Evening public ledger. [volume] (Philadelphia [Pa.]) 1914-1942, 1922-11-17
NOW MY IDEA IS THIS!
Daily Talks With Thinking Piladelphans Subjects They
KnO,U Best
KnO,U Best

| childhood are the result Of infection by way
of the castro intestinal tract; that is to say,
the germ is swallowed with milk from in /.
fected cows and such dairy products as
milk.
Servants Overlooked
But while there are several sources Of
infection during childhood, the danger Of
spreading the disease by servants Is factor
which has been, as DR.. G. II. Smith, of
New York, has pointed out, entirely over.
looked.
1.-THE question. Shall there be inaugu-
rated campaign directed to searching out
ana controlling tuberculous servants alone,
or shall it be one directed to cover NIL ways
in which children are exposed to this
disease: might be pertinently asked. 1t
seems to me that, no matter which of these
courses is pursued, the definite attention of
the public should be called to the danger
OF infection Of children by servants.
'Sincc. then, servants and childnurses--
anu IN the same class should be placed wet
nurses. the so-called nurse girl and nursery
governess-are recognized sources Of tuber-
Culous injection Of children in the homes of
their employers, the question arises naturally
enough, What Is the remedy Of chOice?'
1t has been we'll said that progress in the
control OF tuberculosis demands that the
disease be attacked at the source.
II am assuming that efforts directed to
the search and control Of tuberculosis among
servants alone should be made, for the pres.
ent at least. Experts in tuberculosis who
have given the question some consideration
Tor the most part believe that medical
examinations Of this group of employees
would be the best way of safeguarding young
children from infection in this respcct.
Two Ways Of Doing 1t
This could be accomplished in one of
two ways; namely. one by educating nil
EMPLOYERS SO that they would insist upon
examination before engaging them, and, sec. O.
ond, by an amendment to the sanitary code
SO thht reputable physicians 3 certificate 20
the effect that childnurse or servant
IS free from tuberculous taint would be re.
quircd. w 'e
lhere can be no division of opinion rs
TO me value OF education. but 1t would take
Indeed. although intelligent, in the oninion
Ok many tuberculosis experts, the public as
a, whole cannot be reached by publicitv
Inc method OF protecting tho public by nm
amendment to the sanitary code would obyi.
omsiS DC more direct. comprehensive and
rhhrcite. ,,hrsa; Moreover, to require a reputable
PHYSICIANS certificate would also emphasizs
.he great value of periodic examinations
for all citizens. "'''"'
90, An Act of Assembly, approved NAV %
iolo, providing that firms, persons or cor.
poratlohs who are operating or conducting
tti .o,tis restaurants, dining cars or other
pubic eating places. shall not employ cooks.
waters, kitchen help. chambermaids or
o1hsr mouse servants who are suffering with
certain contagious Diseases has bcen
anhehded to Include not only eating nlncas
put also drinking places, and makes nro'
nisiohs VISIONS mat all persons so EMPLOYED shoI,
lltst OBTAIN Il medical certificate stafine .i,a
"psrnce OF specified infectious diseases tho tno
eert'hcate being valid for only six InonthS s'
Protecting the Milk
IN THIS connection, 1t may be further
pointed out that workers on certified mill
iariils arms are now thoroughly examined by a
competent physician at least twice annun,l~
T.; ;u 'n some eases every two weeks, This
80 e1he M ~ order to avoid the contaminat tion
~ .Me MIX with certain germs, such a. the
superele organism, the typhoid bacilii anI
streptococci. which induce serious ,fnrns "nma ~
throat trouble. ''orhs OF
IN view OF tho fact that infect,o, ~.
cnlldren with tuberculosis from doma..'a -,
servants, chldnurses, governessas "pm'estlc nnM M
,S" ~ ABOUT as frequent az from the mans "r
asiIat.veS' I' u ~ not unrea sonable. IN ',"v ,"'
Iip'nnion, 70 make medical examination "s
eK ;eKaa requirement Of the sanitary code !.
~ 10 ne deplored that this class ~ ms..o ~
nv; hnss m',,e practical knowledge Of persona1 "1
FOLLOWING n fnnthoM