ity (as is seen in the offspring of
parents who have had other contagious diseases), and that the reason
that they more often acquire tuberculosis is because they are
constantly exposed to contact with the germ of consumption in their
everyday home life.
It is known that there are certain occupations and diseases which
render the individual more susceptible to consumption. Thus, stone
cutters, knife grinders and polishers, on account of inhaling the
irritating dust, are more liable to the disease than any other class.
Plasterers, cigar makers, and upholsterers are next in order of
susceptibility for the same reason; while out-of-door workers, as
farmers, are less likely to contract consumption than any other body
of workers except bankers and brokers. Among diseases predisposing to
consumption, ordinary colds and bronchitis, influenza, pneumonia,
measles, nasal obstruction causing mouth-breathing, and scarlet fever
are the most important.
No age is exempt, from the cradle to the grave, although the liability
to the disease diminishes markedly after the age of forty.
About one-third more women than men recover from consumption, probably
because it is more practicable for them to alter their mode of life to
suit the requirements of treatment.
It is, then, the neglected cold and cough (bronchitis) which offers a
field most commonly favorable for the growth of the germs in the lungs
which cause consumption. And it is essential to discover the existence
of the disease at its beginning, what is called the incipient stage,
in order to have the best chance of recovery. It becomes important,
therefore, that each individual know the signs and symptoms which
suggest beginning consumption.
Cough is the most constant early symptom, dry and hacking at first,
and most troublesome at night and in the early morning. Expectoration
comes later. Loss of weight, of strength, and of appetite are also
important early symptoms. Dyspepsia with cough and loss of weight and
strength form a common group of symptoms. The patient is pale, has
nausea, vomiting, or heartburn, and there is rise of temperature in
the afternoon, together with general weakness; and, in women, absence
of monthly periods. Slight daily rise of temperature, usually as much
as a half to one degree, is a very suspicious feature in connection
with chronic cough and loss of weight. To test the condition, the
temperature should be taken once in two hours, and will commo
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