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H THE STANDARD MAGAZINE SEC TION- -OGDEN, U J 'AH, DECEMBER 27, 1913.
I Every third person in the United States who dies between the ages of IS and 45 years, dies of tuberculosis. There are 1.000.000 persons in the United States today suffering from that disease. Every year 200 000 persons in tills country are Itllled by the white plague. Quite an array of statistics. Isn't It If an Invading army marched across the United States killing rlht and left and showing no mercy to women and children, an awful howl would ascend to Congress demand ing more battleships and armies. Every able-bodied mnn would fly to arms. Hut because the tuberculosis germ is only one-tcn-thousandth of an Inch long we pass him by with lit tle attention. That's why the nurse cf the double red cross gets a Job. In every large city of the I'm . i States and In many of the smaller ones these nurses are lighting for the. prevention and relief of tubercu losis. Their work chiefly Is among those who are unable to pay for the serv ices of a physician. Many of those they deal with resent interference. They don't want to believe they are In the grip of the tiny monster Living carelessly as they do, ig norant of the menace they are to society, they spread the disease to others and add to the annual death toll of the cities. The nurses of the double red cross work under the auspices of the Antl-Tuberculosl.s societies of the city Jn which they are em ployed A newspaper reporter in St. Louis started out on morning to trail a nurse and see tho work Fhe did. Here are some of the things he 3aw. Early in the morning a telephone message came Info the headquar ters of the anti-tuberculosis so ciety siting: "There's a man down hero that hors Ho was careless, ignorant and Irresponsible He was loo weak to work and the family lived on the earnings of the wife who ought to have been out of doors or In a hos pital. The city ordinance provides that persons 111 of tuberculosis can be sent to the City Hospital whether (hey want to go or not, but the or dinance does not provide they can be kept there The sick man was sent to the hos pital, but In five days he was back. The nurses kept after the family showing them how to keep clean and instructing the man of the houso how to take care of himself so as not to spread the disease The f.im 11 did not like the Interference, so they moved. The nurses followed them, trailing them from place to place. Everywhere they went the nurses would Insist on cleanliness. They forced the family to obey tho sanitary laws for the protection of others. The family moved eighteen times in ninety days trying to evade the nurses, but the nurses of the double red cross would not give up. Several times the family were lost for a few days, hut they were al ways found again living In Ignorance and carelessness. Eighteen times the nurses fumigated their homes and finally the head of the house pave up. "I'll go to a hospital," he said He was sent to Koch Hospital, where he would not be a menace to others. His wife was sent to the State Hospital for Incipient Con sumptives, where the disease was arrested. The baby was sent to the Children s Hospital, where he was given a chance to live. All day long the reporter fol lowed tho nurse and the further he went the more Impressed ho be came with the Idea she was earn ing all she got and more, too The nurse visited many regular patients. Most of them were glad to see her and accept her advice. She taught how to be cleanly and prevent the spread of disease to others She taught that it is only the careless consumptive that Is a menace to looks as though he had tubercu losls. He takes no care of himself Mb and takes no care to keep the dls- 9H case from spreading to others." A nurse was detailed to go to the address given and try to And the jH man. Tre reporter followed. To jH reach the home she had to pass jjH through a long dark hallway in a jjHl tenement house In order to get to HH the rear of the building where tho man lived. The nurse s entrance to jH the house was blocked by the man's l wife. She wanted no one intcrfer- Hj Ing with her affairs. SPREADING DISEASE TO THE NEIGHBORS. The nurse had to get a policeman Hi to force an entrance. She found tho man suffering severely from tuber culosts. He refused aid, but the nure realized the man had given tbe disease to his wife apd child and was spreading it t the nclgn- others- The one who takes proper care of himself does not do any harm. She taught how to sleep at night with windows wide open and showed how to fix window tents so they could sleep with their heads out of the windows. Where It was pos sible she had them buy screen wire and build a sleeping porch. Sho showed them how to propure food so as to build up their bodies and (throw oft the disease and told them what food to eat. There are many throughout tho city who aro constantly giving tips to the Society for tho Prevention and Relief of Tuberculosis, telling them when they find consumptives who are violating tho laws of health and spreading the disease. The nurses quickly go to prevent further increase of tho disease germs. These tips often are Indefinite. sy u k&i: Deaths Per 100,000 i From Tuberculosis St. Louis 132.0 Chicago 157 8 London 1592 Boston ..'