. Crouch pointed
out. -
In 1900. the death rate in New York
state was 2S2 per 100.O persons, an
nually. In 1929, It had been reduced
For the registration area OF the
United States--tne states in which
there is registration of vital statistics
the death rate in 1900 was 202 per-
berculosis. In 1920, this death rate
had been reduced to ia per 100000
persons.
Tuberculosis is not as durable as
has been advertised" DR.. Crouch said.
The person who has once had tu-
berculoSis manifested has his resist
ance lowered. and will always be more
subject to recurring attacks of the dis
ease. The~same thing is true of other
diseases, of overWork, everyday, i'm
proper living conditions All of them
weaken the body resistance. and make
their victim more susceptible to tu-
berculosis. And every person is ex-
posed. at some time or another to in
lection OF the disease.
Statistics on TB.
Statistics show that 90 per cent of
the persons who are at one time vic
TINS of tuberculosis, even tho the case
is arrested eventually die Of tubercu-
lar affections. 1t is very difficult to
make the arrested case understand
that he IS not normal, healthy, and as
free from the disease as the person
who has never had it.
"Children's diseases such as whop-
ing cough and measles, often leave the
way open for infection OF tuberculosis
They are regarded as of no moment.
but frequently. after having one of
these diseases. children are infected
with tuberculosis. which may lie dor
mant for thirty years. and then ap-
pear IN an active stage, in adult iife''