11
Deaths from bubonic plague 5
Deaths from yellow fever 2
Pneumonia is second in fatality, the two diseases of pneumonia and
tuberculosis carrying off 128,635 persons, or about one fifth of all
persons dying in the year. While these have both been great plagues to
humanity from the very earliest days, it is only within the last ten
years that their ravages have been appreciated and, especially with
tuberculosis, their causes actively combated. There are two phases to be
considered in discussing tuberculosis or consumption, namely, first, the
method of prevention and second, the method of cure. It follows also
that, since the cure of advanced cases is impossible and since every
case which exists is a menace to the health of the community on account
of the danger of the spread of the disease, the prevention is far more
important than the cure.
Until the discovery by Robert Koch, in 1882, of the germ causing
consumption, little could be done in the way of prevention, but since
that time, only one quarter of a century ago, we have learned and
applied the knowledge that, in the vast majority of cases, the disease
is spread by the sputum of consumptive patients, which becomes dry,
forms dust, and so is carried into the air to be breathed by persons not
otherwise affected. It seems so simple a method, then, to prevent the
spread of consumption. All that need be done is to take care of the
expectorations of persons suffering with the disease. It is thoroughly
believed by experts that if this were done carefully and faithfully, the
disease would be stamped out within a few years, and the slogan of a
certain sanitary organization is "Complete Control of Tuberculosis in
1915." Too much emphasis cannot be placed on the direct and simple
method of infection, and while other factors enter, as will be shown
later, a thorough recognition and control of tuberculosis sputum would
practically stamp out the disease.
The following circular, issued by the Committee on the Prevention of
Tuberculosis of the Charity Organization Society of New York City,
indicates the procedures advised by them to prevent the spread of the
disease and, as will be seen, the essence of the axioms there expressed
are summed in the words "Don't spit!":--
DON'T GIVE CONSUMPTION TO OTHERS.
DON'T LET OTHERS GIVE IT TO YOU.
_How to prevent Consumption._
The spit and the small
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