..'.'.'.'...101.0 New York 177.1 Philadelphia 1 1 1 .7 The tipster can tell only the local ity where the victim was seen and . the nurse goes to the spot and from there makes inquiries Sometimes the consumptive escapes and con tinues to spread the disease germs. FINDS GIRL MISINFORMED BY HER PHYSICIAN. On one of these trips a nurso found a girl that Boemod to be In the second stage of the disease. "When questioned by the nurse she learned the doctor had said the case was bronchitis. ' o and aak the doctor if you have tuberculosis." directed the nurso. The girl did as instructed and tho doctor admitted sho had the 'li. . isc. Ho said he had not told her because he did not wish to frighten her After tho girl ga o the doctor a scoldln? for his treatment of her she applied to the society for aid. Aid was given at once and tho dis ease arrested. A tuberculosis patient In a levee restaurant was reported. The nurses visited it and found tho placo in a most unsanitary condition, the pa tient was a cook and proprietor, and at the time of thu first visit was cutting sandwiches with unclean hands and rolling them to his boarders. Whites and negroes wore habitues of this place, twenty-four of them sleeping In the samo room with tho proprietor. The man was ejen mined and the report was posi tive. The patient became angry and stated ho did not have tubur- culosls and that ho would he ex amined by his own physician This was done, the patient giving tho wroiiK speolmen and tho report therefore was negative. The patient was se-nt to the city clinic, two ex- nminations were made and the Bpeclmens were positive The man v.; - compelled to cease operating his restaurant on account of its un sanitary condition and because of his being a menace to others. Another striking Instance is that of tho tamale vendor. Several cases of tuberculosis have been lo cated In the homes of these venders, one a man halng his plant in a small room, used tho shucks in which tho tamules are encased for a bed for his dog A dirty wash basin was used as a mixing pan in I In various other ways the man ufacturing establishment was be yond question Hie most unsanitary Imaginable. He had an IhCscted . finger and, his wife cancer When able to sell his wares he claimed he had a lucrative business. With tho co-operation of the Health De partment and the Food Inspector Oils man has stopped making ta males. MICH MONEY NEEDED TO CARRY ON WORK. Tuberculosis work needs more money than any other charltablo undertaking. To separate the pa tient from the family more room Is needed, a bed and bedding Is neces sary; the rent Is Increased and as they already aro paying all they can afford It Is Impossible. many limes, to carry on the work of pre vention successfully. The tuborcu losis patients cannot eat tho ordl- ITPPER left: Group of anti- tuberculosis nurses. Upper right : Two views of a nurse hunting for victims of the white plague to stop the spreading contagion to others. Center: A basement home with only one win dow, tuberculosis thrives here. Below: Two views of a nurse directing the re moval of a patient from a tenement house to the hos pital. nary food given the poor by char it.il.l nrgani.atlons anil then. tOO when the patient is first reported it needs nutritive food quickly. Without a relief fund this food Is often impossible to obtain. The Soclefty for the Relief and Prevention of Tuberculosis Is sup ported by oluntary contributions entirelv. Money is given by people of moans, and there Is an Incomo from the sa!o of Christmas st.nips and from the collection of old pa pers and magazines. Tho means for fighting tho dis ease Is wholly inadequate In cery city. Some cities have advanced further than others. Tho annual damage In the Unlled Stutos from the disease is half a billion dollars a year in loss of life and labor due to the attack of the White Plague. When a man is stricken with lep rosy he Is taken away from society and isolated in a cabin. Doctors say tuberculosis Is more Infectious than leprosy, but we pay little at tention to isolating for tuberculosis. Tuberculosis however, Is entirely a preventable disease. It Is never inherited It is acquired. In 1882 Dr. Robert Koch In Berlin discov ered the germ that causes tho dis ease. It is a vegetable growth red shaped and only 1,100 000 of an Inch In thickness Growing In the body It destroys the tissues and produces poisons. The commonest form la tubercu losis of the lunKs, called consump tion It lodges In the digestive or gans and In the bones also. The germs aro present in the air almost all the time because of the careless ness of those who have the dlsoaso It thrives In dark corners where Ignorant men expectorate. When It dries the germs float through the air and are inhaled, reaching the lungs where they f.nd lodgment. j To a person In vigorous health there Is no harm done from Inhal ing the germs. But to the persons whose sstcm is run down by over work, poor food, lack of sleep or other disease, t.ho little germs often mean death. WEAKENED BODY UNABLE TO THROW OFF DISEASE. The weakened system is unable U to throw off the disease and It grows 7 rapidly destroying the tissue. T nder proper care tuberculosis can be cured In the early stages. The condition"? which caused the disease must be removed. : Experts In the treatment of tu berculosis ha e prepared the fol lowing statement' P ' Transient unskilled laborers are :J great disseminators of tuberculosis. ' Cheap lodging houses are hot beds of tuberculosis and should be kept under strict inspection. "One tuberculosis dispensary in a j large city Is not sufficient. " Vll factories should receive care ful inspection, liht. air-space and 1 entllation regulations should bo es tablished and enforced. h "All thoso employed In cooking and serii ing food in public places should receive medical inspection. . "Excessive use of alcohol and to- J bacco are important predisposing f agents. , "Home life Is antagonistic in I, some degree to the dissoninatlon of " tuberculosis. - "The great practical importance 1 of educational measures Is evl- v denced by the overwhelming fact that over half of our cases had ' never recehed medical attention nor navies ueioro applying to mo clinic. 0 "We have found none of the new- L er methods of diagnosis as reliable as the old. "Tuberculin skin tests in children aro valuable aids in diagnosis. "The ultimate cure of tuborcu- ' losls Is economic. "Rational preventive therapy must bo based upon educutional and r economic lines. We must treat thoso who have not contracted the dis ease. "Hospitals for advanced cases vl should be of large capacity and as attractive as possible. 'There should be more free san atoria subsidized by the State. Each , Satle should have at least three or four such institutions. , "The isitlng nurse Is indlspen- , sable In tho treatment of city cases. Philanthropic organisations are also necessary under present conditions. i! "Though it is of utmost impor- f tance that advanced cases should be Isolated in hospitals, it is not proper to force them into Institutions , through premeditated neglect r. "When patients are sent away ' from homo without the assurance of further assistance, tho results are usually disastrous. "The class in tuberculosis Is an ingenious and valuable Idea, which is giving practical results. LB Tuberculin therapy is a valuable rj! adjunct in tho treatment of tuber culosis both Ik city and sanatorium prai tice, because not infrequently truly remarkable results are noted. "Medical treatment Is necessary ?ss In dispensary practice. Pronounced V j 5? cases require symptomatic treat ment. Most patient cannot be con- , trolled without some form of medi cation, ffy rn Milt Deau of American Poets. w John Townsend Trowbridge, tho j1! famous poet and author, celebrated peh his eighty-sixth birth anniversary tit September 18, at his beautiful home Hh in Boston Many friends called Bef during the day and he received many letters and telegrams of con- !w gratulatlon To a reporter he de- o clared he felt as young as he did hv twenty years ago and gavo an In- 'Un tervlew favoring votes for the worn- 'rne en who want them, but denouncing I in the methods of the militant suffra- k 1 geltes in England. If( Mr Trowbridge is the dean of kft living American authors, numbering among his early associates such lit- n3 erary stars as Cmerson. Jewell, 'ty , Longl-iiow. YVhlttler. Holmes. Whit- 'lit, man and Artemus Ward. Ho is 1 Grj best known as a writer of hoys' sto- rles, but his poems and novels rank T)jt high. His poem about Darius Green N , has been frequently quote 1 since irt d.lng machines became a reality. tl He has written only two books 'in hry , recent years. fctj